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面部年轻化提升颊部手术(法式提升术),一种治疗面部前柱下垂的面部提升技术:一位外科医生对1100例手术患者的10年经验。

The Facial Rejuvenation Enhancing Cheek Lift (FRENCH LIFT), a Facelift Technique that Treats Sagging of the Anterior Column of the Face: A Single Surgeon's 10-year Experience with 1100 Operated Patients.

作者信息

Bellity Philippe, Garmi Rachid, Pechevy Lolita, Carloni Raphael

机构信息

Clinique Eiffel, 6 Square Pétrarque, 75116, Paris, France.

Department of Maxillo-Facial Surgery, CHU Caen Normandie, Avenue de la Côte de Nacre, 14000, Caen, France.

出版信息

Aesthetic Plast Surg. 2024 Dec 3. doi: 10.1007/s00266-024-04585-y.

DOI:10.1007/s00266-024-04585-y
PMID:39627330
Abstract

BACKGROUND

Most facelift techniques have limited effect on the nasolabial fold and the more medial part of the face. The facial rejuvenation enhancing cheek (FRENCH) lift can treat both jowl sagging and midface deflation by a monobloc vertical and oblique displacement of the anterior column of the face through an extended subcutaneous dissection.

OBJECTIVES

To explain the surgical technique and to show its efficacy on the nasolabial fold, jawline and infraorbital rim.

METHODS

We retrospectively included all patients operated by a single surgeon between 2014 and 2024. Data were collected and analyzed for patient demographics, outcomes and complications.

RESULTS

In total, 1100 consecutive patients were included (53 males, 1047 females). Mean age was 58 (29-83) years. Primary facelift was performed in 968 patients, secondary in 132 patients. Associated procedures were performed in 679 cases (25 lipofillings, 509 blepharoplasties, 145 browlifts, 22 bichectomies). The complication rate was 7% (39 hematomas, 5 neuropraxias of the buccal branch, 6 neuropraxias of the mandibular branch, 7 infections, 26 skin necrosis).

CONCLUSIONS

The FRENCH Lift is a safe and long-term effective facelift technique that allows the treatment of jowl fat sagging, nasolabial fold deepening and infraorbital rim hollowing by a vertical and oblique lifting of the more medial facial fat compartments.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

大多数面部提升技术对鼻唇沟和面部更内侧部分的效果有限。面部年轻化增强脸颊(FRENCH)提升术可通过经延伸的皮下剥离对面部前柱进行整块垂直和斜向移位,来治疗下颌赘肉下垂和中面部凹陷。

目的

解释手术技术并展示其对鼻唇沟、下颌轮廓和眶下缘的疗效。

方法

我们回顾性纳入了2014年至2024年间由单一外科医生手术的所有患者。收集并分析了患者的人口统计学数据、手术结果和并发症情况。

结果

总共纳入了1100例连续患者(53例男性,1047例女性)。平均年龄为58岁(29 - 83岁)。968例患者接受了初次面部提升,132例患者接受了二次面部提升。679例患者进行了相关手术(25例脂肪填充、509例眼睑整形术、145例提眉术、22例颊脂垫切除术)。并发症发生率为7%(39例血肿、5例颊支神经挫伤、6例下颌支神经挫伤、7例感染、26例皮肤坏死)。

结论

FRENCH提升术是一种安全且长期有效的面部提升技术,通过垂直和斜向提升面部更内侧的脂肪间隔,可治疗下颌赘肉下垂、鼻唇沟加深和眶下缘凹陷。

证据等级IV:本刊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www.springer.com/00266 。

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本文引用的文献

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J Cosmet Dermatol. 2024 Aug;23(8):2537-2542. doi: 10.1111/jocd.16326. Epub 2024 Apr 28.
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Evolution of Superficial Muscular Aponeurotic System Facelift Techniques: A Comprehensive Systematic Review of Complications and Outcomes.浅表肌肉腱膜系统面部提升技术的演变:并发症与疗效的全面系统评价
JPRAS Open. 2023 Jun 8;39:166-180. doi: 10.1016/j.jpra.2023.06.003. eCollection 2024 Mar.
3
Superior Vector Plication of the Mobile Anterior Midface: The Delta Facelift.
移动前中面部的优越向量折叠术:三角洲面中部提升术。
Aesthet Surg J. 2024 Jan 16;44(2):144-159. doi: 10.1093/asj/sjad283.
4
Lifting the Anterior Midcheek and Nasolabial Fold: Introduction to the Melo Fat Pad Anatomy and Its Role in Longevity and Recurrence.提升中面部和鼻唇沟:介绍梅洛脂肪垫解剖及其在长寿和复发中的作用。
Aesthet Surg J. 2023 Aug 17;43(9):941-954. doi: 10.1093/asj/sjad126.
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Hemostatic Net in Facelift Surgery: A 5-Year Single-Surgeon Experience.面部提升术中的止血网:一位外科医生的 5 年单中心经验。
Aesthet Surg J. 2023 Sep 14;43(10):1106-1111. doi: 10.1093/asj/sjad097.
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The Superficial Musculoaponeurotic System: Does It Really Exist as an Anatomical Entity?表浅肌肉腱膜系统:它真的作为一个解剖实体存在吗?
Plast Reconstr Surg. 2024 May 1;153(5):1023-1034. doi: 10.1097/PRS.0000000000010557. Epub 2023 Apr 11.
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