上唇M唇修薄成形术改善唇形的效果

Application of reductional M-shaped plasty in upper lip aesthetic improvement

目的对厚唇合并唇形不佳的美容就医者行上唇M唇修薄成形术,观察术式的效果及风险。方法2013年9月至2019年11月,北京大学第三医院成形外科为自觉上唇形态不佳美容就医者进行上唇M唇修薄成形术415例[女403例,男12例,年龄18~56(25.1±4.4)岁],测量术前及术后唇部形态,并进行满意度调查及远期随访。结果对415例受术者进行统计,术后消肿3~21(11.8±2.6)d;切口瘢痕软化1~24(2.6±0.8)个月;表情恢复自然1~24(3.1±1.4)个月;麻木感消失12~24个月。术后3个月对受术者标准化二维照片进行测量,上红唇中央高度较术前无明显变化,唇峰点红唇高度明显降低,术前(13.3±2.2)mm,术后(11.4±1.7)mm;穹隆点相对高度明显增加,术前(0.4±1.0)mm,术后(2.1±0.5)mm。术后6个月随访,受术者1次手术满意率72.0%,上红唇形态满意率75.4%,远期并发症包括瘢痕明显或不适(3.6%);术区局部麻木(1.7%);表情欠自然(0.7%)。结论上唇M唇修薄成形术对上红唇形态不佳合并过厚或正常厚度有较好的矫治效果,并发症轻微,值得临床应用。

Objective To observe and evaluate reductional M-shaped plasty method in patients with thick lips and dissatisfied lip appearance.Methods From 2013 to 2019,415 Chinese cases of thick upperlip without clear vermilion curve and tubercle were included.A reduction method for upper lip M-shaped plasty was performed.Objective data of lip morphology before and after operation were measured,and subjective satisfaction survey and long-term follow-up were conducted.Results According to the statistics of 415 patients,the time of detumescence was 3-21(11.8±2.6)days;the time of incision scar softening was 1-24(2.6±0.8)months;the time of expression recovery was 1-24(3.1±1.4)months;the time of numbness disappearance was 1-2 years.Three months after the operation,there was no significant change in the height of the central part of the upper red lip compared with that before the operation,the height of the red lip at the peak of the lip was significantly reduced,the height of the red lip was(13.3±2.2)mm before the operation,and(11.4±1.7)mm after the operation;the relative height of the dome point was significantly increased,the height was(0.4±1.0)mm before the operation,and the height was(2.1±0.5)mm after the operation.After more than 6 months of follow-up,patients'satisfaction rate of one operation was 72.0%,the satisfactory rate of upper lip shape was 75.4%,the long-term complications included obvious scars or discomfort(3.6%),local numbness(1.7%),and unnatural expression(0.7%).Conclusions The reduction method for upper lip M-shaped plasty displays a significant effect in improving the shape of upper vermilion with thick and normal lips.The complications are slight and repairable.This lip cosmetology and rejuvenation procedure is recommended for further clinical application.