A new paradigm for the aging Asian face
A new paradigm for the aging Asian face
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DOI：
10.1007/s00266-003-2099-x
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发表时间：
2003-09-01
影响因子：
2.4
通讯作者：
Lam, SM
中科院分区：
文献类型：
--
作者：
Shirakabe, Y;Suzuki, Y;Lam, SM
传统上，亚洲人被认为比白种人更优雅。亚洲患者的抗衰老能力归功于亚洲皮肤的真皮层较厚，其中含有更多的胶原蛋白和防止光老化的深色色素。虽然这些说法是正确的，但作者提出了一个新的范式，解释了如何理解亚洲年轻的错觉。“婴儿模型”声称亚洲人的脸有许多与婴儿相似的特征，包括更宽更圆的脸、更高的眉毛、更丰满的上眼睑、更低的鼻梁、更平坦的中面、明显更突出的嘴唇和更后缩的下巴。婴儿和亚洲人之间的这些共同点迫使观众认为亚洲人的脸更年轻。然而，亚洲人的脸由于较弱的骨骼支撑、较重的软组织、大量的颧骨脂肪、较厚的皮肤和较弱的下巴而受到更大的重力。面部年轻化手术应始终认识到亚洲皮肤的倾向，以不利的愈合，需要更大的组织悬浮，更明显的颞部脱发。亚洲美学的差异和收敛与西方的理想进行审查，使西方外科医生，特别是可以理解的年轻美丽的亚洲概念。
Traditionally, Asians have been thought to age more gracefully than Caucasians. The resistance to aging in the Asian patient was credited to the thicker dermis of Asian skin that contains greater collagen and the darker pigment that protects against photoaging. Although these statements are true, the authors propose a new paradigm that explains how the illusion of Asian youthfulness may be understood. The "baby model" purports that the Asian face has many attributes similar to an infant, including a wider and rounder face, higher eyebrow, fuller upper lid, lower nasal bridge, flatter midface, apparently more protuberant lips, and more receded chin. These commonalities between the infant and the Asian compel the viewer to perceive the Asian face as more youthful. However, the Asian face is subjected to a greater amount of gravitational force due to weaker skeletal support, heavier soft tissue, larger amount of malar fat, thicker skin, and a weaker chin. Facial rejuvenative surgery should always be cognizant of the propensity of the Asian skin to unfavorable healing, need for greater tissue suspension, and more conspicuous temporal alopecia. Asian aesthetics that differ and converge with Western ideals are reviewed so that the Western surgeon in particular can comprehend the Asian conception of youthful beauty.