Fan Jincai, Zhou Lu, Yang Jifan, Yan Yucheng, Song Jipeng
The Scar Treatment Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, NO. 33, Badachu Road, Beijing, 100144, Shijingshan District, China.
Aesthetic Plast Surg. 2025 Mar;49(5):1167-1175. doi: 10.1007/s00266-024-04230-8. Epub 2024 Oct 4.
Lower face and neck aging and facial shape changes are usually caused by soft tissue descent. During lower face and neck enlargement, parotid hypertrophy is an important influence factor of morphologic changes in the periauricular regions. Most plastic surgery techniques greatly improve the shape of the lower face and neck, but ignore the manipulation of the parotid gland. We aimed to resolve the lower face and neck enlargement caused by parotid hypertrophy. Thus, we performed parotid gland suspension combined with rhytidectomy to improve the lower face and neck contour.
This retrospective study recruited 22 patients who underwent parotid gland suspension combined with rhytidectomy from 2012 to 2020. The evaluation of patient outcomes was performed by selecting items from the FACE-Q scale. Surgical procedures involved parotid gland exposure and parotid fascia suspension.
Patient-perceived age appraisal indicated a younger appearance with follow-ups for approximately 3-10 year after the surgery (mean ± standard deviation - 5.53 ± 3.67). Patients had a high satisfaction level for facial appearance (67.15 ± 16.84), lower face (74.69 ± 21.22), and contour of the parotid gland areas of the neck (65.76 ± 23.62). The lower face and neck contours were narrowed and tightened. The parotid gland area showed a remarkable improvement after surgery.
Parotid gland suspension combined with rhytidectomy obtained an outstanding improvement. This method can achieve a better lower face and neck contour, especially in patients with benign parotid hypertrophy or lower face and neck enlargement in periauricular regions.
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下面部和颈部衰老以及面部形状改变通常由软组织下垂引起。在下面部和颈部增大时，腮腺肥大是耳周区域形态变化的一个重要影响因素。大多数整形手术技术能极大改善下面部和颈部的形状，但却忽略了对腮腺的处理。我们旨在解决由腮腺肥大导致的下面部和颈部增大问题。因此，我们实施了腮腺悬吊联合除皱术以改善下面部和颈部轮廓。
这项回顾性研究纳入了2012年至2020年期间接受腮腺悬吊联合除皱术的22例患者。通过从FACE-Q量表中选取项目来评估患者的治疗效果。手术步骤包括腮腺暴露和腮腺筋膜悬吊。
患者自我感知的年龄评估显示，术后约3至10年（平均±标准差 - 5.53±3.67）外观更显年轻。患者对面部外观（67.15±16.84）、下面部（74.69±21.22）以及颈部腮腺区域轮廓（65.76±23.62）的满意度较高。下面部和颈部轮廓变窄且紧致。术后腮腺区域有显著改善。
腮腺悬吊联合除皱术取得了显著改善。该方法能实现更好的下面部和颈部轮廓，尤其适用于良性腮腺肥大或耳周区域下面部和颈部增大的患者。
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