摘要
目的探讨自体纯化冻存脂肪颗粒注射移植对面部年轻化的作用。方法2018年1月至2019年2月,衡阳美莱医疗美容医院美容外科收治64例(男9例,女55例,年龄35~64岁,平均43岁)面部老化萎缩凹陷的美容就医者,在其腹部或大腿用肿胀吸脂术抽吸脂肪,经过低速低压离心纯化脂肪颗粒。在-20℃下低温冻存24周,37℃下复温培养1 h后,组织学观察细胞完整性;检测脂肪细胞活力,注射移植填充面部老化凹陷区域。结果脂肪细胞冻存24周后细胞膜、细胞核仍清楚完整,细胞活力(88.89±1.23)%。64例(186个部位)中21例接受1次脂肪颗粒注射移植,35例接受2次脂肪颗粒注射移植,8例接受3次脂肪颗粒注射移植。术后随访6~24个月,面部老化症状明显改善,效果满意、持久,吸收率低,无感染、脂肪液化等并发症发生。临床疗效美容就医者及医者满意度均>82.81%,不满意的1.56%。结论自体纯化冻存脂肪颗粒注射移植对面部年轻化效果明显、吸收率低、可重复注射、易于美容就医者接受,值得临床应用。
Objective To explore the clinical application of autologous freezing fat granule injection grafting in facial rejuvenation.Methods A total of 64 cases of facial skin soft tissues ageing atrophy were treated by transplantation of autologous purification freezing lipochondria.Autologous fat was obtained from patient's abdomen or thighs,centrifugated at low velocity and low pressure to remove the oil and fluid,then stored the lipochondria in-20℃.Rewarming the fat under 37℃for 1 hour,we observed the integrity of the adipocyte and detected the vitality of the fat.Then the purified autologous fat was injected into the recipient site of the face.Results The fat cell membrane and cell nucleus were clear and integrity after stored in-20℃for 24 weeks,and the vitality of the fat was(88.89±1.23)%.21 cases gained satisfactory clinical results by injecting once and 35 cases with 2 times injections,8 cases with 3 times injections,the effects were satisfactory and there was no complication by follow-up from 6 to 24 months.82.81%patients and doctors were satisfactory with the curative effect,and 1.56%patients and doctors were unsatisfactory.Conclusions The effects are satisfactory of autologous purified freezing microparticle fat injected transplant.It has low absorptivity,can duplicate injection,and accept easily by people.It is a good method for facial rejuvenation and worth to spread in the clinical practice.
作者
温科磊
邓颖
徐淑卿
胡柏
唐三平
刘洋
李润慧
彭兵
Wen Kelei;Deng Ying;Xu Shuqing;Hu Bou;Tang Shanping;Liu Yang;Li Runhui;Peng Bing(Department of Cosmetic Surgery,Meilai Medical Beauty Hospital,Hengyang 421000,China)
出处
《中华医学美学美容杂志》
2020年第4期306-309,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
面部
移植
自体
注射
纯化
自体脂肪颗粒
冻存
年轻化
Face
Transplantation,autologous
Injections
Purified
Autologous microparticle fat
Freezing
Rejuvenation
作者简介
通信作者:温科磊,Email:34331518@qq.com。
