关键词: chin augmentation chin enhancement dermal filler hyaluronic acid hyaluronic acid filler non-surgical management patient-reported outcome retrognathia retruded chin correction retrusion correction

来  源:   DOI:10.7759/cureus.48807   PDF(Pubmed)

Abstract:
A frequent facial abnormality called chin retrusion, also known as retrognathia, can be detrimental to a person\'s self-esteem and overall face aesthetics. Hyaluronic acid (HA) injections are one non-surgical approach to this problem that may provide individuals seeking chin augmentation with a relatively less invasive and potentially more affordable alternative. The present literature does not provide enough in-depth systematic reviews of the use of HA in chin augmentation. By completing a complete examination of the information that is currently available, this study intends to fill this knowledge gap, supporting physicians and researchers in better comprehending the efficacy and implications of HA in chin augmentation. The safety and success of any esthetic procedure should be made based on the results reported by the patients, including satisfaction and quality of life. Patients need to receive comprehensive surgical instructions from a medical professional to optimize the results of the HA injections for chin enhancement surgery. Regardless of the reported safety of using HA injections, some unwanted side effects have also been recorded. Indeed, healthcare professionals can make more informed decisions and give a patient comprehensive information about the procedure\'s risks and benefits to the patients. A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. EMBASE, OVID, and Google Scholar databases were searched up to June 2023. We concentrated on adult patients treated with HA for chin enhancement, and our research was limited to studies conducted in English. A total of 2,738 patients from 24 articles were studied, with 2,259 receiving HA injections for chin augmentation. When applicable, aesthetic outcomes were assessed using scales such as the Global Aesthetic Improvement Scale (GAIS)/FACE-Q and the Galderma Chin Retrusion Scale. Patient satisfaction increased noticeably. Among the studies, some reported complications following HA injection. While three studies found no significant negative effects, one highlighted a major necrotic complication. HA has proven to be an effective and safe alternative to chin augmentation surgery, with the majority of patients showing high satisfaction rates. However, large-scale randomized controlled trials are needed to obtain meaningful results, which will contribute to the further development of non-surgical cosmetic procedures. These studies may facilitate further innovation and refinement of these techniques and potentially expand the application of HA fillers in facial aesthetics.
摘要:
常见的面部异常称为下巴收缩,也被称为逆行症,可能不利于一个人的自尊和整体面部美学。透明质酸(HA)注射是解决此问题的一种非手术方法,可以为寻求下巴增强的个体提供相对侵入性较低且可能更实惠的替代方案。目前的文献没有对HA在下巴增强中的使用提供足够深入的系统评价。通过完成对当前可用信息的全面审查,这项研究旨在填补这一知识空白,支持医生和研究人员更好地理解HA在下巴扩张中的功效和意义。任何美学程序的安全性和成功性都应基于患者报告的结果,包括满意度和生活质量。患者需要接受医疗专业人员的全面手术指导,以优化HA注射的结果以进行下巴增强手术。无论报告使用HA注射的安全性如何,一些不必要的副作用也被记录下来。的确,医疗保健专业人员可以做出更明智的决定,并向患者提供有关手术风险和患者利益的全面信息。根据系统审查和荟萃分析(PRISMA)指南的首选报告项目进行了系统审查。EMBASE,OVID,和谷歌学者数据库搜索到2023年6月。我们专注于接受HA治疗的成年患者,我们的研究仅限于用英语进行的研究。共研究了来自24篇文章的2738名患者,2,259例接受HA注射以增强下巴。如果适用,使用全球美学改善量表(GAIS)/FACE-Q和GaldermaChin排斥量表等量表评估美学结局.患者满意度显著提高。在研究中,一些报道的HA注射后的并发症。虽然三项研究没有发现显著的负面影响,一个人强调了一个主要的坏死性并发症。医管局已被证明是下巴增大手术的有效和安全的替代方案,大多数患者表现出很高的满意率。然而,需要大规模的随机对照试验才能获得有意义的结果,这将有助于非手术整容手术的进一步发展。这些研究可能有助于这些技术的进一步创新和完善,并可能扩大HA填充剂在面部美学中的应用。
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