The clinical effect of frontotemporal rhytidectomy combined with botulinum toxin type A injection facial rejuvenation treatment

Objective To investigate the effect of frontotemporal rhytidectomy combined with botulinum toxin A type injection on lifting upper facial skin,improving upper facial skin aging,removing peri-orbital,glabellar and forehead wrinkles a nd strengthening the effect of rhytidectomy.Methods 20 patients with upper facial wrinkle plastic surgery,female,were designed with incision marking line along forehead and temporal hairline for dissection.The forehead was stripped along the superficial layer of periosteum,and the temporal part was stripped against the superficial surface of superficial temporal fascia.Then the suspension was used to tight the skin,the redundant skin tissue was removed,the cosmetic incision was sutured,the drainage device was placed routinely after the operation,and the pressure dressing is applied for 72 hours.The stitches were removed 7 days after the operation,at the same time,the appropriate dose of botulinum toxin type A was injected into the glabella,the outer corner of both eyes and the forehead to remove wrinkles and to rejuvenate the upper facial skin.Results 20 patients were followed up for 1-12 months,the results were all satisfactory.The upper skin relaxation was obviously improved,the forehead,glabellar and periorbital wrinkles were significantly reduced,the skin was plump and lustrous,the scar was hidden,not obvious and without complications after the incision was healed,and the upper facial skin showed obvious rejuvenation ef fect.Conclusion Frontotemporal rhytidectomy combined with botulinum toxin type A injection facial rejuvenation treatment is safe,effective,and has less complications as well as quick recovery,which is a feasible and good treatment.

Clinical Observation of Botulinum Toxin Type A Combined with Nanofat in Facial Rejuvenation Treatment

Objective:To investigate the efficacy of botulinum toxin type A combined with nanofat in the treatment of facial rejuvenation.Methods:from January 2020 to January 2021,20 patients with facial wrinkles in our hospital(The First Affiliated Hospital of Dalian Medical University)were treated with botulinum toxin type A combined with nanofat,and the effect,duration and complications were observed.Results:After 1,3 and 6 months of injection,the effective rates were 90%,75%and 40%,respectively;there was no occurrence of postoperative infection,fat mass,granuloma,and other adverse reactions.Conclusion:Botulinum toxin type A combined with nanofat filling has a clear therapeutic effect in the facial rejuvenation treatment,and can improve the skin texture while improving wrinkles,which is worthy of further popularization and application in clinic.

Endoscopic assisted facial rejuvenation: a 35 year personal journey

Aim:Traditional facelift techniques rely on pulling.They approach the superficial or intermediate layers where the facial nerves and muscles are located,increasing the risk of facial nerve injury.They approach the central oval from the periphery and produce unnatural vectors of pull and aesthetic results.Alternative techniques that work on the subperiosteal plane using endoscopic techniques are described.Modern concepts of volume augmentation,beautification and rejuvenation of the facial expression are an inherent part of such techniques,or can be easily integrated.Methods:The central oval is approached via four small scalp incisions and additional intraoral,upper gingivo-buccal incisions.The interconnected frontal subperiosteal,temporal subfascial and midface subperiosteal areas are lifted,imbricated and suspended sequentially.The brow/forehead is suspended to the skull using cortical screws.The midface and lower periorbita are suspended to the fascia of the temporal muscle.The buccal fat pad is used to enhance the ogee line of the midface.Other three-dimensional volumetric maneuvers can easily be applied.In this setting,upper and lower lid blepharoplasties become more straightforward,skin only procedures.Actinic or nicotine damaged skin can be treated with lasers,peels or fluidified fat grafting in the same setting.The excess skin on the lower face and neck can be redrapped with standard cervicofacial techniques.Deep subplatysmal cervicoplasty can be done concomitantly,or at another time to complete comprehensive rejuvenation.Results:The procedures described herein has been performed in 824 patients with excellent aesthetic results and low complication rate.The average rate of rejuvenation was 18 years. ;Conclusion:These combination techniques are called Biplanar Endoscopic Assisted Mask and Triplanar Endoscopic Assisted Mask facial rejuvenation.They are advanced techniques of facial rejuvenation that provide comprehensive,natural,long lasting results.

Hyaluronic acid injection in the auricular base for the aesthetic correction of lying ears:A retrospective study

Background Ears play an important role in facial profiles.Lying ears are not perceived favorably in Asian cultures;therefore,surgical procedures are implemented to adjust this defect.However,surgery has complications and requires recovery time.We introduced a hyaluronic acid(HA)injection technique to aesthetically improve ear prominence.Methods This retrospective study examined 25 Chinese patients aged 20-47 years with congenital lying ears who received HA injections in the auricular base at Shanghai Ninth People’s Hospital and Hangzhou Yijie Medical Cosmetology Clinic between November 2019 and December 2022.The average injection volume was 6.32​±​1.22 mL in the auricular base unilaterally,and the follow-up time ranged from 6 to 24 months.Morphological measurement data were recorded.Two-dimensional(2D)and three-dimensional(3D)images were obtained to evaluate the effects.Results All patients showed improvements in ear prominence.The cranioauricular angle(CAA)increased from 22.24°​±​4.53°to 65.90°​±​5.38°immediately post-injection and was maintained at 49.18°​±​4.74°6 months later.The ear projection(EP)increased from 14.75​±​2.72 mm to 26.26​±​2.94 mm immediately post-injection and was 22.51​±​2.68 mm after 6 months.No serious complications were noted.Conclusion HA injection in the auricular base effectively corrected the lying ears and aesthetically optimized the facial profile.It also had a face-lift effect that made the face look younger and more compact.The injection procedure was minimally invasive and required no recovery period.The effect was maintained for a long time and was satisfactory.

A minimally invasive midface suspension

Aim:With the normal aging process,the malar fat pad descends vertically,causing a number of characteristic changes to the face.Various techniques have been used to correct ptosis of the malar fat pad.Methods:The authors describe a technique that is minimally invasive and can be used to correct malar fat pad ptosis.This technique uses a suspension suture to elevate the malar fat pad to a more youthful position.The technique has been successfully used in 71 patients.Results:All of the cases were performed in the office setting under local anesthesia.There were no complications,and,by patient self-report and physician exam,results have been lasting and satisfactory.Conclusion:The minimally invasive midface suspension is a safe and successful approach to midface rejuvenation in properly selected patients.