眼轮匝肌-SMAS瓣在高位SMAS面部提升术中对眶周年轻化的作用

Effect of the Orbicularis-smas Flap on Periorbital Rejuvenation in High-level Smas Facial Lifting

目的:探讨一种眶外侧眼轮匝肌处理方法在中下面部提升术中的应用,并分析其在眶周年轻化治疗中的临床效果。方法:对30例面部提升术就医者实施该技术。收集Face-Q量表结果及采用中、下面部衰老评分量表分析手术效果。结果:30例就医者Face-Q量表分析结果显示,3例很满意,27例非常满意。中下面部衰老评分量表显示,术前平均得分(10.06±1.98)分,术后平均得分(4.27±1.40)分,差异具有统计学意义(P<0.05)。结论:眼轮匝肌-SMAS瓣(Superficial musculo-aponeurotic system,表浅肌肉腱膜系统)在提升中下面部的同时,可以起到填充颞部及睑颊沟、改善下睑皮肤松弛、淡化鱼尾纹及缩短下睑垂直距离等眶周年轻化作用,操作安全,效果确切。

Objective To investigate the treatment of lateral orbital orbicularis oculi muscle by mid lower facelift and to analyze the clinical effect of orbital rejuvenation.Methods The technique was applied to 30 patients undergoing facelift.Middle and lower facial aging scale were used to analyze the surgical effect.Face-Q scale results were collected and analyzed.Results Of the 30 patients,3 were very satisfied and 27 were very satisfied.The average preoperative score was 10.06±1.98,and the average postoperative score was 4.27±1.40,P<0.05,which was statistically significant.Conclusion The orbicularis oculi muscle-SMAS flap can fill the temporal,improve the skin relaxation of lower eyelid,fade crow’s feet and blepharobuccal sulcus,and shorten the vertical distance of lower eyelid while lifting the middle and lower face,with safe operation and accurate effect.