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重建性除皱术的系统评价与比较分析:优点、缺点及患者预后

A Systematic Review and Comparative Analysis of Reconstructive Rhytidectomy: Advantages, Disadvantages, and Patient Outcomes.

作者信息

Meretsky Christopher R, Hausner Paulette, Flynn Brian P, Schiuma Anthony T

机构信息

Surgery, St. George's University School of Medicine, Great River, USA.

Obstetrics and Gynecology, St. George's University School of Medicine, Great River, USA.

出版信息

Cureus. 2024 Oct 7;16(10):e71006. doi: 10.7759/cureus.71006. eCollection 2024 Oct.

Abstract

Reconstructive rhytidectomy, commonly known as facelift surgery, is a prominent cosmetic procedure aimed at rejuvenating facial appearance by addressing signs of aging. This paper critically evaluates the advantages and disadvantages of various surgical techniques involved in rhytidectomy, including the superficial musculoaponeurotic system (SMAS), deep plane facelift, and subperiosteal approaches. This systematic review of recent literature highlights key outcomes such as scar quality, postoperative pain management, and patient satisfaction. While the techniques demonstrate significant improvements in aesthetic results and patient quality of life, they also present risks including complications, dissatisfaction with outcomes, and the financial burden of surgery. Future directions indicate a trend toward minimally invasive approaches, integration of regenerative medicine, and personalized surgical planning, aiming to optimize results and minimize risks.

摘要

重建性除皱术,通常被称为面部提升手术,是一种著名的美容手术,旨在通过解决衰老迹象来恢复面部外观。本文批判性地评估了除皱术中各种手术技术的优缺点,包括表浅肌肉腱膜系统(SMAS)、深层平面面部提升术和骨膜下入路。对近期文献的这一系统评价突出了诸如瘢痕质量、术后疼痛管理和患者满意度等关键结果。虽然这些技术在美学效果和患者生活质量方面有显著改善,但它们也存在风险,包括并发症、对结果的不满意以及手术的经济负担。未来的发展方向表明,微创方法、再生医学的整合以及个性化手术规划的趋势,旨在优化结果并将风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b786/11539935/11a38269dc76/cureus-0016-00000071006-i01.jpg

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