背景:整容的主要目标是在不改变其自然特征的情况下使面部恢复活力。这涉及在更深的层上工作,以保持表面外观,同时调整下面的脂肪垫。因此,我们经常使用改进的High-SMAS整容方法,遵循这种深层方法。这项研究评估了高SMAS整容是否,专注于最佳重新定位,可以有效减少中到下面部和颈部的衰老迹象。
方法:于2018年至2022年进行,这项回顾性队列研究包括人口统计学数据,相关的合并症,以及接受侧向延伸的高SMAS面部提升的患者的手术细节,不包括修订案例。记录并发症,并确保至少一年的随访。该技术的有效性是使用由三名蒙面检查者使用LaPadula等人验证的评分方法分析的手术前和一年后图像进行评估的。结果:本研究包括325例患者,无重大并发症报告。术后High-SMAS视觉评分与术前评分相比显著改善(p<0.0001),尤其是脸颊丰满,jawline,和颈椎角的定义。
结论:High-SMAS整容技术,使用面部和颈部提升客观照片数值评估量表进行评估,表现出显著的美容增强作用。这项技术,专注于最佳皮瓣悬垂向量,通过改善面部轮廓,有效地恢复年轻的外观。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: The primary goal of the facelift is to rejuvenate the face without changing its natural features. This involves working on the deeper layers to preserve the surface look while adjusting the fat pads beneath. Thus, we often use a modified High-SMAS facelift method, following this deep-layer approach. The study evaluates whether the high-SMAS facelift, focusing on optimal repositioning, can effectively reduce aging signs in the mid to lower face and neck.
METHODS: Conducted from 2018 to 2022, this retrospective cohort study included demographic data, relevant comorbidities, and operative details of patients undergoing lateral extended high-SMAS facial lifting, excluding revision cases. Complications were recorded, and a minimum one-year follow-up was ensured. The technique\'s effectiveness was assessed using pre- and one-year post-surgery images analyzed by three masked examiners with a validated scoring method by La Padula et al. RESULTS: The study included 325 patients, with no major complications reported. Significant improvements were noted in post-operative High-SMAS visual scores compared to pre-operative scores (p < 0.0001), particularly in cheek fullness, jawline, and cervical angle definition.
CONCLUSIONS: The High-SMAS facelift technique, evaluated using the Face- and Neck-Lift Objective Photo-Numerical Assessment Scale, demonstrated significant cosmetic enhancements. This technique, focusing on optimal flap draping vectors, effectively restores a youthful appearance by improving facial contours.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .