自体脂肪移植重塑颧部脂肪垫的临床效果

Clinical efficacy of the correction of midface depression with structural fat grafting

目的探讨自体脂肪移植重塑颧部脂肪垫的临床效果。方法美容就医者共418例，其中女413例，男5例。年龄18～61岁，平均28．6岁。采用脂肪移植重塑颧部脂肪垫，面中部各亚单位移植脂肪量为泪沟1．2ml，睑颊沟1．2ml，颊中沟O．5ml，颧颊部4．8ml，鼻唇沟0．5～1．0ml，鼻翼基底及鼻旁三角1．2m1，提上唇肌1．2ml，颧大肌1．2ml，颊肌1．3ml，上唇3．5ml，采用视觉模拟量表（VAS）进行满意度测评。结果185例中面部凹陷患者随访3个月至3年，其中156例通过一次脂肪移植即可使整个中面部由凹面型变成凸面型，颧部脂肪垫饱满圆润，达到有吸引力的年轻的自然外观。VAS满意度超过80．0％。有12例需要进行二次脂肪移植。结论脂肪移植能够有效的重塑颧部脂肪垫，获得满意的外观。

Objective To explore the clinical effects of correction the midface depression. Methods From Aug. 2010 to Aug. 2015, 185 cases of midface depression （aged from 18 to 61 years） were corrected by using structural fat grafting technique, the site and volume were placed as follows, tear trough lml, lid cheek groove 2 ml, midcheek groove 0.5 ml, anteriorcheek 4-8 ml, nasolabial fold 1-2 ml, nasal alar base 1-2 ml, evator labii superioris 1-2 ml, zygomaticus major 1-2 ml, buccinator 1- 3 ml, and upper lip 3-5 ml. Results 185 cases were followed from 3 months to 3 years and the results were evaluated by visual analogue scales; 156 cases of midface depression were corrected after the first structural fat grafting, the midface changed from concave to convex, and acquired prominent malar became more attractive; satisfaction of visual analogue scales were more than 80% ; only 12 cases needed a second grafting. Conclusions The midface concavity can be corrected effectively by using structural fat grafting technique, the results are satisfied and the technique is safe, simple and effective.