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基于解剖学的诊断与填充注射技术:下巴填充与下颌轮廓塑形

Anatomic-Based Diagnosis and Filler Injection Techniques: Chin Augmentation and Jawline Contouring.

作者信息

Hong Gi-Woong, Wan Jovian, Yoon Song-Eun, Yi Kyu-Ho

机构信息

Samskin Plastic Surgery Clinic, Seoul.

Medical Research Inc., Wonju.

出版信息

J Craniofac Surg. 2025;36(2):688-694. doi: 10.1097/SCS.0000000000011075. Epub 2025 Jan 13.

Abstract

Chin augmentation and jawline contouring have emerged as significant procedures in aesthetic medicine, addressing both structural and age-related changes in the lower face. This review explores anatomic-based diagnosis and filler injection techniques for these treatments. Ethnic variations in facial structure necessitate different approaches, with Western patients often seeking jawline definition, while Asian patients frequently require chin projection. The evolution of beauty standards and widespread orthodontic treatments have influenced treatment goals, emphasizing overall facial harmony. Successful outcomes rely on a thorough understanding of facial anatomy, including the complex interplay of muscles, fat layers, and soft tissue landmarks. The distinction between bony and soft tissue landmarks is crucial for optimal filler placement. Treatment techniques involve careful selection of filler consistency and injection depth, with high-viscosity fillers used for deep structural support and softer fillers for surface refinement. The use of cannulas in jawline treatments offers advantages in reducing complications and ensuring even distribution. Vascular anatomy knowledge is essential to avoid complications, particularly regarding the facial artery and its branches. Post-treatment management, including massage and follow-up assessments, is vital for achieving and maintaining desired results. This comprehensive approach ensures safe, effective, and aesthetically pleasing outcomes in chin and jawline enhancement procedures.

摘要

下巴填充和下颌轮廓塑形已成为美容医学中的重要手术,可解决下脸部的结构变化和与年龄相关的变化。本综述探讨了这些治疗方法基于解剖学的诊断和填充剂注射技术。面部结构的种族差异需要不同的方法,西方患者通常寻求下颌轮廓清晰,而亚洲患者通常需要下巴前突。美容标准的演变和广泛的正畸治疗影响了治疗目标,强调整体面部和谐。成功的治疗效果依赖于对面部解剖结构的透彻理解,包括肌肉、脂肪层和软组织标志的复杂相互作用。骨组织和软组织标志之间的区别对于填充剂的最佳放置至关重要。治疗技术包括仔细选择填充剂的稠度和注射深度,高粘度填充剂用于深层结构支撑,较软的填充剂用于表面细化。在下颌轮廓治疗中使用套管针在减少并发症和确保均匀分布方面具有优势。血管解剖学知识对于避免并发症至关重要,特别是关于面动脉及其分支。治疗后的管理,包括按摩和随访评估,对于实现和维持理想效果至关重要。这种综合方法可确保下巴和下颌轮廓增强手术的安全、有效和美观效果。

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