面部骨膜下及多解剖层次组织脂肪移植治疗面部凹陷的临床效果

Clinical application of lipoinjection into the subperiosteal and overlying multiple planes on facial depression

目的探讨面部骨膜下及多解剖层次组织脂肪移植治疗面部凹陷的临床效果。方法96例面部凹陷患者选择大腿外侧、后侧部及臀下部作为脂肪供区，行脂肪抽吸术，将吸出的脂肪进行静置沉淀后获取脂肪颗粒，在面部凹陷处行骨膜下及软组织多解剖层次内移植注射。面部单侧单部位填充量为每次O．5～22ml，间隔4～8个月后可给予二次充填。对术后效果和并发症进行评价。结果96例患者面部填充部位形态饱满，皮肤质地改善，皱纹减轻。术后随诊6～24个月，发生局部硬结者3例，2例给予局部按摩、热敷、中药治疗于6个月后逐渐消失，1例给予手术取出后痊愈。无血肿、无感染、无液化、无钙化等并发症。结论骨膜下及软组织多解剖层次自体脂肪移植治疗面部凹陷，脂肪移植后成活率高，适用于面部凹陷患者的整形美容治疗。

Objective To investigate the value and effects of lipoinjection into the subperiosteal and overlying multiple planes for correction of facial depression. Methods The lateral and posterolateral areas of the thigh and infragluteal areas were selected as donor sites of autologous fat. The fat was rinsed and purified after liposuction. The collected fat was injected into the subperiosteal and overlying multiple planes to correct facial depression. Results 96 patients received lipoinjection of volume be- tween 0.5 to 22 ml for each unilateral depression each time. Secondary injection was performed after 4 to 8 months after operation if necessary. The depression was corrected, the skin texture was im- proved, the wrinkles were also improved after fat transplantation. The follow-up period was between 6 and 24 months. 3 patients had sclerosis after lipoinjeetion. The sclerosis disappeared after 6 months through local massage, hot compress, and traditional medicine treatment in two of them. The sclerosis was resolved by excision in the rest one. There were no complications of hematoma, infection, liquefaction, and calcification. Conclusions Lipoinjeetion into the subperiosteal and overlying multiple planes can correct facial depression with fat. Fat survival rate is high. The method is suitable for correction of facial depression in aesthetic plastic surgery.