Analysis For 106 Cases: Continuous Suspension Of The Midface Fabric Fat Pad For Rejuvenation

Objective:Cutis laxa of face is a puzzled problem for both plastic surgeons and vast people who loved beauty. The reasons of aging face are following: the drooping of the skin, fat, and muscles; absorption of the bone; atrophy of the cartilage. From the superficial layer to the deep layer, the soft tissue of face are following: skin layer, fat layer, SMAS layer, muscles layer, and periosteum layer. The soft tissue will be drooping first when times flow. Periosteum was connected tightly to the bone; SMAS was connected by many ligaments to the bone at the lateral. They will be obsolete drooping with times. However the zygomatic fat pad was connected loosely to the SMAS, and it can droop down and forwards with times, and then the nasolabial fold aggravated, the mentolabial sulcus and the carnosity of lower mandible were formed. The drooping fat pad made the lower eyelid looked thin, bony, and apparent clivus between the lower eyelid and pars zygomatica. The perpendicular length of lower eyelid was increased.Now, how to deal with the midface looseness become the most important problem. Various kinds of modified operation was used to upgrade nasolabial fold in the midface lifting. But there is no united opinion on this question.Composite rhytidectomy can better deal with the midface aging, and get good cases in clinic, and was accepted by many people. So many people hope that the operation was less risk, less injury, invisible scar, and longer effect. The suspension of zygomatic fat pad get a younger, less injury, longer effect conclusion, and was accepted by more and more people.After study of much correlative documents and anatomy experiments, we promote the method of operation to correct the laxity of middle and lower face that is continuous suspension of midface fabric fat pad for rhytidectomy. Through study by all 106 cases of our patients from 2004 to 2007, who accepted rhytidectomy, and our knowledge of facial anatomic, to analyze this method′s rationality and availability, to find a better technique of modify midface aging, easy operate, longer effect.Methods:Retrospective study our 106 patients'files from 2004 to 2007, who accepted rhytidectomy, to analyze the rationality, applicability and main points of midface fat pad suspension rhytidectomy, and by quantificat standard to evaluate the effect of operation.Results:There are plentiful and compact fibers in the midface fat pad, and they all tightly attached to the skin and the SMAS. The midface fat pad is different to the other fat. They are mobile, spreading, resisting, specially the fat pad above the nasolabial fold. The fibers of there were thick, long, and more mobile. All of these make it possible, that through midface fat pad suspension to modify the midface aging. The 106 cases were followed up 24 months, the results were satisfactory without seriously complication, the nasolabial fold was modified better.Conclusion:Midface fat pad suspension rhytidectomy can modify the midface aging, and it has following advantages: safe operation, less injure, less swelling, longer effect, more acceptable by patients. This method is easy, less injure, fast recover, longer effect, easy generalized.