自体脂肪颗粒注射移植在面部美容中的应用研究

2017-02-08 徐艺丹,韩银淑,厦门医学院 中国医疗美容

美容整形已经逐渐成为人们生活中常见的一种现象,并且越来越受到社会的关注。当人的年龄越来越大,其表面皮肤组织也会变得更加松弛,出现老化、皱纹等现象。因此,为了保持面部的容貌美丽,需要对面部皮下组织进行修复和填充。近年来,关于自体脂肪颗粒注射移植应用于面部美容的研究也不断深入,自体脂肪颗粒注射移植术操作简单,安全性高,可塑性高,创伤性小,所移植

美容 的图像结果

美容整形已经逐渐成为人们生活中常见的一种现象,并且越来越受到社会的关注。当人的年龄越来越大,其表面皮肤组织也会变得更加松弛,出现老化、皱纹等现象。因此,为了保持面部的容貌美丽,需要对面部皮下组织进行修复和填充。近年来,关于自体脂肪颗粒注射移植应用于面部美容的研究也不断深入,自体脂肪颗粒注射移植术操作简单,安全性高,可塑性高,创伤性小,所移植的脂肪来自于自体,因此更加符合自身皮肤色泽和性质。经过自体脂肪颗粒注射移植术的修复和填充,能够有效地增加皮下内胶原,从而改善皮肤的纹理。

1.自体脂肪颗粒移植术简介

随着人们生活水平的不断提高,精神生活水平也不断提高,尤其是青年人群,更加注重自身容貌和形象。人的面部面容是影响自身形象的重要部分,也是和社会接触的重要“窗口”。当人体面部出现缺陷,例如凹陷、萎缩等,都会对面部的形象、精神面貌产生一定的负面影响。相关研究证明,人体面部出现凹陷的重要原因在于面部脂肪的减少,软组织结构紧致度降低,结构松弛,发生下垂,最终导致面部缺乏亮度和弹性,呈现出精神萎靡、疲惫的状态。基于该点,必须恢复面部皮下脂肪。

自体脂肪颗粒注射移植术是现代流行的外科美容微创手术,通过该术式对面部凹陷部位进行填充,实现可塑性,恢复面部的丰满度,能够提高面部的俊美程度。自体脂肪颗粒注射移植术操作简单,安全性高,可塑性高,创伤性小,所移植的脂肪来自于自体,因此更加符合自身皮肤色泽和性质。

经过自体脂肪颗粒注射移植术的修复和填充,能够有效地增加皮下内胶原,从而改善皮肤的纹理。除此之外,由于人工材料容易和人体产生排斥反应,通过材料填充修复面部凹陷部位,难以融入自身的组织中,存在较大的风险。因此采取自体脂肪颗粒填充面部凹陷部位,能够减少排斥的发生,大大地增加手术的安全程度。同时,自体脂肪颗粒注射移植术能够重复操作,瘢痕较小,美观度更加高。

2.自体脂肪颗粒移植术应用于面部美容的研究进展

2.1供脂区的选择

脂肪采集部位与脂肪颗粒的成活率有一定关系,由于大腿脂肪的脂蛋白酶活性要高于其他部分,在移植后具有较高的存活率。并且由于大腿部位的脂肪肿胀液注射的饱和量较小,抽吸时具有较多的脂肪,因此一般选择大腿脂肪作为供脂区。而腹部纤维组织丰富,分布血管较多,难以通过注射器吸取脂肪,容易导致出血量多,并且会对脂肪颗粒细胞造成磨损,导致坏死,影响植入的成活率,因此供脂区不适合选择腹部区域。

李开梓等从大腿前侧脂肪丰富的部位提取脂肪,使用圆头针把脂肪颗粒注射到面部凹陷部位,每次注射量为1-55毫升,每次注射需间隔6个月,手术效果良好,成功率高。其认为,颗粒脂肪是理想的软组织充填材料,可塑性良好,手术操作简单,美观度较高。张陈文等对80例面部软组织凹陷和面部静态纹患者进行自体脂肪颗粒注射移植法修复,其认为,人体脂肪组织分布不均匀,抽取脂肪的位置应当选择脂肪沉积较厚的部位,同时人体脂肪的形态、血供和代谢会因部位的不同而不同,建议选取下肢如大腿部位作为抽取脂肪的位置为宜。

2.2治疗方案的选择

2.2.1局部肿胀麻醉方法

采用自体脂肪颗粒注射移植术治疗面部美容凹陷部位,应当注重手术操作的细节和技巧,确定手术操作的最佳时机,并且确定移植脂肪的颗粒数量。在手术前使用镜子和患者进行交流,确定需要修复的范围和厚度,并且把注射的范围标画出来。局部肿胀麻醉方法由于肿胀液含有的麻醉药和肾上腺素对脂肪颗粒的活性具有一定的抑制作用,不利于植入后脂肪颗粒成活。然而有关学者认为,在肿胀液中所采用的利多卡因浓度相对较低,不会对脂肪颗粒的活性造成很大的影响,并且其所含的肾上腺素会在一定程度上导致供区血管收缩,最终能够控制血管出血以及血肿的发生。

相关研究学者采用自体脂肪颗粒注射对面部进行塑形和美容,对大腿外侧供脂区进行肿胀麻醉,使用平衡液、利多卡因、肾上腺素制备而成,没有加入碳酸氢钠,成活率较低。

2.2.2手工注射肿胀麻醉液

采用手工注射肿胀麻醉液注意控制压力和注射速度,尽力减轻损伤脂肪细胞,最大程度地发挥肿胀液的作用,促使脂肪颗粒变大。注射后15min,选择d<4mm的吸脂管抽取脂肪颗粒。相关研究认为控制压力范围在460-470mmHg间,能够最大程度降低对脂肪造成的磨损,能够保留脂肪的最佳活性。陈建军等采用注射器吸取大腿脂肪颗粒,经过纯化处理后,把脂肪颗粒注射到面部凹陷部位,术后检查患者的表情自然度、舒适度,随访发现患者注射成功率较高。海莉等对65例面部美容患者采用注射器抽取少量脂肪对面部凹陷部位进行修复,治疗效果显著,无感染、血肿、栓塞等严重并发症。

2.2.3静置法

目前临床对于合理的离心速度尚没有明确的认定,离心速度过快会对脂肪细胞造成不同程度的损害。相关研究学者认为离心时间比较短,但是准备时间比较长,延长脂肪离体的时间,影响脂肪的活性,因此建议使用静置法。脂肪混悬液中含有前体脂肪,生存活性强,分布丰富的间充质肝细胞,能够经过诱导,分化为其他的细胞,例如软骨细胞、脂肪细胞等等。经过处理后,能够把单个细胞去除,静置分层脂肪混合物,除去水分、血细胞、细胞碎片等。

整个操作过程必须具备密封性,离体处理时间控制在30~45min间,尽量减少纯化处理,降低被污染的风险。注射脂肪颗粒后,利用组织液的渗透作用能够保持脂肪颗粒的活力,避免脂肪颗粒退化成为前脂肪细胞。术后间断冷敷48h后,避免对移植脂肪造成过度的耗氧,减少移植部位的肌肉表情活动,减少对脂肪新生血管的损伤,对面部肿胀所致的脂肪受损情况,可以通过药物促使静脉回流,从而改善微循环。

综上所述,采用自体脂肪颗粒注射移植术修复面部缺陷效果显著,有利于改善患者的面容,能够最大限度地恢复患者面部的丰满度。在供脂区的选择上,由于脂肪采集部位与脂肪颗粒的成活率有一定关系,而大腿脂肪的脂蛋白酶活性要高于其他部分,在移植后具有较高的存活率,因此以大腿作为抽取脂肪的位置为宜。而在自体脂肪颗粒注射移植方式的选择上应该根据个性化要求,按照美学的标准,从而实现良好持久的面部嫩肤效果。

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    2017-03-17 培莉

    神奇的整形美容学。。。。学无止境

    0

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    2017-02-09 往日如昨

    自体脂肪还是比其他的好的多

    0