"五窄一低"美学理念在上臂及周围区域轮廓塑造的效果

Application of"Five narrow and one low"aesthetic concept in contour shaping of upper arm and surrounding area

目的评估"五窄一低"美学理念在上臂及周围区域轮廓塑造的临床效果。方法2020年1月至2023年1月,长沙美莱医疗美容医院按"五窄一低"理念行上臂及周围区域轮廓塑造的女性患者55例,年龄20~50(33.0±6.4)岁。在局部肿胀加镇静麻醉下行上臂、肩胛区、副乳区、腋下区吸脂术,上臂内侧吸脂后行双极射频Body Tite收紧治疗,术后在双侧斜方肌做多点肉毒毒素注射。测量术前及术后左右上臂最大周径及上臂最大松垂距离。通过满意度调查问卷评估患者满意度。结果术后患者随访1~6个月,55例吸脂量600~2000(1200±383)ml。术前左上臂最大周径(32.85±4.98)cm,术后(27.03±3.13)cm,左上臂最大周径缩小(18.65±2.79)%。术前右上臂最大周径(33.3±5.30)cm,术后(27.23±3.30)cm,右上臂最大周径缩小(18.42±2.84)%。上臂最大松垂距离术前为(7.12±2.08)cm,术后为(4.04±1.22)cm,上臂最大松垂距离减少(43.22±4.08)%。随访时,患者均认为达到"五窄一低"美学效果,满意度评分(4.62±0.51)分,且未出现严重并发症。结论"五窄一低"美学理念在上臂及周围区域轮廓塑造中能较好地达到均匀、平整、流畅的手术效果。

Objective To put forward a self-created aesthetic concept of"Five narrow and one low"and to evaluate the clinical effect of contouring the upper arm and its surrounding area under this concept.Methods From January 2020 to January 2023,55 female patients,aged 20 to 50(mean age 33.0±6.4)years,had their upper arms and surrounding area contours shaped according to the concept of"five narrow and one low"in Changsha My Like Medical Cosmetology Hospital.Liposuction was performed in the upper arm,scapular area,accessory breast area,and armpit area under local swelling combined with sedation and anesthesia.After liposuction in the medial upper arm,bipolar radiofrequency Body Tite compression was performed.Multiple botulinum toxin injections were performed postoperatively in the bilateral traperius muscles.The maximum circumference and sag distance of upper arm of both sides before and after surgery were measured.Patients′satisfaction was assessed by satisfaction questionnaire.Results The patients were followed up for 1-6 months after operation,and the liposuction(minimum-maximum)of 55 cases was(1200±383)ml.The maximum circumference of the left upper arm was(32.85±4.98)cm before surgery and(27.03±3.13)cm after surgery.The maximum circumference of the left upper arm was reduced by(18.65±2.79)%.The maximum circumferential diameter of the right upper arm was(33.3±5.3)cm before surgery and(27.23±3.30)cm after surgery.The maximum circumferential diameter of the right upper arm was reduced by(18.42±2.84)%.The maximum sag distance of the upper arm was(7.12±2.08)cm before surgery and(4.04±1.22)cm after surgery.The maximum sag distance of the upper arm was reduced by(43.22±4.08)%.All the follow-up patients believed that the aesthetic effect of"five narrow and one low"was achieved,the satisfaction score was 4.62±0.51,and no serious complications occurred.Conclusions The application of the aesthetic concept of"Five narrow and on low"in the contour shaping of the upper arm and the surrounding aera can achieve a better uniform,smooth and smooth surgical effect.