Bidirectional lift of the anterior midcheek with Gore-Tex cable sutures.
Bidirectional lift of the anterior midcheek with Gore-Tex cable sutures.
复制标题
使用 Gore-Tex 缆线缝合对前中颊进行双向提升。
DOI：
10.1016/s1090-820x(03)00155-9
复制
发表时间：
2003
影响因子：
2.9
通讯作者：
E. Kim
中科院分区：
文献类型：
--
作者：
Gordon Hiroshi Sasaki;K. Oberg;E. Kim
背景我们先前描述了一种使用2根缆索缝线仅在上外侧方向进行前中面软组织复位的技术。这项技术实现了一个更正常的分布，皮下脂肪横向上的颧骨袋突出，但并没有克服中央和内侧凹陷的睑和tear-trough areas.我们描述了一个改变我们原来的技术，介绍了一个垂直升降机的前中面软组织利用戈尔特克斯，（WL戈尔和联营公司，弗拉格斯塔夫，亚利桑那州）电缆缝合，同时提升preperiosteal软组织。在眶缘进行骨膜下剥离，为颧骨脂肪垫准备一个囊袋。使用6.5 cm基思针，我们在眶下神经和眶孔位置的内侧、外侧放置编织缝线，并将其穿过软组织，直到鼻唇沟处的凹陷或上唇向上扭曲的所有迹象均被消除。引入Gore-Tex移植物，并以杯状结构固定，将尾部脂肪垫锚定在鼻唇沟处。内侧脂肪垫和血管蒂沿着眶缘转移到预先解剖的囊袋中;中央脂肪垫也被塑造成蒂并移入其囊袋中。拉紧Gore-Tex缝线，垂直提升骨膜上软组织。第二组的戈尔-特克斯缝线提升前中面软组织对颞深fascination.ResultsBetween 1999年和2002年，197例患者进行双向前中面升降机与戈尔-特克斯缝线，结合辅助程序。使用的Gore-Tex电缆缝合使眶周，脸颊中部和颈部的改善，以及在所有patients.ConclusionsThe双向电缆缝合技术是简单，有效，安全的更和谐的面部外观。它提供了安全的固定和填充的鼻轭窝和改善颧骨隆起。它在眶周的效果较差，似乎不能纠正鼻唇沟肥大。
BackgroundWe have previously described a technique of anterior midface soft tissue repositioning using 2 cable sutures directed only in a superolateral direction. This technique achieves a more normal distribution of subcutaneous fat laterally over the malar bag prominence but does little to overcome central and medial hollowness in the palpebromalar and tear-trough areas.ObjectiveWe describe an alteration of our original technique that introduces a vertical lift of the anterior midface soft tissue utilizing Gore-Tex,(WL Gore & Associates, Flagstaff, AZ) cable sutures while elevating the preperiosteal soft tissue.MethodsWe used a transconjunctival approach to expose the postseptal fat, orbital rim, and arcus marginalis. Subperiosteal dissection over the orbital rim was performed to prepare a pocket for the malar fat pads. Using 6.5-cm Keith needles, we placed a braided suture medially, lateral to the location of the infraorbital nerve and foramen, and maneuvered it through the soft tissue until all signs of dimpling at the nasolabial line or upward distortion of the upper lip were removed. A Gore-Tex graft was introduced and seated in a cupped configuration that anchored the caudal fat pad at the nasolabial line. The medial fat pad and vascular pedicle were transposed over the orbital rim into the predissected pocket; the central fat pad was also fashioned into a pedicle and moved into its pocket. The Gore-Tex sutures were tightened, elevating the supraperiosteal soft tissue vertically. A second set of Gore-Tex sutures elevated the anterior midface soft tissue toward the deep temporal fascia.ResultsBetween 1999 and 2002, 197 patients underwent bidirectional anterior midface lift with Gore-Tex sutures, combined with ancillary procedures. Use of the Gore-Tex cable sutures enabled improvement in the periorbitum, midcheek, and neck, as well as a more harmonious facial appearance in all patients, with few complications.ConclusionsThe bidirectional cable-suture technique is simple, effective, and safe. It provides secure fixation and filling of the nasojugal hollow and improvement of the malar eminence. It is less effective in the periorbitum and does not seem to correct the recalcitrant nasolabial fold.