低负压吸脂联合双极射频对面部脂肪移植过多修复的效果

Application of low negative pressure liposuction combined with bipolar radiofrequency in repairing facial fat overfilling

目的探讨低负压吸脂联合双极射频在面部自体脂肪移植过多修复治疗中的安全性和有效性。方法2022年2月至2023年10月,长沙美莱医疗美容医院收治低负压吸脂联合双极射频治疗面部自体脂肪移植过多女性患者29例,年龄25~51(35.7±7.3)岁;体重指数16.8~24.3(20.3±2.2)kg/m^(2);自体脂肪移植19~96(53.4±20.9)个月。术后3~6个月,记录患者满意度,另由2名高年资主治医师依据术前、术后照片对治疗效果进行评估。结果29例患者对颧前区域进行脂肪抽吸,吸脂量4.1~12.6(7.95±1.85)ml;4例(13.8%)对额部进行脂肪抽吸,吸脂量1.8~5.2(2.75±0.50)ml;7例(24.1%)对颞部进行脂肪抽吸,吸脂量为2.8~6.5(3.86±1.07)ml;8例(27.6%)对面颊进行脂肪抽吸,吸脂量为5.2~10.5(7.25±2.12)ml,18例(62.1%)对口周进行脂肪抽吸,吸脂量为3.7~9.5(6.33±1.28)ml。双极射频能量为3.3~10.2(5.71±2.27)kJ。患者满意24例,占82.8%;医师满意25例,占86.2%。并发症2例(6.9%)为吸脂导致的不平整。结论低负压吸脂联合双极射频可有效减少脂肪容量,缩小组织间隙,改善面部松弛下垂,是进行面部自体脂肪移植过多修复的一种有效方法。

Objective To investigate the safety and efficacy of low negative pressure fat suction combined with bipolar radiofrequency in repairing facial fat overfilling.Methods A total of 29 patients with facial fat overfilling underwent low negative pressure fat suction combined with bipolar radiofrequency between February 2022 and October 2023 in Changsha My Like Medical Cosmetology Hospital.All patients were female.The mean age was 35.7 years(range,25-51 years)and the mean body mass index was 20.3(range,16.8-24.3 kg/cm^(2)).The mean time after autologous fat transplantation was 53.4 months(range,19-96 months).Postoperative patient satisfaction surveys were conducted,and 2 independent doctors evaluated clinical effect preoperative and postoperative photographs at 3-6 months postoperatively.Results There were 29 cases(100%)underwent liposuction in the pre-zygomatic region,and the amount of fat was 4.1-12.6(7.95±1.85)ml.There were 4 cases(13.8%)underwent liposuction in the forehead,and the amount of fat was 1.8-5.2(2.75±0.50)ml.There were 7 cases(24.1%)underwent liposuction in the temporal region,and the amount of fat was 2.8-6.5(3.86±1.07)ml.There were 8 cases(27.6%)underwent liposuction in the cheek,and the amount of fat was 5.2-10.5(7.25±2.12)ml.There were 18 cases(62.1%)underwent liposuction in the perioral region,and the amount of fat was 3.7-9.5(6.33±1.28)ml.The energy delivered by bipolar radiofrequency was 3.3-10.2(5.71±2.27)KJ.82.8%of patients were satisfied with their postoperative effect(24/29 patients).86.2%of doctors were satisfied with the postoperative effect(25/29 patients).Two out of 29 patients(6.9%)developed irregularity by liposuction.Conclusions Low negative pressure liposuction combined with bipolar radiofrequency can effectively reduce the fat,narrow the tissue gap and improve facial sagging,which is an effective method for repairing facial fat overfilling.