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联合骨膜上微脂肪移植和真皮内纳米脂肪治疗眶周色素沉着(黑眼圈)。

Combined supraperiosteal microfat grafting and intradermal nanofat for the treatment of periorbital melanosis (dark circles).

作者信息

Venkataram Aniketh

机构信息

Department of Plastic Surgery, The Venkat Center for Skin ENT and Plastic Surgery, Bengaluru, Karnataka, India.

出版信息

J Cutan Aesthet Surg. 2025 Apr-Jun;18(2):114-119. doi: 10.25259/JCAS_10_2024. Epub 2024 Nov 29.

DOI:10.25259/JCAS_10_2024
PMID:40212419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11980713/
Abstract

OBJECTIVES

Dark circles are one of the most common aesthetic concerns in India. While several treatment options exist, none address both volume deficiency and skin quality simultaneously. We felt that fat grafting and nanofat provided a novel treatment option to address both aspects of dark circles in one treatment.

MATERIAL AND METHODS

Patient records were examined from 2017 to 2021. A total of 28 patients were identified as having undergone fat grafting and nanofat for dark circles specifically. The patients were analyzed for age, gender, volumes injected, and outcomes based on patient self-assessment.

RESULTS

A total of 36 patients underwent fat grafting ranging from the age of 20 to 40 (average 31). All procedures were done under local anesthesia as day care procedures. The volumes injected range from 2 cc/side to 8 cc/side, with an average of 4.36 cc. Using the Likert scale, 28 (77%) rated their results as very satisfied. Six (17%) rated it as satisfied. One rated it as neutral and two rated it as average, and underwent a second session of fat grafting where another 2 cc was injected per side.

CONCLUSION

Fat grafting and nanofat are an exciting treatment option for the treatment of dark circles, which is usually regarded as a recalcitrant problem. It has the advantages of addressing both volume and skin quality, being a single-stage procedure, and producing comparatively long-lasting results.

摘要

目的

黑眼圈是印度最常见的美容问题之一。虽然有多种治疗选择,但没有一种能同时解决容量不足和皮肤质量问题。我们认为脂肪移植和纳米脂肪提供了一种新颖的治疗选择,可在一次治疗中解决黑眼圈的两个方面。

材料与方法

检查了2017年至2021年的患者记录。共有28名患者被确定专门接受了用于治疗黑眼圈的脂肪移植和纳米脂肪治疗。根据患者自我评估,对患者的年龄、性别、注射量和治疗效果进行了分析。

结果

共有36名年龄在20至40岁(平均31岁)的患者接受了脂肪移植。所有手术均在局部麻醉下作为日间手术进行。注射量从每侧2毫升到8毫升不等,平均为4.36毫升。使用李克特量表,28名(77%)患者对治疗结果非常满意。6名(17%)患者表示满意。1名患者评价为中性,2名患者评价为一般,这2名患者接受了第二次脂肪移植手术,每侧又注射了2毫升。

结论

脂肪移植和纳米脂肪是治疗黑眼圈的一种令人兴奋的治疗选择,而黑眼圈通常被认为是一个棘手的问题。它具有同时解决容量和皮肤质量问题、为单阶段手术且能产生相对持久效果的优点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce4/11980713/abe7a34d2200/JCAS-18-114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce4/11980713/61a36ee93e8e/JCAS-18-114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce4/11980713/e57c21883d30/JCAS-18-114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce4/11980713/b71367059d2a/JCAS-18-114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce4/11980713/abe7a34d2200/JCAS-18-114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce4/11980713/61a36ee93e8e/JCAS-18-114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce4/11980713/e57c21883d30/JCAS-18-114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce4/11980713/b71367059d2a/JCAS-18-114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fce4/11980713/abe7a34d2200/JCAS-18-114-g004.jpg

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Plast Reconstr Surg. 2022 Nov 1;150(5):955-962. doi: 10.1097/PRS.0000000000009613. Epub 2022 Aug 22.
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Ophthalmic Complications Following Facial Autologous Fat Graft Injection: A Systematic Review and Meta-Analysis.面部自体脂肪移植注射后的眼部并发症:一项系统评价和荟萃分析。
Aesthetic Plast Surg. 2022 Dec;46(6):3013-3035. doi: 10.1007/s00266-022-02924-5. Epub 2022 Jun 1.
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Treatments of Infra-Orbital Dark Circles by Various Etiologies.
不同病因所致眶下黑眼圈的治疗方法。
Ann Dermatol. 2018 Oct;30(5):522-528. doi: 10.5021/ad.2018.30.5.522. Epub 2018 Aug 28.
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Efficacy, safety and complications of autologous fat grafting to the eyelids and periorbital area: A systematic review and meta-analysis.自体脂肪移植在眼睑和眶周区域的疗效、安全性和并发症:系统评价和荟萃分析。
PLoS One. 2021 Apr 1;16(4):e0248505. doi: 10.1371/journal.pone.0248505. eCollection 2021.
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Mechanical Micronization of Lipoaspirates: Squeeze and Emulsification Techniques.脂肪抽吸物的机械微粉化:挤压和乳化技术。
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