锯齿状可吸收线中下面部提升术的临床应用研究

The clinical application of middle lower face lifting operation with absorbable serrulated suture

目的：探讨通过应用锯齿状可吸收缝线悬吊提升中下面部以恢复面部年轻化的方法。方法：采用锯齿状可吸收缝线通过特制导引针，于颞部向中下面部呈伞状置于SMAS筋膜浅层，在皮表进行收紧提升，共治疗32例面部皮肤软组织松弛的患者。通过对患者手术前后面容改善程度、术后愈合情况，有无并发症以及患者满意度进行综合评估并记录。结果：术后进行常规随访，平均随访时间为1年，最佳效果于术后8～12周逐渐显现。全部患者术后皮下牵拉感、颞区疼痛等并发症都是暂时性、轻微的；未见有血肿、感染和神经损伤。根据术者和求美者的综合判断，显示结果满意84．38％，总有效率100％。结论：此方法治疗面部松垂具有良好效果，操作简便、安全，创伤轻、痛苦小、恢复快、效果持久，患者易于接受，值得推广应用。

Objective To investigate the application of thread lift by absorbable serrulated suture to recover the facial rejuvenation. Methods The absorbable serrulated sutures were placed from the tempus to the middle and lower face in SMAS superficial layer through a hollow needle and made a ＂umbrella＂shape,and then the sutures were tighten in the epidermis.A total of 32 cases of patients with sagging facial skin were treated.The results were comprehensively evaluated by the facial improvement before and after surgery,post- operational healing,complications and patient satisfaction. Results The patients completed regular follow-up visits for an average of one year,and the best effect showed up gradually at the 8 weeks to 12 weeks after surgery.All patients had temporary and subtle subcutaneously pulling sensation,tempus pain and other complications;no hematoma, infection and nerve damage was observed.According to the comprehensive judgment of the surgeon and beauty seekers,the results showed patient satisfaction was 84.38% ,and the total effective rate was 100%. Conclusion This method for the treatment of flabby face had satisfactory results.It showed the advantages of simple,safe,subtle trauma,less pain,fast recovery,long lasting, and easy to be accepted by patients,should be widely applied.Therefore,it is worthwhile to apply face lifting by absorbable serrulated suture widely.