小切口SMAS筋膜悬吊点的选择在面部提升术中的运用

The choice of small incision SMAS fascia suspension point used in facial lift

目的：探讨颞部、耳屏前小切口中不同的SMAS筋膜悬吊点治疗轻中度面部老化中的改善情况.方法：笔者至2011年3月～2013年5月收治56例患者其中男性8例,女性47例.根据患者面部松弛的程度设计3～5个悬吊点,采用颞部发际内、耳屏前3（或5个）个小切口,沿SMAS筋膜的浅层进行分离,上至眉弓下至对耳屏,前置颧弓缘,分别折叠SMAS筋膜悬吊于骨膜上.结果：56例患者,5例伴有睑袋,效果欠佳,再次联合睑袋去除术后,其余均获得满意效果.结论：行颞部、耳屏小切口SMAS筋膜悬吊点的选择在面部提升术中的具有微创、出血少,并发症少,手术时间短等优点,于传统切开法相比,避免了切口的瘢痕,缩短手术时间,减少剥离范围的损伤,具有广阔的发展前景.

Objective To explore the temporal fascia suspension point,SMAS different pretragal small incision in the treatment of mild to moderate improvement in facial aging.Methods The author to 2011 March ～2013 year in May 56 cases of patients,including male 8 cases,female 47 cases.Design of a 3 ～ 5 suspension points according to the facial relaxation degree,the temporal hairline,pretragal 3 （or 5） a small incision,separation of shallow along the SMAS fascia,the eyebrow to the tragus,the front to zygomatic margin,respectively folded SMAS fascia suspension in periosteum.Results The 56 patients,5 cases with bags under the eyes,poor effect,once the joint dispel bags under the eyes after surgery,the satisfactory results were obtained.Conclusion The temporal,tragus incision SMAS fascia suspension point selection in face lifting operation is minimally invasive,less bleeding,fewer complications,shorter operation time,incision method compared to the traditional,avoiding the incision scar,shorten operation time,reduce the stripping range damage,with broad prospects for development.