Efficacy of lower face-lift combined with superficial musculoaponeurotic system flap augmentation in correcting nasolabial fold depression
10.3760/cma.j.cn114657-20250101-00001
- VernacularTitle:下面部提升术联合浅表肌腱膜系统瓣填充改善鼻唇沟凹陷的效果
- Author:
Zhenhua JIA
1
;
Wei WANG
1
;
Xiaobo WANG
1
Author Information
1. 郑州大学第三附属医院医疗美容科，郑州 450052
- Publication Type:Journal Article
- Keywords:
Nasolabial sulcus;
Depression;
Face rhytidectomy;
Superficial musculoaponeurotic system
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2025;31(5):513-516
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of lower face-lift combined with superficial musculoaponeurotic system (SMAS) flap augmentation in correcting nasolabial fold depression.Methods:A retrospective cohort of 26 female patients who underwent lower face-lift at the Third Affiliated Hospital of Zhengzhou University from June 2019 to December 2021 was included, with ages ranging from 45 to 63 (54.1±4.8) years. Patients were allocated into two groups according to surgical methods: 12 cases in the control group received lower face-lift alone, and 14 cases in the observation group underwent lower face-lift combined with SMAS flap augmentation of the nasolabial fold. Postoperative (face questionnaire,FACE-Q) scores at 3 months were compared between the two groups. In the observation group, modified Fitzpatrick wrinkle scale (MFWS) scores were compared before treatment and at 3, 6, and 12 months after surgery to assess improvement of nasolabial fold depression.Results:In the observation group, overall satisfaction with facial appearance, nasolabial fold assessment, and aging evaluation visual analog scores were (86.2±5.1), (86.9±7.3), and (88.2±6.7) scores, respectively, compared with (79.9±5.6), (76.3±7.0), and (79.6±5.4) scores in the control group, with statistically significant differences (all P<0.01). In the observation group, MFWS scores of nasolabial fold depression at 3, 6, 12 months after surgery decreased 2.3, 2.1, and 1.9 scores, respectively. Conclusion:Lower face-lift combined with SMAS flap augmentation achieves superior improvement in nasolabial fold depression.
