Cook W R
Coronado Skin Medical Center, Inc., California, USA.
Dermatol Surg. 1997 Dec;23(12):1143-8. doi: 10.1111/j.1524-4725.1997.tb00464.x.
Submental tumescent liposculpture alone is not able to achieve the results of rhytidectomy.
To improve the results of submental tumescent liposculpture new laser techniques were developed to provide maximum cosmetic results with minimal disability and rapid recovery.
Extensive tumescent liposculpture of the lower face, jowls, neck, and subplatysma was performed on 100 patients. Platysma fascia and undersurface of the dermis of the neck were laser resurfaced. Septae and platysma insertions were separated. Subcutaneous fat was laser vaporized. Platysma muscle was plicated. Where indicated, a chin implant was inserted.
Clinical results far superior to tumescent liposculpture alone included improved cervico-mental angle and marked reduction in laxity of the neck skin, platysma banding, and horizontal neck creases. Patients recovered rapidly with minimal to no bruising, scarring, or pain.
Laser neck and jowl liposculpture produces superior results to standard submental tumescent liposculpture with no increase in recovery time and no complications to date.
单纯颏下肿胀吸脂术无法达到除皱术的效果。
为了改善颏下肿胀吸脂术的效果，研发了新的激光技术，以实现最大程度的美容效果，同时使功能障碍最小化并实现快速恢复。
对100例患者进行了广泛的下脸、下颌、颈部及颈阔肌下肿胀吸脂术。对颈阔肌筋膜和颈部真皮下层进行激光表面重塑。分离间隔和颈阔肌附着点。对皮下脂肪进行激光汽化。折叠颈阔肌。在有指征的情况下，植入下巴假体。
临床效果远优于单纯肿胀吸脂术，包括改善颈颌角，显著减轻颈部皮肤松弛、颈阔肌条索和颈部横纹。患者恢复迅速，瘀斑、瘢痕或疼痛轻微或无。
激光颈部和下颌吸脂术比标准的颏下肿胀吸脂术效果更好，恢复时间没有增加，且迄今为止没有并发症。
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