纳米脂肪改善面颈部浅皱纹及黑眼圈的临床效果

Clinical effect of nanofat on improving superficial rhytides of face and neck and dark lower eyelids

目的评价纳米脂肪(Nanofat)改善汉族人面颈部浅皱纹以及黑眼圈的效果。方法2014年9月至2017年1月,选取空军军医大学西京医院整形外科自愿行纳米脂肪移植治疗面颈部浅皱纹及黑眼圈患者86例(眼周皱纹18例、额部皱纹14例、颈部皱纹32例、黑眼圈22例),吸脂并制备纳米脂肪,注射于皱纹及黑眼圈区域。术后半年随访拍照,医师以及患者评价近期及远期改善效果。结果随访6个月,86例患者均无严重并发症。面颈部浅皱纹:术后1个月医师及患者满意度分别为85.9%、84.3%,术后6个月分别为87.5%、84.3%。黑眼圈:术后1个月医师及患者满意度分别为45.5%、36.4%,术后6个月分别为81.8%、86.4%。结论纳米脂肪有助于改善面颈部浅皱纹以及黑眼圈,但部分患者术后效果不满意。

Objective To evaluate the clinical effect of nanofat on superficial rhytides of face and neck and dark lower eyelids. Methods From September 2014 to January 2017, a total of 86 cases were collected in our hospital for voluntary nanofat transplantation on superficial rhytides and dark lower eyelids. This was a retrospective study, which included 18 cases of eye wrinkles, 14 cases of forehead wrinkles, neck wrinkles in 14 cases, and 22 cases of dark lower eyelids. First of all, we harvested mircofat through liposuction, and then transformed mircofat to nanofat. At last, nanofat was grafted into intradermal layer of the skin with sharp needles. We took the standard photographs of the patients. After six months follow-up, doctors and patients evaluated the short-term and long-term postoperative effect. Results No serious complications occurred in all patients. Postoperative evaluation of facial and neck superficial wrinkles showed that the satisfactory rate of doctors and patients after one month, was85.9%and 84.3%, and after 6 months 87.5% and 84.3%, respectively. Postoperative evaluation of dark lower eyelids showed that the satisfactory rate of doctors and patients after one month was 45.5% and 36.4%, and after 6 months 81.8% and 86.4%, respectively. Conclusions Nanofat can rectify the superficial rhytides of face and neck and dark lower eyelids in some patients. However, for some patients the effect is not satisfied.