Clinical Study Of Facial Lifting By Subcutaneous Embedding Of Serrated Suture

Objectives The digital caliper was used to quantitatively measure the improvement of each part of the post-surgery patients who underwent facial lift with zigzag suture subcutaneous embedding.The influence of factors on effect of facial lifting was analyzed,such as the wiring scheme,embedment site and age of the patients.Methods 1 62 patients were collected who seek facial lifting for subcutaneous embedding in the orthopaedic surgery at the Affiliated Hospital of North China University of Science and Technology from February 2016 to October 2017.Among them,56 cases were valid,and their average age was 42.43±6.5 years old.According to the difference of the zigzag suture wiring scheme,all valid cases were divided into twoline pulling wire drawing group and two-line reverse pulling wire drawing group;according to the differences of lifting parts,the two-wire pulling wire drawing group was subdivided into the upper facial lifting group,the middle facial lifting group and the lower elevation group,and so does the two-line reverse pulling wire drawing group;according to the age difference,the two-wire same-direction pulling wire sculpture group and the double-line reverse pulling wire carving group were respectively subdivided into groups of younger than 42 years old and older than 42 years old.2 Before surgery,1 month,3 months and 6 months after surgery,facial pictures of the post-surgery patients were taken,and the representative areas on the upper face,middle face and lower face were measured respectively,and the patients were asked to make scores as evaluation for the surgical effects.The facial lifting at each postoperative period equals the gap between the postoperative measurement and the preoperative measurement.3 The SPSS17.0 statistical software was used to analyze the relevant data in the groups.All normal distributions of measurement data were expressed by mean ± standard deviation(?x ± s).The t test was used for comparison between two groups;one-way analysis of variance was used for comparison among three groups,and the LSD test was conducted for comparison between groups.The cases(n)was adopted to represent the count data and the comparison between the count data groups(%)was performed by using the ?2 test;P<0.05 indicates that the difference was statistically significant.Results 1 The evaluation was made about facial promotion effect within groups of the double direction tyra line carve and the double reverse dip line carve way,P < 0.05,showing statistically significant difference.2 The summary was conducted about the satisfaction of postoperative patients in double synthetic tyra line carve group and double reverse dip line carve group,P < 0.05,suggesting that the difference is statistically significant;3 The comparison was made among the groups(>42 years old)in double direction tyra line carve group,P>0.05,indicating no statistically significant difference.The comparison of facial measurements was made between the preoperative and postoperative periods in group of over 42 year old in double direction tyra line carve way,as well as in group of no more than 42 years old and more than 42 years old in double reverse pulling carve way.It turns out the all P<0.05,showing statistically significant difference.4 In double reverse tyra line carve group,comparison within all different ages was made and all the calculated P<0.05,showing statistically significant difference;5 The comparison of all facial parts was made within the double direction tyra line carve group and double reverse pulling line group.The compared results of upper face and lower face between the preoperative facial condition and postoperative effects in different periods presents P<0.05,indicating statistically significant difference.For the middle part of the face,the compared results between preoperative and postoperative periods shows P>0.05,indicating no statistically significant difference;6 In the double synthetic tyra line carve group,the lifting value of the upper and lower facial parts P<0.05,shows that the difference was statistically significant;For the double reverse tyra line carve group,the comparison was made about the facial lifting of the upper and lower facial parts in the same period.It showed that P>0.05 appeared 1 month after surgery,representing no statistically significant difference,while P>0.05 appeared 3 and 6 months after surgery,showing that the difference was statistically significant.Conclusions 1 The facial lifting value of the double-line reverse pulling wire sculpture group is higher than that of the double-line same-direction pulling wire sculpture group;2 Double synthetic tyra line carve and double reverse dip line carve group older than the average age in the face rise above age less than or equal to the average age group.For both the the double-line reverse pulling wire sculpture group and the double-line samedirection pulling wire sculpture group,the facial lifting value of the groups more than 42 years old is higher than that of the groups no more than 42 years old.3 In both double synthetic lifting line carve and double reverse dip line carve groups,lifting effect of the lower facial part is best,followed by the upper facial part,but the lifting effect of middle part is not noticeable.4 During the corresponding periods,the satisfaction of the doubleline reverse lift wire sculpture group is higher than that of the double-line same-direction wire pulling group.5 The facial lifting effects six months after surgery are both significant no matter which kind of surgical wiring plans is taken.