可吸收性人工韧带在中面部松垂提升术中的应用

The application of absorbable artificial ligament for lifting the midface

目的：为进一步提高中面部松垂提升的术后效果,尝试应用可吸收性人工韧带在面部SMAS层下的提拉作用,术后明显改善中面部松垂,达到年轻化目的。方法：从颞部发际内入路,微创方法植入可吸收性人工韧带（倒钩设计）,提拉颧弓韧带、颧脂肪垫、咬肌-皮韧带,固定于颞深筋膜上,机械的提拉及降解吸收过程中产生的纤维粘连作用使组织复位。结果：本组共30例患者,术后随访1~9个月,1例患者早期有轻微面部麻木不适感,3个月后逐渐恢复。患者对除皱效果满意。结论：可吸收性人工韧带应用于中面部提升手术,具有微创、安全、稳定、副作用少、效果更持久等特点,提升效果满意,是临床广泛推广的一种微创除皱新技术。

Objective To further improve the surgery effects of correction on the sagging midface,we tried to apply the absorbable artificial ligament implanted under the facial SMAS to achieve the lifting effects.After surgery,the sagging midface was improved obviously,we received the effects of the facial rejuvenation. Methods Implanted the absorbable artificial ligament（with hook） by minimally invasive surgery with the temporal intrahairline incision,in the process of operation,the zygomatic ligament,the malar fat pads and the masseter- skin ligament were suspended and fixed with the deep temporal fascia.The mechanical lift and the fiber adhesion caused by the process of degradation and absorption prompted the facial tissue to be replaced. Results The 30 patients in this group were followed up for 1-9 months,only one patient felt facial slight numbness in early period of postoperation,but gradually recovered and satisfied with the surgery effects. Conclusion The advantages of the absorbable artificial ligament applied to lift the sagging midface are minimally invasive,safe,stabilized,less side effects,lasting effects and high satisfaction,that＇s make the absorbable artificial ligament to be a new minimally invasive anti-wrinkle technology which should be widely promoted in clinical.