[Clinical application and observation of injectable modified sodium hyaluronate gel filler for facial cosmetic surgery].

Objective: To evaluate the clinical effect of injectable modified sodium hyaluronate gel filler in the treatment of facial profile modification and rejuvenation. Methods: A total of 125 patients who received facial injection of hyaluronate gel from October 2013 to October 2015 were collected. The patients included 62 cases for rhinoplasty, 28 for chin augmentation, 20 for nasolabial fold correction and 15 for lacrimal groove correction. The post-operation results, satisfaction survey and adverse reaction were observed. Results: All the injected positions improved immediately, and the instant average satisfaction score was 9.3±0.7, followed by 8.1±0.7 after 3 months, 6.9±0.8 after 6 month and 5.2±0.8 after 1 year. Thirty cases exhibited swelling, 5 cases bruised, and they all recovered within one week. Conclusions: Sodium hyaluronate is effective and stable in the treatment of facial contour modification and rejuvenation.目的：评价注射用透明质酸钠在面部轮廓修饰、年轻化方面的临床效果及满意度随时间的变化情况，以期为临床应用透明质酸钠提供参考。方法：回顾分析自2013年10月至2015年10月于中国医学科学院整形外科医院整形六科门诊行面部透明质酸钠注射美容的患者125例，包括透明质酸钠注射隆鼻62例、隆颏28例、鼻唇沟填充20例、泪沟填充15例，观察并随访注射后的临床效果、主观满意度、不良反应及并发症。结果： 125例患者注射部位均在术后即刻取得满意效果，满意度评分为（9.3±0.7）分，术后3个月、6个月及1年随访时满意度评分分别为（8.1±0.7）、（6.9±0.8）及（5.2±0.8）分，各时间点满意度总体比较差异有统计学意义（P<0.01）；治疗过程中出现局部胀痛30例，皮肤瘀斑5例，均于术后1周内逐渐缓解，未出现其他不良反应及并发症。结论：透明质酸钠在面部轮廓修饰和年轻化治疗中效果良好、稳定。.