随着年龄的增加,人体会逐渐出现衰老症状,如面部松弛、皱纹、下垂、赘肉等,给人苍老、干涩、精神不饱满的感觉。如何让面部恢复美丽、年轻、有活力的状态呢?自体脂肪移植填充技术,运用自体脂肪细胞,重新雕塑面部五官轮廓,让您实现青春逆袭 自体脂肪填充术是在脂肪抽吸术基础上完成的一项手术,先把人体肥胖部位的多余皮下脂肪细胞吸出来,再经过净化处理,选择完整的脂肪颗粒细胞,通过注射的方式再移植到自己需要进行脂肪填充的部位。例如胸部、臀部、面部填充等。通过对自身脂肪的吸出和再利用,不仅可以达到瘦身的目的,还能更好的雕塑出你的完美容颜。 额头不饱满、有皱纹,脸型看起来就比较苍老。天庭饱满,不仅使人看起来更精神,同时也是福气的象征。自体脂肪丰额头,时间短、见效快、无排异反应,效果永久。高清晰逐层逐行扫描吸脂术,吸出脂肪纯脂率高,多点多层次立体式注射技术,让您的额头饱满丰盈,富态十足,事业完美。 太阳穴凹陷,严重影响脸形上半部份的轮廓,给人感觉头小脸大,一种尖酸刻薄感。太阳穴填充可以给整个面部带来显著的协调效果,自体脂肪丰太阳穴,用患者自身的脂肪,填充自己凹陷的太阳穴,因为是从自己身体上抽取出来的脂肪,所以不会产生排异或者完全吸脂的情况,最适合需大量填补组织缺损或凹陷区域的人。 泪沟是由于眼眶隔膜下缘的软组织萎缩、下垂而生成的,有的人甚至可延伸到脸颊。由于泪沟的凹陷与周围皮肤的对比映衬,使下睑组织看起来有些臃肿、凸出,让人看起来特别苍老、没精神。自体脂肪丰泪沟,取少量高鲜活的脂肪细胞,轻微注射到泪沟凹陷部位,控制注射量,安全有效,效果自然,天然擦去泪沟。 苹果肌不圆润、饱满,就会呈现过度削瘦的面相,给人感觉难以亲近。脸型过于削瘦、颧骨过高、棱角太多或者因年龄增长而凹陷,都可以用自体脂肪注射填充苹果肌的方法,使面部轮廓饱满柔和起来。自体脂肪丰苹果肌,微创无痕,安全无副作用,形态自然,效果持久,使您看起来圆润自然,明艳动人 自体脂肪移植丰唇是从受术者脂肪堆积的部位抽取脂肪颗粒,经特殊处理后注射到红唇皮下。脂肪颗粒是自体组织,不会发生排斥反应,是较理想的填充材料。 中国人的下巴都有点短,这会显得脸部比较胖,脸型不对称,自体脂肪丰下巴可以帮你重塑漂亮的下巴,自体脂肪丰下巴是选择腹部、大腿或臀部等部位的脂肪,把纯净的脂肪细胞移植到下巴部位,重塑下巴的外型。
虽说玻尿酸和自体脂肪一样,都是存在于人体内自身含有的物质,但是不乏买到假的玻尿酸、过量填充、医生操作不当等都有可能出现一系列反应,造成非常严重的后果。玻尿酸注射可能出现的一些并发症以及对应方法,你知道吗? 注射玻尿酸最常见的术后反应:红、肿、热、痛、胀。 不管注射哪种材料、任何部位、上述的这5种情况总是不可避免的出现,区别只是程度的轻重,持续时间长短区别而已。敏感体质的症状会相对明显一些,此外和医生的注射水平以及药物的选择有很大关系。如果注射过程中不慎刺破小血管,则可能迅速出现以刺破处为中心的较为严重的红肿。 解决方法:如果感觉红肿的同时伴随疼痛,应立即停止注射,立即要求冰敷10分钟左右,再看看是否需要继续接受注射。 这些情况一般3天左右会自行消退,如果后续出现瘀青,颜色由红变紫,一般7-17天左右也会自省消退,较为严重的可以咨询下医生是否需要使用活血化淤的外用药。 但是如果出现花斑样病变以及淤点状持续加重,那很可能是出现拴塞了,需要立即治疗! 为什么会出现栓塞呢? 注射时血管、周围组织损伤,和医生注射水平有极高的关系。在这里呼吁大家,做医疗美容,一定要找有资质的正规医院,由技术专业有丰富经验的医生注射,切勿找无证工作室,更不要淘宝买药。 经验丰富的医生更容易掌握注射层次,以及一旦发生意外状况的处理能力。 因为如果是正规玻尿酸的话,不满意或者出现不良反应,打溶解酶是可以消掉的。但如果打的不是玻尿酸或者被调包成奥美定的话,溶解酶消不掉,只能手术取出,还不一定取的干净。 高纯度、低交联的小分子玻尿酸比高交联的大分子玻尿酸或者其他填充材料的组织相容性要好,肿胀反应要轻。 泪沟注射玻尿酸可能出现黑眼圈 黑眼圈的成因就是:由于熬夜、眼部疲劳、鼻炎等导致眼部皮肤的红细胞供氧不足,静脉血管中二氧化碳以及代谢废物积累过多,形成慢性缺氧,血液较暗并形成滞流,造成色素沉着。 而在泪沟进行玻尿酸填充时,由于玻尿酸持续压迫,会导致局部血液循环变差,导致黑眼圈加重。 而且注射过玻尿酸填泪沟的妹子不能再用深蓝射频去黑眼圈,因为深蓝射频会加速玻尿酸代谢。 对应方案:在注射时请医生尽量贴骨膜深层注射,且控制用量。 过量注射导致变形移位 玻年酸由于是半流体性质,所以塑形效果有限,无法像假体一样固定形状,所以注射到人体后,由于皮肤的压力、吸收程度不同,睡眠体位压迫多少都会出现玻尿酸移位的情况。 很多人觉得鼻子注射后山根越来越宽也是由于以上的原因导致,所以建议初次注射填充隆鼻用量1-1.5ml为宜,不要过量。 对应方法:宁可少量,不贪多。不建议用大量玻尿酸丰额头 创办人:赵月强 出品:聚美医云传媒 执行:JUMI-Phoebe
Modified Y-V Epicanthoplasty With Raised Medial Canthus in the Asian EyelidYue-Qiang Zhao, MD; Ding-An Luo, MDAuthor Affiliations: Department of Plastic and Reconstructive Surgery, Renmin Hospital of Wuhan University, Wuhan, China.To explore an epicanthoplasty with a good aesthetic effect and a small scar we designed a modified Y-V epicanthoplasty to raise and enlarge the medial canthus. From January 2006 to April 2009, 68 patients were treated with this method, using a simple procedure to eliminate the medial epicanthal fold of the upper eyelid. Scarring of the medial canthal area has not been a problem with this technique because we designed incisions along the eyelashes and the skin-mucosal junctions. By raising the point of the new medial canthus to a particular physiological position, the angle of medial canthus is enlarged to reveal the lacrimal lake.Our technique is a simple, graded procedure that leaves no visible scar.Arch Facial Plast Surg. 2010;12(4):274-276 Lack of a supratarsal crease (the socalled single eyelid) and medial epicanthal fold (the so-called Mongolian fold) are the 2 ethnic characteristics of the Asian upper eyelid.1-4 The goal of blepharoplasty of the Asian eyelid is to create a doubleeyelid fold, which forms only when the eye is open, by producing a supratarsal crease. The double-eyelid blepharoplasty, which gives the illusion of larger, relaxed eyes, has become the most common cosmetic operation in Asia. The epicanthal fold, which is a skin flap over the lacrimal lake in the medial corner of the eye, covers the upper eyelashes and the true upper eyelid margin medially and gives the appearance of short eyelashes and narrow palpebral fissure. It makes the medial aspectof the palpebral fissure round and gives the impression of a telecanthus. Skin resection from the upper eyelid in doubleeyelid surgery of Asian eyes worsens this condition. Without removal of the epicanthal fold prior to or during doubleeyelid blepharoplasty, the final outcome is unnatural and unattractive. However, removal of the epicanthal fold often leads to undesirable scarring, especially in nasal skin. Many techniques have been described to eliminate the epicanthal fold (eg, Y-V advancement,5V-Wtechnique,6 VM-plasty,7 modified Z-plasty,8-10 multiple Z-plasties,11 and other techniques12). From our observations, most of these procedures yield poor results with partial correction, obvious scars, and recurrent deformity. Herein, we present our experience with the correction of the epicanthal fold for aesthetic purposes by usinga modified Y-V advancement procedure with satisfactory results, minimal scarring,and simplicity of design. METHODS From January of 2006 to April of 2009, we treated total of 68 patients of both sexes who sought a double-eyelid operation with epicanthal folds by using a modified Y-V advancement procedure. Preoperative studies included anthropometric measurements, lacrimal system evaluation, and photography. Because gravity changes the distribution of the eyelid skin, preoperative marking is done with the patient in a sitting position. When the skin of the nasal dorsum is pulled toward the facial midline to expose the caruncle, point A is at the medial end of the lacrimal lake. The incision lines (B-A-C) form a V-shaped flap parallel to the ciliary lines. The V-shaped incision lines should be within 1mmfrom the ciliary lines and the skin-mucosal junctions. Then,from point A, a line is drawn inward and upward along the line BA, and point A is marked at the end of the line. Point A is the top point of new medial canthus. The length of the line AA is about 4 to 8 mm and should be altered according to the severity of the degree of the medial epicanthal fold. The lines AB, AA, and AC are the same length (Figure 1A). The surgical procedure is performed with the patient under local anesthesia and lying in the supine position. Skin incisions are made through the designated lines, and the orbicularis oculi muscle of the medial canthal area is released. Then the V-shaped flap is raised with blunt dissection to include the subcutaneous fat as much as possible and to avoid damaging the lacrimal canaliculus. Once the flap is elevated, both the canthal tendon and the anterior lacrimal crest may be visualized directly. After the release of tension across the medial epicanthus, a 4-0 polygalactin stitch is placed through the undersurface of the flap near its midpoint and is fixed to the periosteum, ensuring that it remains in the correct position, following the contour of the nasal pyramid (Figure 1B). This suturing brings points A and A together without tension. The wound is then closed by using a 7-0 nylon suture with a dog ear correction (Figure 1C). The epicanthoplasty and double-eyelid surgery can be performed simultaneously, or only an epicanthoplasty be performed. RESULTS Over the past 4 years, we used this technique in 68 cases. Among these cases, 62 were female patients and 6 were male. The ages of these patients ranged from 18 to 46 years (mean age, 26.8 years). Sixty-seven patients were followed up for 4 to 24 months (mean duration of followup, 6.8 months). The contours of the double eyelids were natural, and the epicanthi were taken away and the corners of the medial canthi were exposed. Mild scar proliferation was present in most of the patients during the early postoperative period but disappeared after about 3 months. Most patients obtained satisfactory results (Figures 2, 3, and 4). COMMENT An epicanthal fold is defined as a semilunar fold of skin that runs downward at the side of the nose with its concavity directed toward the inner canthus. Duke-Elder13 classified the epicanthus according to the following 4 types: (1) the epicanthus supraciliaris, (2) the epicanthus palpebralis, (3) the epicanthus tarsalis, and (4) the epicanthus inversus. The inner canthus was always drawn downward by these epicanthal folds. To correct the downward inner canthus, we designed a Y-V advancement procedure so that the location of point A is higher than that of point A at the horizontal line. Scarring of the medial canthal area has not been a problem with this technique because we designed incisions along the eyelashes and skin-mucosal junctions. The Y-V epicanthoplasty is a very reliable and effective method for eliminating the epicanthalfold with minimal scar formation. The key to achieving a good result from medial epicanthoplasty is understanding the formative causes of the epicanthal fold. On the basis of their anatomical dissections, Yoo et al9 considered that the medial epicanthus was caused by malposition of the orbicularis oculi muscle fibers. From observations made during anatomical dissections, Lee et al12 suggested that an underdeveloped nasal root, an excess of horizontal medial canthal skin relative to the vertical skin shortage, and insertion of the superficial fibers of the medial canthal ligament and orbicularis oculi muscle running through the fold are the most important causes of the creation of the Asian epicanthal fold. The difference in skin thickness between the thin eyelid skin and thicknasal skin also contributes to the fold. When we remove the preseptal portion of the muscle selectively, we can reduce the epicanthal fold without any functional impairment or anatomic distortion. In addition, by anchoring the inner canthus to nose periosteum, the recurrence of the epicanthal fold is not possible. In conclusion, the epicanthoplasty is a microoperation in facial plastic and aesthetic surgery that involvesonly several millimeters of skin. If the design or method is too complex to be understood, a satisfactory result of the epicanthoplasty cannot be achieved. The Y-V epicanthoplasty is an easier method that results in minimal scar formation.Accepted for Publication: June 29, 2009.Correspondence: Yue-Qiang Zhao, MD, Department of Plastic and Reconstructive Surgery, Renmin Hospital of Wuhan University, 238 Jiefang