dn100钢管外径是多少8中国美容医学2018年1月第27卷第1期 Chine Journal of Aesthetic Medicine. Jan. 2018.Vol.27.No.1
•论 著•
埋线法矫正中下面部皮肤松弛下垂
沈军国1，常秀芬1，吴金芳1，周 雪2牛油果营养成分
北京市居住登记卡报警声音（1.河北唐山金荣医院整形科 河北 唐山 063000；2.四川德阳金荣医学美容医院整形科 四川 德阳 618000）
[摘要]目的：探讨面部埋置聚对二氧环己酮（Poly P-dioxanone,PPDO）锯齿线对中下面部皮肤松弛下垂的改善情况。方法：根据中下面部皮肤松弛下垂情况，拟确定埋置提升线位置及数量，将PPDO线分别由颞部发际缘及耳前缘进针点置入，埋置于浅表肌肉腱膜系统（superficial muscular aponeurosis,SMAS)层，牵拉提升线，剪除线端。结果：本组35例，中下面部松弛下垂均有所改善。术后随访3个月～1年，平均9个月，面部皮肤平整，触及不到提升线，效果稳定。结论：采用PPDO 提升线埋置提升中下面部，可以有效改善皮肤松弛，手术并发症少，值得推广应用。
[关键词]埋线；面部提升；中下面部皮肤松弛下垂；PPDO
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2018）01-0008-02
Correction of Middle and Lower Face Ptosis by Burying PPDO Threads
SHEN Jun-guo1,CHANG Xiu-fen1,WU Jin-fang1,ZHOU Xue2
画帽子
(1.Department of Plastic Surgery,Tangshan Jinrong Hospital,Tangshan 063000,Hebei,China; 2.Department of Plastic
医保自查报告Surgery,Deyang Jinrong Hospital,Deyang 618000,Sichuan,China)
小孩可以拔罐吗Abstract: Objective To discuss the improvement effect of middle and lower face ptosis by burying PPDO threads. Methods The position and quantity of the PPDO threads according to the face sagging circumstance to determine. The PPDO threads were placed in the temporal hair line and the front edges of ears, were buried in the SMAS. Pulled the lines and cuted off the end of PPDO threads. Results 35 cas with middle and lower face ptosis were treated successfully and the face ptosis improved greatly. Followed up for 3 months to 1 year (average 9 months) with sustained aesthetic results, the skin of faces were smooth and the lines were not touchable. Conclusion Applying the PPDO threads buried in the middle and lower face, it can effectively improve the face ptosis, has stable effects and less complications, which is worth to be spread.
Key words: buried threads; face lift; middle and lower face ptosis; PPDO
随着年龄的增加，中老年人逐渐出现了面颊部皮肤松弛下垂，主要表现为鼻唇沟加深，下面部皮肤堆积等。面部提升术作为经典术式对于面颊部皮肤松弛的改善有确切效果，但手术损伤大，恢复期长，切口遗留瘢痕等限制了该术式的应用。笔者应用PPDO线对轻中度的面部下垂患者进行治疗，手术恢复快，并发症少。自2015年2月-2016年2月，临床应用35例，优者20例，良者12例，一般者3例，无效者0例。
1 资料和方法
1.1 临床资料：本组共35例，均为女性，年龄30～55岁，平均38.5岁。所有患者均为轻中度皮肤松弛下垂，以下面部松弛下垂为主，均未接受过激光除皱及面部提升手术治疗，其中有20例3个月内于颞部注射过A型肉毒毒素。亲子活动项目大全
1.2 手术方法：标记患者面部拟置入线的进针点及置入隧道，每侧颞部垂直方向拟置入2～3根0号PPDO线，进针点选择颞部发际线边缘；每侧面颊部平行于下颌缘方向拟置入0号PPDO线5～10根，进针点为耳前缘。上述各线间距离约1cm，各线间平行，再于0号PPDO线间标记2-0 PPDO线的置入位置，2-0 PPDO线间距仍约为1cm，各线间平行。见图1。
图1 PPDO线埋置示意图
