Classification of fascia suspension
Annular suspension
It is the sublimation of big face lift surgery, and the fascia is improved in a large area. Above the head, make a circular incision along both ears, without interruption of epidermis, muscle and fascia, and remove a large redundant tissue. Suitable for people aged 40-65, it has obvious lifting effect and makes facial wrinkles disappear. Quot Fat meat \&; Quot phenomenon has been solved. The operation time is generally 2 ~ 3 hours. Because the peeling area is large, it is necessary to have auxiliary cooperation and high-frequency electrocoagulation hemostasis equipment. This operation is an overall repair project for facial youth.
0 pause
Mainly used to solve the aging and relaxation of the lower half of the face. Among them, in order to solve the phenomenon of drooping corners of the mouth and drooping jaws accompanied by lower cheeks. Quot proud flesh \&; Quot and so on are the main solutions. Because the operation is the method of winding earrings, it is named "O-shaped suspension". The operation process is to peel off the skin in front of the ear first, beyond the front edge of parotid gland, and peel it up about 5mm with fascia suspension equipment. In view of the relationship between SMAS and facial nerve in traditional anatomical concept, facial nerve directly crosses the front of parotid gland in the deep layer of SMAS. If SMAS is stripped away from the front edge of parotid gland, it is easy to damage facial nerve. Therefore, SMAS in the middle part of the face should not be widely and completely dissociated, but should be suspended and peeled by O-shaped incision behind the ear along the hairline. The deep vascular branches of the face must pass through the SMAS layer to dominate the superficial skin and subcutaneous tissue. Although it has its own blood supply network, the blood supply of skin flap and SMAS flap will be obviously reduced after extensive dissection. Therefore, we should pay attention to the tension of skin flap and SMAS skin flap during suture to avoid blood supply obstacle, which will lead to skin flap necrosis and delayed healing of incision.
One-word suspension
It is a suspension technique to solve forehead wrinkles and relaxation. During the operation, the median forehead skin was cut under the hat aponeurosis according to the design line, and then the upper eyebrow and nasal root were separated forward from this layer with a special flat separator. Then use a special small-pointed retractor knife to cut the frontalis muscle, frown muscle and eyebrow depressor muscle, stop bleeding at the same time, and then use a special instrument to separate it sharply forward along the SMAS aponeurosis to solve the problem of wrinkles (Chinese characters) at the nose root.
Shuttle suspension
Concealed surgery on the hair on both sides of the temple is also called olive suspension because it is a spindle-shaped incision. It is used to solve the radial crow's feet in the corner of the eye and improve the drooping of the corner of the eye, eyebrow angle and cheek. Improve the nasolabial groove phenomenon, solve the drooping phenomenon of the corners of the mouth, and achieve multiple goals. Improve the nasolabial groove phenomenon, solve the drooping phenomenon of the corners of the mouth, and achieve multiple goals. This operation is the most routine suspension operation, accounting for more than 90% of fascia suspension operations. The pain of operation is small, and the face is not swollen after operation, which does not affect normal work and study. You can comb your hair 24 hours after operation, and you can't see the suture or the surgical incision. Face-lifting works well. Operators seem to be generally 6-20 years younger. The clinical observation of 10 years shows that the surgical effect can be maintained at 6.
3. Preoperative preparation for fascia suspension
1, keep it clean. Three days before fascia suspension rhytidectomy, wash your hair with 1: 2000 bromogeramine solution twice a day for about half an hour each time.
2. Don't put on makeup. Prohibit inferior cosmetics and chemicals that are irritating to facial skin, and keep facial skin clean.
3. Make sure you are healthy. If there is acute infection or inflammation on the face, the operation should be suspended.
4. preoperative communication. Before fascia suspension rhytidectomy, patients should know the difficulty, possible problems and dangers of the operation, so as to cooperate with doctors well during the operation and ensure the success of the operation.
4 fascia suspension wrinkle removal series
Front suspension
It is a suspension technique to solve forehead wrinkles and relaxation. During the operation, the median forehead skin was cut under the hat aponeurosis according to the design line, and then the upper eyebrow and nasal root were separated forward from this layer with a special flat separator. Then use a special small-pointed retractor knife to cut the frontalis muscle, frown muscle and eyebrow depressor muscle, stop bleeding at the same time, and then use a special instrument to separate it sharply forward along the SMAS aponeurosis to solve the problem of wrinkles (Chinese characters) at the nose root.
deepfreeze
Concealed surgery was performed on the hair on both sides of the temple to solve the radial crow's feet in the corner of the eye and improve the drooping of the corner of the eye, the drooping of the eyebrow angle and the drooping of the cheeks. Improve the nasolabial groove phenomenon, solve the drooping phenomenon of the corners of the mouth, and achieve multiple goals. Improve the nasolabial groove phenomenon, solve the drooping phenomenon of the corners of the mouth, and achieve multiple goals. This operation is the most routine suspension operation, accounting for more than 90% of fascia suspension operations. The pain of operation is small, and the face is not swollen after operation, which does not affect normal work and study. Face-lifting works well. Operators seem to be generally 6-20 years younger. Clinical observation shows that the surgical effect can last for 6-65,438+00 years.
Frontotemporal suspension
Generally speaking, it is aimed at people who need to lift their foreheads in large areas in addition to facial drooping. It is more suitable for middle-aged people aged 35 ~ 45. After the operation, I feel young as a whole 10 years old.
Complete suspension
Commonly known as big face lift, a circular incision is made above the head along the ears on both sides, without interrupting the epidermis, muscles and fascia, and the wider redundant tissue is removed. Suitable for people aged 40-65, the lifting effect is obvious, which makes facial wrinkles aging and relaxation disappear and solves the phenomenon of "obesity". The operation time is generally 2 ~ 3 hours. Because the peeling area is large, it is necessary to have auxiliary cooperation and high-frequency electrocoagulation hemostasis equipment. This operation is an overall repair project for facial youth.
Lower suspension
Mainly used to solve the aging and relaxation of the lower half of the face. Among them, the main solution is to solve the phenomenon of drooping corners of the mouth, drooping chin and "fat meat" under the cheeks. Because the operation is a ring method, the operation process is to peel off the skin in front of the ear first, beyond the front edge of parotid gland, and peel it upward by fascia suspension equipment for about 5 mm. In view of the relationship between SMAS and facial nerve in traditional anatomical concept, facial nerve directly crosses the front of parotid gland in the deep layer of SMAS. If SMAS is stripped away from the front edge of parotid gland, it is easy to damage facial nerve. Therefore, SMAS in the middle part of the face should not be widely and completely dissociated, but should be suspended and peeled by O-shaped incision behind the ear along the hairline. The deep vascular branches of the face must pass through the SMAS layer to dominate the superficial skin and subcutaneous tissue. Although it has its own blood supply network, the blood supply of skin flap and SMAS flap will be obviously reduced after extensive dissection. Therefore, we should pay attention to the tension of skin flap and SMAS skin flap during suture to avoid blood supply obstacle, which will lead to skin flap necrosis and delayed healing of incision.
After fascia suspension, the face does not swell and does not affect normal life and work. The facial lifting effect is particularly good. You are 6-20 years younger immediately after the operation, and the operation effect can last for 6- 10 years. ?