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多层综合除皱术
引用本文:王晓军,陈宗基,陈美云,徐世荣,马晓兵,李兵,赵红艺.多层综合除皱术[J].中华烧伤杂志,1998(3).
作者姓名:王晓军  陈宗基  陈美云  徐世荣  马晓兵  李兵  赵红艺
作者单位:北京医院整形科,中国医学科学院整形外科医院,中国医学科学院整形外科医院,北京医院整形科,北京医院整形科,北京医院整形科,北京医院整形科
摘    要:目的应用多层综合的除皱方法使老化的面部年轻化。方法进行多层次解剖分离,使老化移位的组织复位。包括皮肤及骨膜层的提紧,SMAS的悬吊,颧弓韧带的重建,颧骨的修薄。结果自1993年以来,完成手术28例,效果满意。结论面部老化是不同组织,不同解剖结构变化的综合体现。单一层次的除皱方法不能取得全面的年轻化效果,多层综合的除皱方法恢复了年轻的解剖生理关系,使因老化导致的面部软组织的松弛移位得到充分的矫正,具有全面的年轻化效果。

关 键 词:面部老化  除皱术  颧弓韧带

Multiple-layer composite rhytidectomy
Wang Xiaojun,Chen Zongji,Chen Meiyun.Multiple-layer composite rhytidectomy[J].Chinese Journal of Burns,1998(3).
Authors:Wang Xiaojun  Chen Zongji  Chen Meiyun
Affiliation:Wang Xiaojun*,Chen Zongji,Chen Meiyun,* Department of Plastic Surgery,Beijing Hospital of the Ministry of Health,Beijing 100730
Abstract:Objective The multiple-layer composite rhytidectomy is presented in this paper for correction of the facial aging. Methods The operative procedures include multiple-layer dissection, sus- pension reconstruction of the zygomatic ligament, and thinning of the zygoma. Results The method has produced a good result in 28 patients since 1993. Conclusion Study of clinical cases and cadaver dis- sections had led to better understanding of the aging face. With advancing age, all tissues of the face lose their balanced relationship. These changes occur in their volume shape,position,and consistency. With the multiple-layer dissection and suspension, the soft tissues of the cheek, forehead, nasolabial fold, lat- eral canthus and eyebrow can be lifted to reestablish their previously youthful relationship with the un derlying skeleton.
Keywords:Facial aging  Composite rhytidectomy  Zygomatic ligament
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