精微自体脂肪颗粒移植填充面部年轻化的临床效果

Clinical efficacy of fine fat grafting of the body on facial rejuvenation

目的探讨精微自体脂肪颗粒移植填充面部年轻化的临床效果。方法对78例要求面部年轻化的美容就医者，通过综合的设计面部填充区域，采用静置一纱布过滤提纯自体脂肪颗粒，并用精微自体脂肪移植注射枪联合钝针注射技术于面部进行脂肪颗粒填充。对并发症、填充次数及满意度进行评价。结果经过2～12个月随访，64例美容就医者面部轮廓线丰满、柔和，年轻化效果显著；7例美容就医者经过2次填充后达到满意；7例美容就医者未满意术后结果，但因其他原因放弃第2次填充。全部美容就医者无面神经损伤、无术区感染、无栓塞等并发症发生。结论综合设计及静置提纯自体脂肪颗粒，用精微脂肪移植注射枪进行面部脂肪颗粒填充，能达到较好的面部年轻化效果，并发症少。

Objective To investigate how to improve the survival rate, and to avoid the serious complications in fat grafting. Methods Under comprehensive design of facial filling area, the fat was harvested by concentration in mesh; under the micro autologous fat transplantation gun with blunt needle injection technique, the fat was filled into the face to achieve the effect of improving the facial contour and the rejuvenation. From June 2014 to July 2015, 78 patients with facial contour and facial soft tissue relaxation depression were treatment by the technique. Results The follow-up of 2 months to 1 year showed that 64 patients had the soft, young, significantly enhanced facial contour; 7 patients had second times grafts and the remaining were satisfied. 7 patients gave up the second times grafts because the other reasons. The surgical complications such as facial nerve injury and infection and embolism were not seen. Conclusions This technique by comprehensive design and purification of autogenous fat granules achieves a better effect on facial rejuvenation with fewer complications.