The dragnet fixation for buccal fat pad in high-SMAS rhytidectomy
10.3760/cma.j.cn114453-20201012-00527
- VernacularTitle:高位SMAS筋膜联合"拉网式"脱垂颊脂垫悬吊中下面部除皱术
- Author:
Lehao WU
1
;
Chang ZHANG
;
Sichun ZHAO
;
Xiangyue WANG
;
Jiaqi WANG
Author Information
1. 中国医学科学院北京协和医学院整形外科医院面颈整形美容中心 100144
- Keywords:
Superficial musculoaponeurotic system;
Face;
Anatomy;
Suspension
- From:
Chinese Journal of Plastic Surgery
2020;36(12):1303-1307
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of middle and lower facial rhytidectomy by lifting the prolapsed buccal fat pad using a consecutive suspensions in a dragnet fashion.Methods:from December 2016 to October 2019, 42 female patients aged 46 to 65 with aging faces and prolapsed buccal fat pads were treated with multiple suspension method. The incision was the classic temporal to peri-auricular incions. After the skin flap and superficial musculoaponeurotic system(SMAS) flap was elevated. The suspending stitches were arranged with 5 lines from the lateral edge of orbicularis oris muscle to the level of zygomatic process to lift the sagging buccal fat pad and achieve facial rejuvenation. The short and long term complicationsas well as post-operative satisfaction rate were also investigated.Results:After 9-12 months of follow-up, the facial aging characteristics were significantly improved, especially sagging mandibular bag and loose perioral skin. The volume of middle face was restored with natural contour. Post-operative complications included local facial depression (2 patients), slight asymmetry (1 patient) and mild tactile abnormalities (1 patient). Satisfaction survey showed that 28 patients were very satisfied, 12 were satisfied and 2 were dissatisfied. The subjective satisfaction rate was 95.2% (40/42). There were no serious complications such as facial nerve injury or flap necrosis.Conclusions:This technique has a good outcome combined with conventional rhytidectomy, as it can achieve good effect of rejuvenationin the middle and lower face.
