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线雕手术的解剖学考量

Anatomical Considerations for Thread Lifting Procedure.

作者信息

Hong Gi-Woong, Kim Soo-Bin, Park Youngjin, Park Soo Yeon, Chan Lisa Kwin Wah, Lee Kar Wai Alvin, Sydorchuk Olena, Wan Jovian, Yi Kyu-Ho

机构信息

Sam Skin Plastic Surgery Clinic, Seoul, Korea.

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project, Yonsei University College of Dentistry, Seoul, Korea.

出版信息

J Cosmet Dermatol. 2025 Jan;24(1):e16618. doi: 10.1111/jocd.16618. Epub 2024 Oct 8.

DOI:10.1111/jocd.16618
PMID:39376117
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11743344/
Abstract

BACKGROUND

Thread lifting is a minimally invasive procedure that enhances facial aesthetics by repositioning sagging tissues with absorbable threads. It requires a comprehensive understanding of facial anatomy for safe and effective results.

AIMS

This study aims to highlight the critical anatomical considerations in thread lifting, including the navigation of facial vascular structures, the protection of facial nerves, manipulation of fat compartments, and engagement of retaining ligaments. These factors are essential for minimizing complications and achieving optimal outcomes.

PATIENTS/METHODS: A review was conducted focusing on the anatomical elements critical to thread lifting. The study analyzed clinical outcomes related to vascular structures, nerve pathways, fat compartments, and ligaments in patients undergoing the procedure.

RESULTS

The review revealed that careful navigation of facial blood vessels is crucial to avoid complications such as bleeding and bruising. Knowledge of facial nerve pathways is essential to prevent nerve damage, which could result in facial weakness or paralysis. Proper manipulation of facial fat compartments helps address aging-related changes, and engaging retaining ligaments is vital for a sustainable lift without tissue distortion.

CONCLUSIONS

Thread lifting demands not only technical skill but also a deep understanding of facial anatomy to ensure patient safety and desired aesthetic results. Expertise in these anatomical considerations is essential for minimizing complications and preserving the natural function of facial structures.

摘要

背景

线雕是一种微创手术，通过使用可吸收线重新定位下垂组织来提升面部美观度。为了获得安全有效的效果，需要对面部解剖结构有全面的了解。

目的

本研究旨在强调线雕中关键的解剖学注意事项，包括面部血管结构的导航、面神经的保护、脂肪隔的操作以及悬吊韧带的作用。这些因素对于将并发症降至最低并实现最佳效果至关重要。

患者/方法：进行了一项综述，重点关注线雕关键的解剖学要素。该研究分析了接受该手术患者中与血管结构、神经通路、脂肪隔和韧带相关的临床结果。

结果

综述显示，仔细避开面部血管对于避免出血和瘀伤等并发症至关重要。了解面神经通路对于预防神经损伤至关重要，神经损伤可能导致面部无力或瘫痪。对面部脂肪隔进行适当操作有助于解决与衰老相关的变化，而利用悬吊韧带对于实现可持续提升且不造成组织变形至关重要。

结论

线雕不仅需要技术技能，还需要对面部解剖结构有深入了解，以确保患者安全并达到理想的美学效果。熟悉这些解剖学注意事项对于将并发症降至最低并保留面部结构的自然功能至关重要。

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Diagnostics (Basel). 2024 Mar 28;14(7):716. doi: 10.3390/diagnostics14070716.
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