摘要
目的 探讨自体脂肪颗粒注射移植填充额颞部凹陷的临床效果.方法 以刨状吸脂针接注射器负压抽吸双膝内侧或腹部脂肪颗粒,静置分层,排出下层水分和最上层油脂,不漂洗,直接提取黄色脂肪颗粒转入2 ml注射器,多点、多隧道、多层次注射到额、颞部凹陷区域,每次过枉矫正注射20％～30％.共对117例患者进行了注射,其中行2次注射者,颞部11例（11.4％）,额部13例（20.0％）. 结果 颞部与额部2次移植术例数的比率差异无统计学意义（P＞0.05）.随访3～36个月,额颞部轮廓及皮肤质地均可见明显改善,脂肪颗粒成活率可达60％～80％.无血肿、硬结、感染等并发症发生.结论 自体脂肪颗粒注射移植于额、颞部,操作简便,临床效果稳定,是面部年轻化及轮廓重塑的一种安全、理想的方法.
Objective To explore the clinical effect of autologous fat grafting in frontotemporal augmentation.Methods The fat granule was harvested from patient＇s abdomen or both medial knees by a multi-holed liposuction cannula attached to a syringe with negative pressure.Then the syringe was held vertically with the open end pointing downward until the fat and fluid were separated.The aqueous layer at the bottom and the oil layer on the top were discarded.The fat without being washed was directly transferred into 2 ml syringes and injected into bilateral temple and frontal depression area with a multi-plane,multi-tunnel,multi-point approach.The volume of injection was over 20%-30%.From March 2010 to March 2013,117 patients underwent this procedure.Results In all the 117 cases,there were no complications such as hematoma,induration,and infection.There were 11 cases （11.4%） in temple and 13 cases （20.0%） in frontal region achieved aesthetically-acceptable results after the second treatment.There was no statistically significant difference in secondary operation rates between the temple group and the frontal grouup （x2 =2.229,P〉0.05）.Based on the followup for 3-36 months on all 117 cases,satisfactory results were obtained with improved frontotemporal contour and skin texture.The volume retention of transplanted fat was estimated between 60% and 80%,which was based on subjective analysis of photographs.Conclusions Autologous fat grafting in frontotemporal depression is a convnient technique with reliable clinical results.It is also an optimal and safe method for facial rejuvenation and contouring remodeling.
出处
《中华医学美学美容杂志》
2015年第1期11-14,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
自体脂肪移植
脂肪颗粒
面部年轻化
Autologous fat transplantation
Fat granule
Facial rejuvennation
