为了编写有关面部埋线提升术的书, 下面几位笔者心投意合, 带着这个共同目标一起奋力也已经过了好几个季节了。 有时因为编写的进度没有进展, 或者想不起来很好的解答, 但是, 每当这时, 笔者之间相互鼓励, 直到今日。 为了在规定的时间内完稿, 马不停蹄地工作, 也劳累得很。 但是, 现在已经快要到终点站了。 如果没有彼此之间的信任, 无法取得今天的这个成果。
编写本书的过程中, 收获最大的想必就是我们之间的彼此信赖吧。 还有一些没有研究完善的部分, 还有需要更加深入研究的部分, 但是不管怎样, 这本书应该会对那些对面部埋线提升术感兴趣的各位医生有所帮助的。 首先, 我们要感谢在编写书的过程中一直在旁边给予支持的家人。 还要感谢在研究埋线知识方面给予很多帮助的各位医生朋友们。 尤其要感谢精心地完成解剖学插图的尹官鉉先生, 我还想借此机会感谢金贞恩老师, 为本书的翻译校正工作做出了辛勤努力。 我们想借此书, 向大家下决心, 日后我们将继续带着研究的心态, 不断努力, 并希望我们可以对韩国的美容医学带来更明亮的未来。
笔者 金 峰 徹, 吴 承 珉, 鄭 元 碩
<목차>
目录
前言 ·············································································· 3
感谢词 ············································································ 9
作者简历· ········································································· 10
之前的研究 ······································································· 21
面部埋线提升术现况 · ···························································· 23
Part01 固定技术为何重要?
Chapter 1 术语定义 ·················································· 26
Chapter 2 固定点的重要性 ········································· 29
Chapter 3 面部提升术中固定点是如何形成的? · ············ 32
Part02 面部提升术中所需的面部解剖学
Chapter 1 可融化线面部提升术所需的解剖学 ··············· 36
Chapter 2 面部埋线提升术时重要的血管及避免损伤法 ·· 60
Chapter 3 面部埋线提升术时重要的神经及避免损伤法 ·· 64
Part03 为何要用Pinch anatomy?
Chapter 1 Pinch anatomy是什么? ······························ 70
Chapter 2 为何Pinch anatomy如此重要? ···················· 71
Chapter 3 Pinch anatomy的研究方法 ························· 72
Chapter 4 各部位的Pinch anatomy · ··························· 75
1. Pinch anatomy - hairline外侧的temple部位 · ··········· 75
2. Pinch anatomy - temple部位 ···························· 81
3. Pinch anatomy - zygoma部位 ··························· 83
4. Pinch anatomy - sub-zygoma部位 · ····················· 87
5. Pinch anatomy - cheek部位 · ···························· 89
6. Pinch anatomy - lower cheek部位 · ····················· 91
Chapter 5 Pinch anatomy的整理 · ······························ 92
Part04 对于可融化线的理解
Chapter 1 可融化线面部提升术的发展 ························· 102
1. 线的区分 ·················································· 104
2. 现在的趋势 · ··············································· 109
Chapter 2 对PDO的理解 ············································ 110
1. PDO的物理性质 · ·········································· 110
2. PDO的功能 ················································ 110
3. 注入PDO线后的组织变化 · ································ 111
4. PDO lifting的组织检查所见 · ······························ 111
Chapter 3 对PLLA的理解············································ 113
Chapter 4 可融化线产品种类· ······································ 114
1. VOV lift = BLUE ROSEⓇ FORTE· ··························· 114
2. Silhouette soft············································ 118
3. MINT lift· ·················································· 120
4. N-cog lift·················································· 122
Part05 基本手术技术
Chapter 1 设计与患者的选择 ····································· 127
1. 找到关键vector ··········································· 128
2. 标示基准点 · ··············································· 129
3. 标示危险区域· ············································· 131
Chapter 2 麻醉 ························································· 132
1. 利用dental lidocaine的麻醉 · ····························· 132
2. 利用cannula的麻醉 · ······································ 134
Chapter 3 Entry point················································ 136
1. Entry point的位置 · ······································· 136
2. Entry point的个数 · ······································· 137
3. 选择entry point的工具 ··································· 138
4. Entry point puncture时注意事项
- 出血(Superficial temporal artery & vein) · ·············· 139
5. Draping/hairline整理方法 · ······························· 141
Chapter 4 注入 ························································· 142
1. 各种技术与注入工具 · ····································· 142
2. 注入cannula后插入线 ···································· 145
3. Temporal fixation(long-41cm)－U字形 · ················· 146
4. 利用双向带有needle的线的插入 ·························· 147
Chapter 5 Cutting与收尾 ··········································· 148
1. 摘除cannula · ············································· 148
2. Cutting · ··················································· 148
Part06 不同种类技术
Chapter 1 利用mono-thread的技术 · ··························· 152
1. Mono-thread injection · ·································· 154
2. Mono-thread手术方式下的变化差异 · ···················· 155
3. 解释原理 ·················································· 156
Chapter 2 利用cog thread的技术 · ······························ 162
1. 单方向cog ················································· 162
2. Spike · ····················································· 163
3. 之字方式 ·················································· 165
4. 双向cog · ·················································· 165
Chapter 3 在额角固定线的技术(Temporal tagging)······· 173
1. 原理 · ······················································ 173
2. 注入法 ····················································· 175
3. Entry point & Anchoring ································· 181
4. 适合注入线的cannula(17G) ······························· 187
5. Cutting与收尾 ············································· 190
Chapter 4 双向needle线注入法(Silhouette) ················· 203
1. 原理(概念) ················································· 203
2. 特点 · ······················································ 204
3. 手术方法 ·················································· 206
4. 各种技术 ·················································· 228
5. 有用的tip ·················································· 244
Chapter 5 为熟练的面部埋线提升术应考虑的事项 · ······· 249
Part07 各部位手术
Chapter 1 额头(眉毛) ················································ 258
1. 简单固定方式 ············································· 261
2. X-cross方式 · ·············································· 262
3. Tagging方式 ·············································· 263
Chapter 2 眼角皱纹 ·················································· 265
1. 眼角提升术整理 · ·········································· 265
2. 眼角解剖学 · ··············································· 266
3. 可以用在眼角的技术 · ····································· 268
4. 注意事项 ·················································· 271
Chapter 3 V脸(Midface) ············································ 272
Chapter 4 法令纹 ······················································ 277
Chapter 5 Marionette线 · ··········································· 280
1. Angle技术 · ················································ 281
2. L字技术(Kim’s technique) · ······························· 282
3. Tagging方式 – 向后拉下颌线的方法 · ····················· 283
4. 龙卷风(螺旋线)补强法 ····································· 285
Chapter 6 下颌线(双下巴) · ········································ 286
1. Necklace技术 · ············································ 288
2. 耳朵下方tagging方式(Conventional technique) · ········ 298
3. 脖颈-marionette混合方式 · ······························· 299
4. Tie或简单的埋线方式 · ···································· 300
Chapter 7 脖颈皱纹 ·················································· 301
Part08 评价手术结果
Chapter 1 判定埋线提升术效果的方法 ························· 306
Chapter 2 利用Morpheus进行的全新效果判定方法 ······· 307
1. 利用Morpheus的simulation ······························ 307
2. 利用Morpheus进行实际手术前后照片的评价 ············ 313
3. Morpheus系统的可能性与未来 · ·························· 314
Chapter 3 Morpheus的应用 · ······································ 315
Part09 副作用及相应措施
Chapter 1 不满意 ······················································ 321
Chapter 2 酸痛、疼痛 · ·············································· 323
1. 需要鉴别的关键点 ········································· 323
2. 疼痛原因 ·················································· 323
3. 不同原因疼痛的处置 · ····································· 325
Chapter 3 淤血, Hematoma ······································ 326
1. Needle方式的线导致dermal plexus受伤 · ················ 327
2. Entry point出血 ··········································· 328
3. Cannula延伸的路径上出血 ······························· 330
Chapter 4 Skin fold ·················································· 332
Chapter 5 线的突出 ·················································· 334
Chapter 6 Migration(线的移动) ·································· 338
1. 没有cog的线 ·············································· 338
2. 双向cog线的切除操作有错误时 · ·························· 339
3. 长期保管导致的插入后破损 · ······························ 340
Chapter 7 Entry point的bulging ································ 341
Chapter 8 Dimple(点状凹陷) ······································ 343
1 . 产生dimple的原理(mechanism) ························· 343
2. 面部位dimple的类型 ······································ 348
Chapter 9 面颊凹陷 ·················································· 354
Chapter 10 面神经暂时性麻痹 ····································· 358
Chapter 11 眼角上翘···················································· 360
(Lateral canthus elevation)
Chapter 12 感染·························································· 362
附录 1 - Summary · ······························································· 365
附录 2 - Op Note · ······························································· 367
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