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논문검색

학회지 > 논문검색
논문 검색
Ji Hun Cha, Hee Youn Choi
Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul, Korea
The Correction of Deep Nasolabial Fold using Filling Material
J Korean Soc Aesth Surg 2001 (Sep) 007(04) 99-104
Deep Nasolabial Fold, AlloDerm
Ksaps007-02-04.pdf Ksaps007-02-04.pdf
A persistent problem for facial rejuvenation is the deep nasolabial fold, although the many surgeons have proposed for its correction. The nasolabial fold is a borderline that separates the lips from the cheeks. The fold is formed due to its variant anatomical characteristics, where lateral aspect lacks a skin attachment of supportive cutaneous muscle whereas medial aspect has definite skin attachment.
The study was based on the fifty six patients that visited our clinics for correction of the exaggerated nasolabial fold for the past 10 years. We used the methods of either removing or repositioning of lateral fat pad, or filling the tissue under the nasolabial fold crease.
For the initial 14 cases, we tried to correct it by dissecting beyond the medial side of the nasolabial fold. We performed 32 cases of the dermofat graft under the crease, 23 cases of sub- SMAS dissection combined with the dermofat graft using the excised remnant skin, 3 cases of dermofat graft with the excised skin from the blepharoplasty. Other patients were injected with fat or Artecoll  and grafted with AlloDerm . The effect of these filling materials was not designed to vanish but smoothened the nasolabial fold by filling the autologous or artificial tissue beneath the crease.
Excised redundant skin from the face lift or blepharoplasty is a useful source of dermofat graft for the nasolabial fold correction. In case of correction of the fold only, AlloDerm  may be a good tissue source rather than  secondary donor site.
As we described, our procedure was very useful and valuable technique for the correction of the nasolabial fold.
차지훈, 최희윤
한양대학교 의과대학 성형외과학교실
충진물을이용한비구순부주름교정
2001 (Sep) 007(04) 99-104