自体脂肪颗粒移植术在面部整形中的应用

发布时间：2018-05-03 03:10

本文选题：自体脂肪 + 注射移植　；参考：《延边大学》2017年硕士论文

【摘要】：目的探讨自体脂肪颗粒移植术在改善面部凹陷和面部皱纹等面部整形中的各个步骤的操作方法及其要点,使自体脂肪颗粒移植术在面部整形中尽量获得最佳的效果。方法收集2014年10月至2017年1月间在某整形机构行自体脂肪颗粒移植术改善面部凹陷和面部皱纹的女性患者32例,年龄在25～57岁(平均年龄41岁)。根据患者需求,通过注射器行负压抽取术选择不同部位的成熟的皮下脂肪,将负压吸出的脂肪经过漂洗、沉淀等纯化处理后,多层次、多隧道地注射至面部需要填充的部位。结果32例患者共注射62个部位,颞部13例,额部9例,颧颊部11例,鼻唇沟14例,下颏部5例,改善面部皱纹10例,注射脂肪填充剂量2～30ml/次,每个部位注射1～3次,两次注射间隔3～6个月。每个部位均过量矫正约40%。根据患者不同述求,供区分别为:腰部6例(18.75%),腹部14例(43.75%),臀部7例(21.875%),腿部5例(15.625%)。随访3～12个月后,患者颜面部的外观有明显的改善,面部轮廓丰满充盈,自然流畅。本组32例患者均未发生感染、血肿、皮肤破溃、脂肪栓塞等并发症。合计共注射62个部位,其中有58个部位术后效果表示满意,4个部位的患者表示一般满意,满意率为93.55%。无患者对术后效果表示不满意。其中注射至额部的满意率为88.89%;颞部为92.31%;颧颊部是90.91%;鼻唇沟为92.86%;下颏部和面部皱纹的满意率均为 100%。结论①自体脂肪颗粒移植术在作为目前常用来填充面目凹陷或改善皱纹的方法,具有操作简便、取材来源丰富,患者满意率高的优点。②自体脂肪颗粒移植术是一种安全有效,微创无痕,并且可以达到既可以使面部轮廓更年轻化又可以减肥塑身的美容效果,值得在改善面部凹陷和面部皱纹等面部整形中推广应用。
[Abstract]:Objective to explore the operative methods and key points of autogenous fat granule transplantation in the improvement of facial depression and facial wrinkles, so as to obtain the best effect in facial plastic surgery. Methods from October 2014 to January 2017, 32 female patients with facial depression and facial wrinkles were treated with autologous fat particle transplantation in a plastic surgery institution. The age was 25 ~ 57 years (mean 41 years). According to the needs of patients, the mature subcutaneous fat of different parts was selected by negative pressure extraction with syringe. After rinsing, precipitating and other purification, the fat was injected into the area of facial filling by multi-level and multi-tunnel. Results Sixty-two sites were injected into 32 cases, temporal 13 cases, frontal 9 cases, zygomatic-buccal 11 cases, nasolabial sulcus 14 cases, chin 5 cases, facial wrinkles improved 10 cases, fat filling dose 2~30ml/ times, 3 times per site. The interval between two injections was 3 ~ 6 months. Each part was overcorrected by about 40%. According to the different description of the patients, the donor areas were as follows: the waist 6 cases with 18. 75A, the abdomen 14 cases with 43.75 stomach, the buttocks 7 cases with 21.875 5, the legs 5 cases with 15. 625 cases. After 3 ~ 12 months follow-up, the facial appearance was improved obviously, the facial contour was fullness and smooth. There were no complications such as infection, hematoma, skin rupture and fat embolism in 32 cases. A total of 62 sites were injected, of which 58 were satisfactory, and 4 were generally satisfactory, the satisfaction rate was 93.55. No patient was dissatisfied with the effect of the operation. The satisfaction rate of injection into frontal part was 88.89; that of temporal part was 92.31; that of zygomatic-buccal part was 90.91; that of nasolabial sulcus was 92.86; the satisfaction rate of chin and facial wrinkles was 100. Conclusion (1) autologous fat granule transplantation is a safe and effective method for filling face depression or improving wrinkle, which has the advantages of simple operation, abundant source of materials and high satisfaction rate of patients. It can not only make facial contour younger, but also lose weight and plastic body. It is worth popularizing and applying in improving facial depression and facial wrinkles.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R622

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