面部脂肪填充术联合面部除皱术在面部年轻化治疗中的临床及美学效果分析OA
Clinical and aesthetic outcomes of facial fat grafting combined with rhytidectomy in facial rejuvenation therapy
目的 分析面部脂肪填充术联合面部除皱术在面部年轻化治疗中的临床及美学效果.方法 前瞻性纳入2023年4月至2025年2月金水正美医疗美容门诊部收治的86例面部年轻化治疗患者,以信封法分为观察组与对照组,各43例.对照组患者进行面部除皱术,观察组患者在对照组基础上联合面部脂肪填充术.比较两组患者面部定量指标、美容效果、并发症发生率.结果 术后3个月,观察组患者双侧颧点间距高于对照组,瞳唇距、ABC弧度低于对照组,差异均有统计学意义(P均<0.05);术后1个月、3个月,两组患者全球美学改善量表(GAIS)评分、皱纹严重程度评定量表(WSRS)评分均较术前降低,且观察组患者GAIS、WSRS更低,差异均有统计学意义(P均<0.05);术后3个月,两组患者并发症发生率比较(6.98%比 11.63%),差异无统计学意义(P>0.05).结论 面部年轻化治疗患者在开展面部除皱术的基础上联合面部脂肪填充术,能更显著改善面部老化情况,且安全性高.
Objective Facial rejuvenation procedures aim to restore youthful contours and soft-tissue harmony.This investigation sought to elucidate the therapeutic and esthetic performance of combining facial fat grafting with rhytidectomy in patients undergoing facial rejuvenation.Methods A total of 86 patients undergoing facial rejuvenation treatments at Jinshui Zhengmei Medical Aesthetic Clinic from April 2023 to February 2025 were prospectively enrolled and randomly divided into an observation group and a control group using the sealed-envelope method,with 43 cases in each group.The control group underwent facial rhytidectomy,while the observation group received facial fat grafting in addition to the control group's procedure.Quantitative facial indicators,cosmetic outcomes,and complication rates were compared between the two groups.Results The observation cohort demonstrated a significantly greater bilateral zygomatic point distance,accompanied by reduced pupil-to-lip distance and ABC curvature values(all P<0.05).At one and three months following surgery,both cohorts exhibited marked reductions in global aesthetic improvement scale(GAIS)and wrinkle severity rating scale(WSRS)scores relative to baseline;however,the extent of improvement was more pronounced in the observation cohort(all P<0.05).No statistically meaningful difference was identified between the two cohorts with respect to postoperative complication rates(P>0.05).Conclusion Incorporation of facial fat grafting into standard rhytidectomy protocols yields superior enhancement of facial morphology and aesthetic satisfaction in facial rejuvenation patients,without compromising procedural safety.
李会勇;孟宝玺
金水正美医疗美容门诊部 整形美容外科,河南 郑州,450014郑州大学第二附属医院 整形美容科,河南 郑州,450014
面部脂肪填充术面部除皱术面部年轻化美学效果
facial fat graftingrhytidectomyfacial rejuvenationaesthetic efficacy
《中国医疗美容》 2026 (6)
1-5,5
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