Chang Chung-Harn, Zhao Hong-Liang
Chang's Clinic of Cosmetic Surgery, Taipei, Taiwan.
Aesthetic Plast Surg. 2025 Jan;49(1):308-313. doi: 10.1007/s00266-024-04485-1. Epub 2024 Nov 14.
Injectable cosmetic procedures are increasingly popular among beauty seekers as rapid technology and material advancements making it easier to achieve desired results through minimal trauma. The technique of subperiosteal injection, which is not yet introduced to the field of medical esthetics, may achieve more satisfying results. This study confirms the possibility of subperiosteal injection of dermal filler, using the clavicle area as the validation region, and has been validated by ultrasound examinations. This novel injection technique combining sharp and cannula successfully achieves subperiosteal filling injections, aiming to shape clear contours by utilizing subperiosteal filling and addressing the displacement issues of conventionally injected dermal filler, thereby achieving long-term reliable results.
The new technique involves linear limited subperiosteal dissection using a cannula, followed by further expansion of the periosteum through injection pressure to complete the injection of dermal filler and retain it beneath the periosteum.
The conclusion drawn from clinical observation and ultrasound validation confirms that the dermal filler is indeed injected at the subperiosteal level and provides very stable support. The results at the 6-month follow-up remain ideal.
This subperiosteal injection technique is easy to practice and conductive to promotion. In terms of results, it achieves long-term stable outcomes that traditional injection methods cannot achieve. Although the clavicle area was used as the validation region, this technique can also be applied to many conventional facial injection sites.
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随着技术和材料的迅速发展，注射美容手术在求美人群中越来越受欢迎，通过微创更容易达到理想效果。骨膜下注射技术尚未引入医学美容领域，可能会取得更令人满意的效果。本研究以锁骨区域作为验证区域，证实了骨膜下注射真皮填充剂的可能性，并已通过超声检查得到验证。这种将锐针和套管相结合的新型注射技术成功实现了骨膜下填充注射，旨在利用骨膜下填充塑造清晰轮廓，解决传统注射真皮填充剂的移位问题，从而获得长期可靠的效果。
新技术包括使用套管进行线性有限的骨膜下剥离，然后通过注射压力进一步扩张骨膜，以完成真皮填充剂的注射并将其保留在骨膜下方。
临床观察和超声验证得出的结论证实，真皮填充剂确实注射到了骨膜下水平，并提供了非常稳定的支撑。6个月随访结果仍然理想。
这种骨膜下注射技术易于操作且便于推广。在效果方面，它实现了传统注射方法无法达到的长期稳定效果。尽管以锁骨区域作为验证区域，但该技术也可应用于许多传统的面部注射部位。
证据等级IV：本杂志要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南https://www.springer.com/00266 。
