面部深层脂肪室研究进展及临床应用

Progress of deep facial fat compartments and related clinical applications

面部脂肪被肌肉、韧带、筋膜等组织分隔为一个个的独立的脂肪室,且被浅表肌肉腱膜系统(SMAS)分为深浅两层。面部深层脂肪室大部分位于SMAS及骨膜之间,起着缓冲、润滑、支撑等作用。深层脂肪室随年龄出现选择性的增大或萎缩能导致面部外观出现皱褶、凹陷等老化表现。在临床针对面部年轻化的治疗中,可以通过对面部深层脂肪室进行提升或填充等处理以达到恢复年轻外观、重现青春活力等效果。本文就面部深层脂肪室的解剖、老化改变及相关填充技术进行综述。

Facial fat is divided into separate fat compartments by muscles,ligaments,fascia,and other tissues,and is divided into two layers by the superficial musculoaponeurotic system(SMAS).Most of the deep facial fat compartments are located between SMAS and periosteum,which plays the role of buffering,lubrication,and support.The selective enlargement or shrinkage of deep fat compartments with age can lead to wrinkling and depression of facial appearance.In the clinical treatment of facial rejuvenation,the deep facial fat compartments can be lifted or filled to achieve the effect of restoring youthful appearance and reviving youthful vitality.This paper reviews the anatomy,aging changes,and related filling techniques of deep facial fat compartments.