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微吸脂术联合射频与脂肪格架在混合型鼻唇沟治疗中的应用

Microliposuction and Radiofrequency Combined With Fat Grating as a New Method for Hybrid-Type Nasolabial Folds.

机构信息

Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shijingshan District, Beijing, People's Republic of China.

出版信息

J Craniofac Surg. 2024 Oct 1;35(7):2150-2155. doi: 10.1097/SCS.0000000000010469. Epub 2024 Sep 9.

Abstract

BACKGROUNDS

The hybrid-type nasolabial fold is a special, complex type of nasolabial fold with various causes, making it difficult to obtain an ideal effect with a single treatment.

OBJECTIVES

This study aimed to investigate the effect and complications of a comprehensive therapy combining microliposuction, radiofrequency, and fat grafting on hybrid-type nasolabial folds.

RESULTS

Twenty-one patients aged 27 to 45 (mean: 34.71±5.41) years, who underwent the therapy for hybrid-type nasolabial folds were retrospectively analyzed. All patients were followed up for 12 months. Two independent observers conducted postoperative follow-ups at 1 week and 12 weeks. One week postoperatively, the hematoma, mass nodule, and skin scald ecchymosis scores were 1.24±0.43, 1.62±0.58, and 1.48±0.59, respectively. At 12 weeks, the scores of mass nodules and skin scald ecchymosis decreased (1.19±0.39 and 1.05±0.21, respectively) without obvious hematoma. The WSRS grade decreased from 4.33±0.47 to 2.19±0.39 (P<0.001), and the hybrid-type nasolabial folds significantly improved. The Face-Q scale score was 20.43±2.63 points (standard score: 85.12±10.95 points). 76.19% of the patients scored more than 80 points in the subjective Face-Q evaluation.

CONCLUSION

Microliposuction and radiofrequency combined with fat grafting effectively treats hybrid-type nasolabial folds, resulting in high patient satisfaction. Most complications can be prevented, and optimal outcomes can be obtained by comprehensive surgical methods and correct procedures, which is thus worthy of clinical promotion.

摘要

背景

混合型鼻唇沟是一种特殊且复杂的鼻唇沟类型,其病因多样,单一治疗方法难以获得理想效果。

目的

本研究旨在探讨微吸脂术、射频联合脂肪移植综合治疗混合型鼻唇沟的效果及并发症。

结果

回顾性分析 21 例年龄 27~45 岁(平均 34.71±5.41 岁)接受综合治疗的混合型鼻唇沟患者。所有患者均随访 12 个月,由 2 位独立观察者在术后 1 周和 12 周进行术后随访。术后 1 周,血肿、肿块结节和皮肤烫伤瘀斑评分分别为 1.24±0.43、1.62±0.58 和 1.48±0.59;术后 12 周,肿块结节和皮肤烫伤瘀斑评分下降(1.19±0.39 和 1.05±0.21),无明显血肿。WSRS 分级由 4.33±0.47 降至 2.19±0.39(P<0.001),混合型鼻唇沟明显改善。Face-Q 量表评分为 20.43±2.63 分(标准分:85.12±10.95 分)。主观 Face-Q 评估中,76.19%的患者得分超过 80 分。

结论

微吸脂术和射频联合脂肪移植治疗混合型鼻唇沟效果显著,患者满意度高。通过综合手术方法和正确的手术步骤,大多数并发症可以预防,并获得最佳效果,因此值得临床推广。

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