Wang Jingang, Xie Lining, Zhang Ning, Hu Lijuan, Zhang Siqing, Liu Jingchun, Wang Xihua, Yan Xiaofeng
From the Department of Plastic Surgery, Jining Xingyang Cosmetic Surgery Hospital, Jining City, Shandong Province, China.
Department of Plastic Surgery, Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China.
Plast Reconstr Surg Glob Open. 2024 Dec 6;12(12):e6363. doi: 10.1097/GOX.0000000000006363. eCollection 2024 Dec.
This investigation assessed patient satisfaction with a temporal incision technique using a super-high superficial musculoaponeurotic system (SMAS) flap for midface lifting in a Chinese patient cohort.
From July 2019 to July 2023, 95 patients underwent midface lifts via a temporal incision approach at our institution. The extent of SMAS flap dissection spanned 2 cm above the outer canthus, to the lower margin of the zygomatic arch inferiorly, and medially to the zygomaticus major muscle. The technique involved anchoring the elevated SMAS flap to the deep temporal fascia to elevate the malar fat pads, correct sagging tissues, and ameliorate the appearance of nasolabial folds.
Among the 95 patients, 61 completed a follow-up ranging from 6 months to 2 years postsurgery, with a majority reporting satisfaction with the aesthetic results of their midface lift. No significant complications, including permanent facial nerve injury, were reported.
The temporal incision super-high SMAS face lift technique demonstrated high patient satisfaction and clinical effectiveness in improving the appearance of nasolabial fold and midface aesthetics. However, the success of this technique hinges on a comprehensive understanding of facial anatomy due to the confined operative field, highlighting its technical demands and the need for surgical expertise.
本研究评估了中国患者队列中使用超高位表浅肌肉腱膜系统（SMAS）皮瓣的颞部切口技术进行中面部提升的患者满意度。
2019年7月至2023年7月，95例患者在我院接受了颞部切口入路的中面部提升手术。SMAS皮瓣剥离范围为外眦上方2cm，向下至颧弓下缘，内侧至颧大肌。该技术包括将提升的SMAS皮瓣固定于颞深筋膜，以提升颧脂肪垫，矫正下垂组织，改善鼻唇沟外观。
95例患者中，61例完成了术后6个月至2年的随访，大多数患者对中面部提升的美学效果表示满意。未报告包括永久性面神经损伤在内的重大并发症。
颞部切口超高位SMAS面部提升技术在改善鼻唇沟外观和中面部美学方面显示出较高的患者满意度和临床效果。然而，由于手术视野受限，该技术的成功取决于对面部解剖结构的全面了解，突出了其技术要求和对手术专业知识的需求。
