A comparative study of simultaneous and delayed autologous lipofilling with rhytidectomy in facial rejuvenation
10.3760/cma.j.issn.1009-4598.2019.08.004
- VernacularTitle: 除皱术同期和术后3个月行自体脂肪移植应用于面部年轻化的临床疗效对比研究
- Author:
Dongyue LI
1
;
Shaochun MU
;
Zeyu SUN
;
Shengjian TANG
Author Information
1. Institute of Reconstructive Plastic Surgery, Weifang Medical University, Weifang 261042, China
- Publication Type:Clinical Trail
- Keywords:
Face rhytidectomy;
Fat transplantation;
Facial rejuvenation;
Clinical effect
- From:
Chinese Journal of Plastic Surgery
2019;35(8):736-740
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss and analyze the respective clinical effects of autologous fat filling for facial rejuvenation in the same period of three months after incisions.
Methods:From June 2015 to January 2018, 117 patients with facial rejuvenation admitted to the Plastic Surgery Hospital of Weifang Medical College were randomly divided into A, B and C groups. Group A (39 cases, male 3 cases, female 36 cases, age 44-67 years old) received simple rhytidectomy. Group B (39 cases, male 4 cases, female 35 cases, age 45-67 years old) underwent rhytidectomy and autologous fat filling at the same time. Group C (39 cases, male 3 cases, female 36 cases, age 45-65 years old) received autologous fat filling 3 months after rhytidectomy. We compared the improvement of facial depression (nasolabial groove and mouth angle), the effect of facial rejuvenation after fat filling in three groups and the incidence of complications in group B and C.
Results:15 cases in group A, 12 cases in group B and 2 cases in group C had no obvious improvement in facial atrophy, the remaining 88 cases had obvious improvement compared with before operation, and achieved the effect of facial rejuvenation. The incidence of complications in group C (7.69%) was significantly lower than that in group B (35.90%), the excellent or good rate of facial improvement and the nasolabial groove and peri-oral depression improvement in group C (87.18%, 92.31%) was significantly higher than that in group B (64.10%, 64.10%) and group A (33.33%, 17.95%) (P<0.05).
Conclusions:Comparative analysis of fat filling after 3 months of wrinkle removal to improve facial soft tissue atrophy and collapse is more obvious and more permanent in effect than fat filling, which is worthy of clinical promotion.
