Observation of the therapeutic effect of lower blepharoplasty combined with PDS thread lifting SMAS layer on middle facial rejuvenation
Aim To observe the efficacy of lower blepharoplasty combined with PDS thread lifting superficial musculo-apo-neurotic system(SMAS)on middle facial rejuvenation.Methods According to different surgical methods,50 patients with facial relaxation were divided into lower eyelid operation group(14 cases with lower blepharoplasty alone),PDS group(10 cases with PDS thread lifting and wrinkle removal alone),and the combined group(26 cases with lower blepharoplasty combined with PDS thread lift-ing and wrinkle removal).A 5-point scale was used to evaluate the degree of patient satisfaction in each group,the degree of im-provement of facial laxity was assessed by using the scale of improvement of skin laxity in the cheeks and depth of the nasolabial folds,and the degree of improvement of facial ageing was evaluated by using the middle and lower facial ageing rating scale.The safety of the procedures and the occurrence of complications were compared among the groups.Results At 12 and 18 months after surgery,the satisfaction rate and the improvement rate of facial laxity in the combined group were higher than those in the lower eyelid operation group and the PDS group(P＜0.05),whereas the difference between the lower eyelid operation group and the PDS group was not signifi-cant(P＞0.05).The patients'facial aging scores in each group were lower than those in the preoperative period(P＜0.05),and the scores in the combined group were lower than those in the lower eyelid operation group and the PDS group(P＜0.05).The surgical safety was relatively high in all three groups,and the overall complication rate was lower in the combined group than in the lower eyelid operation group and PDS groups,but the difference among the groups was not statistically significant(P＞0.05).Conclusion Lower blepharoplasty combined with PDS thread lifting SMAS layer wrinkle removal has a definite effect in the treatment of facial rejuve-nation,with significant improvement of facial skin laxity,high surgical safety,fast postoperative recovery and few complications.
万方数据
维普
