颜面部吸脂术与脂肪移植术在改善面部轮廓中的综合应用

The application of facial liposuction and fat grafting in the remodeling of facial contour

目的 探讨综合应用颜面部吸脂术与脂肪移植术改善面部轮廓的有效手术方法.方法 2008年11月至2014年3月,对49例求美者进行面部皮下部位肿胀技术吸脂术＋颏部脂肪移植术,其中7例同时进行了颊脂垫脂肪切除术,9例A型肉毒毒素咬肌内注射,25例颞部脂肪移植术,15例额部脂肪转移术.结果 所有求美者面部轮廓均得到显著改善,术后随访6～ 24个月,效果稳定.术后并发面部轮廓不对称4例、皮肤凹凸不平4例、面部臃肿2例,经过后期处理,均在可接受范围之内.结论 通过吸脂术与脂肪移植术的综合应用改善面部轮廓,具有操作简单、创伤轻、康复快、安全性高等特点.

Objective To investigate the application of facial liposuction and fat grafting in the remodeling of facial contour.Methods From Nov.2008 to Mar.2014,49 cases received facial liposuction and fat grafting to improve facial contours.Subcutaneous facial liposuction with tumescent technique and chin fat grafting were performed in all the cases,buccal fat pad excision of fat in 7 cases,the masseter injection of botulinum toxin type A in 9 cases,temporal fat grafting in 25 cases,forehead fat grafting in 15 cases.Results Marked improvement was achieved in all the patients with stable results during the follow-up period of 6-24 months.Complications,such as asymmetric,unsmooth and sagging were retreated with acceptance resuhs.Conclusion Combination application of liposuction and fat grafting can effectively and easily improve the facial contour with low risk.