综合发际线移植术在女性中上面部轮廓改善的临床应用

Clinical application of comprehensive hairline transplantation in improving the facial contour of the central and upper facial area in women

目的 探讨综合发际线移植术对女性中上面部轮廓改善的作用。方法 自2020年1月至2022年11月,上海交通大学医学院附属第九人民医院整复外科对65例先天性高宽额头的女性求美者,行综合发际线移植术。相比传统发际线移植术仅针对前发际线下移,综合发际线移植术是包括了前发际线下移、额颞角移植、侧发际线前移、部分鬓角加密及过渡区衔接的毛发移植术。并观察女性求美者的一般情况、毛发移植面积、手术信息、求美者满意度和并发症。结果 65例求美者中上面部发际线移植区遮盖面积平均为(62.6±8.6)cm^(2),术中平均移植(3759±514)毛囊单位,移植密度为30~60毛囊单位/cm^(2),手术时间平均为(7±2)h。求美者对中上面部轮廓改善及头发自然度的李克特评分为4.80分,满意度的评分为4.91分。未见严重并发症发生。结论 综合发际线移植术对改善女性中上面部轮廓有效且安全,改善中上面部视觉宽度,能实现自然的密度与外观,求美者满意度较高,值得临床推广。

Objective To explore the effectiveness of comprehensive hairline transplantation in enhancing the youthful appearance of the central and upper facial area in women. Methods This study included 65 female participants with congenitally high and wide foreheads who underwent comprehensive hairline transplantation. Unlike traditional hairline transplantation, which focused solely on lowering the front hairline, this comprehensive approach included lowering the front hairline, hair transplantation in the temporal angle region,advancing the lateral hairline, partially densifying the sideburn area, and connecting the transition zones. The study observed the participants' general conditions, reduction in the central facial area, surgical information, naturalness of hair, patient satisfaction, and adverse reactions. Results The average coverage area of the central facial hairline transplant was(62.6±8.6) cm^(2). The average number of follicular units transplanted was(3759±514), with a density of 30 to 60 units/cm^(2). The average duration of surgery was(7±2) h. Patients rated the naturalness of their hair at 4.80 and their satisfaction at 4.91 on the Likert scale. No serious side effects were observed during the study.Conclusion Comprehensive hairline transplantation is effective and safe for enhancing the outline of the central and upper facial area in women, which could improve temporal depression and the visual width of the middle face. It achieves a natural density and appearance,with high patient satisfaction. This technique is worthy of clinical promotion for improving facial contour proportions.