组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2017, Vol. 13 ›› Issue (2): 90-92.doi: 10.3969/j.issn.1673-0364.2017.02.009

• 论著 • 上一篇    下一篇

微创综合鼻整形：56 例临床观察

蒋铮铮，刘明章，柳兆峰，杨珏萍，蒋未台，刘凯   

  1. 杭州美莱医疗美容医院；蒋未台美容整形外科诊所；上海交通大学医学院附属第九人民医院整复外科
  • 发布日期:2020-07-23

Nonsurgical Comprehensive Rhinoplasty:Clinical Observation of 56 Cases

JIANG Zhengzheng,LIU Mingzhang,LIU Zhaofeng,YANG Jueping,JIANG Weitai,LIU Kai   

  • Published:2020-07-23

摘要： 目的 观察微创综合鼻整形技术在临床应用中的效果。方法 2015年1月至2016年1月,对56例患者应用注射透明质酸填充、埋线支撑及肉毒毒素松解进行综合鼻整形。先注射交联透明质酸填充鼻根、鼻背、鼻小柱和鼻翼基底;再应用锯齿线微孔植入,以支撑鼻小柱、鼻头及鼻背;最后,采用肉毒毒素松解鼻背肌、鼻孔开大肌和降鼻中隔肌。结果经过1年随访,56例患者术后鼻外形均获得不同程度改善,无感染、鼻中隔穿孔等并发症,术后恢复期5 d左右。50例患者对治疗效果满意,6例患者对美观满意度一般,满意度为89.3%。结论 注射填充、埋线支撑,结合肉毒毒素松解,进行鼻综合整形,创伤小、恢复期短、效果明显,值得推广应用。

关键词: 玻尿酸, 肉毒毒素, 埋线, 鼻整形

Abstract: Objective To investigate the effect of minimally invasive, nonsurgical comprehensive rhinoplasty technique. Methods From Jan. 2015 to Jan. 2016, 56 cases were treated with nonsurgical comprehensive rhinoplasty technique, including Hyaluronic acid injection and burying method supporting with botulinum toxin injection. The filler was injected in base of the columella, dorsum of the nose and the base of the alar. And then the soft absorbable zigzag lines were buried through micro hole to elevate the dorsum and the columella to raise the tip of the nose. Then the dorsal muscle, dilator muscle of naris, musculus depressor septinasi were relaxed by botulinum toxin. Results All patients were followed up for 1 year, different degrees of improvement were obtained. No infection and nasal septal perforation were observed. The patient's downtime was only 4-5 days. Fifty patients were satisfied with the aesthetic effect in the questionnaire, 6 cases were generally satisfied, the satisfaction rate was 89.3%. Conclusion The comprehensive rhinoplasty of filler injection and burying method supporting with botulinum toxin injection is minimal invasive and effective with short recovery period. It is proved to be worthy of popularization and application.

Key words: Hyaluronic acid, Botulinum toxin, Burying, Rhinoplasty

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