| Objectives Explore the trend of living female malar fat pad measurement data in north China,calculate the age measurement parameter reference range of each age and draw the aging curve with age,scientific quantitative description of as part of human aging surface malar fat pad tissue aging,for preoperative communication,diagnosis and efficacy evaluation,provide ideas for younger surgery design and target reference.At the same time,it provides central anatomical and morphological reference for female facial rejuvenation surgery,and stimulates new ideas.Methods A total of 96 cases of beauty seekers in the plastic surgery department of the Affiliated Hospital of North China University of Technology from September 2019 to September 2020.Based on the head and facial measurement points of LG Farkas(1996),they(Chapter 1:60 cases,Chapter 2:36 cases),Three-dimensional data model was used to determine the measurement point of the malar fat pad and the linear distance of the data involved,collect data on the soft tissue characteristic points of the facial body surface,refer to the proportional index standard and classical aesthetic standard defined by LG Farkas,and conduct statistical analysis by photo measurement method to quantify the measurement index;Analyse the linear distance between cheek fat pad and contour,and analyze the correlation between the measures of some samples.Results chapter one Characteristics of the central female facial malar fat pad changing with age in North China1)Immediately after surgery,the distance between the upper margin of the zygomatic fat pad and the eye fissure(1 and 3 months,pupil and zygomatic protrusion improved immediately(P<0.05),and no significant difference between the outer canthus immediately and 1 and 3 months after surgery(P> 0.05).2)The distance between the upper malar fat pad and the eye fissure(pupil,outer canthus,malar rim)was larger than the younger and middle-age group(P<0.05),and the inner canthus was not significantly different compared with the younger group and middleaged group(P>0.05).3)The flat fat thickness of the malar fat pad is associated with age changes,in which the fat thickness of the suborbital fat chamber,the orbicularis muscle,the nasal and lip regions,and the buccal regions are all proportional to the increase in age(P<0.05).4)In the younger and middle-aged groups,the malar fat pad upper margin to the lower eyelid margin,and LNIG were significantly lower than in the older group,which was significantly lower than in the older group,and the level angle of the nasal and lip groove was significantly higher than in the older group(P<0.05).To sum up,the thickness of the central female malar fat pad in North China is related to age,and the older the age,the thicker the cheekomatic fat pad.chapter two Clinical study of malar fat pad1)The distance between the upper edge of the malar fat pad and the eye fissure(inner canthus,pupil,and outer malar protrusion)at 1 and 3 months was significantly improved compared with that immediately after surgery(P<0.05),and the outer canthus immediately at 1 and 3 months after surgery(P>0.05).2)The 18 measurement points including E(1,2,3),D(1,2,3),C(1,2,3,4),B(1,2,3,4),A(1,2,3,4)improved significantly at 1 and 3 months immediately after surgery(P<0.05),and not significantly before and after treatment between E4 and D4(P>0.05).3)At 1 and 3 months after surgery,the nasal and lip area,buccal area,suborbital area and facial protrusion contour improved significantly,and the facial skin texture(moisture,oil,roughness and smoothness)was significantly improved compared with before surgery.To sum up,lateral bridging lift of malar fat pad can effectively improve the MFP prolapse in the middle of the female face,improve the skin texture in the nasal and lip area,buccal area,suborbital area,facial prominent contour and other parts.Conclusions With the growth of age,the MFP in the central female surface in North China will slide downward and inward on the SMAS layer,and bulge forward.This phenomenon is mainly in the elderly group,followed by the middle-aged people,and not in the young people group.The characteristic change of the middle facial pine gland is correlated with age,and the older the MFP structure relaxation,the more obvious with the downward shift.The thickness of the subcutaneous fat layer in the middle of women in North China is uneven,and the older the age,the more obvious the fat layer thickness changes.Horizontal bridging lift of malar fat pad can effectively improve the MFP prolapse in the middle of women,improve the skin texture in the nasal and lip area,buccal area,suborbital area and facial prominent contour,with good clinical effect and high safety.Figure12;Table27;Reference 65... |
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