Flageul G, Illouz Y G
Ann Chir Plast Esthet. 1996 Dec;41(6):620-30.
Almost 20 years after its first application, liposuction is today a procedure commonly used on the cervicofacial region. This article emphasizes the importance of the isolated liposuction in the rejuvenating treatment of the face. Liposuction allows the correction of the fattening of the contours, but also of the sagging of the teguments thanks to the skin retraction. The reconstruction of a tridimensional image shows the importance and the constancy of the adipose tissue in the whole face, even in thin ones. The limits of this method are related to the existence of a skin with a sufficient elasticity of a not too important skin excess, and of a sufficient subcutaneous adipose tissue. In selecting the orientation of the tunnels according to the lines of skin tension, we are determining the concept of an orientated skin retraction. In the conclusions, the isolated tunnelization of the face, with or without liposuction seems to be a solution allowing either to delay for several years the time for facelift, or to suggest an alternative choice for patients who refuse or fear the principle of a facelift.
在首次应用近20年后，吸脂术如今已成为常用于面颈部区域的一种手术。本文强调了单纯吸脂术在面部年轻化治疗中的重要性。吸脂术不仅可以矫正轮廓的脂肪堆积，还能通过皮肤回缩矫正皮肤松弛。三维图像重建显示了脂肪组织在整个面部的重要性和恒定性，即使是瘦人也是如此。该方法的局限性与存在具有足够弹性、不过度松弛的皮肤以及足够的皮下脂肪组织有关。根据皮肤张力线选择隧道方向时，我们确定了定向皮肤回缩的概念。在结论中，面部单纯隧道化，无论是否进行吸脂，似乎都是一种解决方案，既可以将面部提升手术的时间推迟数年，也可以为拒绝或害怕面部提升原则的患者提供另一种选择。
