摘要
Abstract
Objective To explore the therapeutic effect of minimally invasive rhytidectomy combined with autologous fat transplantation on patients with facial skin relaxation and sagging.Methods 82 patients with facial skin relaxation and sagging admitted to the author's hospital from December 2021 to December 2022 were prospectively selected as the study subjects and were divided into observation group(n=41,minimally invasive rhytidectomy combined with autologous fat transplantation)and control group(n=41,minimally invasive rhytidectomy combined with silicone filling surgery)by the random number table method.The facial contour indicators,repair effect and surgical adverse reactions were compared between both groups at 1 week after surgery.The patients were followed up for 6 months after surgery,and the incidence rates of postoperative complications such as nodules,swelling,infection and neurologic damage were counted and compared.Results One week after surgery,the repair significant efficiency of the observation group was higher than that of the control group(P＜0.05).The distance from pupil point to the intersection of nasolabial groove and pupil vertical line and ABC radian(A,B and C indicated the angles between nasal bottom line,oral cleft line,pupil vertical line and mandibular contour)in observation group were lower than those in control group,and the distance between bilateral zygomatic points was higher than that in control group(P＜0.05).The incidence rate of significant facial bruising was lower in observation group than that in control group(P＜0.05).After 6 months of follow-up,the total incidence rate of postoperative complications in observation group was lower compared with that in control group(P＜0.05).Conclusion Minimally invasive rhytidectomy combined with autologous fat transplantation can effectively improve the facial contour of patients,and it has good repair effect and can effectively reduce the incidence rates of surgical adverse reactions and postoperative complications,which has high clinical application value.关键词
面部松弛下垂/微创面部除皱术/自体脂肪/移植/硅胶填充Key words
facial relaxation and sagging/minimally invasive facial rhytidectomy/autologous fat/transplantation/silicone gel filling分类
医药卫生
