中下面部年轻化综合性治疗的效果

Comprehensive treatment for mid-inferior facial rejuvenation S

目的探讨对中下面部老化应用多种方法进行综合性治疗，以期获得良好的美容效果。方法对56例受术者采用下睑缘入路，行眶隔脂肪释放及眶隔筋膜前置，对眶周部皮下组织进行分离，颧脂肪垫悬吊，并对皮肤和眼轮匝肌复合组织瓣进行不同方向的悬吊、固定。术后对部分鼻唇沟凹陷明显者给予结合透明质酸局部注射填充等综合治疗。结果56例受术者，术后均随访6～26个月，平均11．8个月，中下面部组织松垂均得到明显改善，鼻唇沟变浅，眶睑沟不明显，效果满意。结论应用多种技术相结合的治疗方法，通过矫正容量变化，复位发生移位的组织，合理提升下垂组织，填充凹陷部位等多种疗法，可以达到面部年轻化的美容目的。

Objective To summarize ageing for better cosmetic results. Methods the experience of the integrated treatment on mid-face A total of 56 cases were treated. With using subciliary approaches, the orbicularis oculi was resected to expose the orbital septum, the orbital fat relieved and orbital septum reseted. Hyaluronic acid was injected to some patients with obvious nasolabial fold after operation. Results 56 cases were all followed up from 6 to 26 months （11. 8 months on average） postoperatively. The flabby tissue had been tightened and all got better effects. Conclusions Various combination of technologies can be applied to reach the purpose of rejuvenation by correcting the vol- ume abnormality, resetting the tissue, elevating reasonably, and filling the facial depression.