A型肉毒毒素联合技术在面部年轻化中的应用
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李佳坤(1998.7-),女,河南安阳人,硕士,主要从事烧伤治疗、急慢性创面修复、瘢痕防治、美容整形方面研究

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潘孙峰(1982.6-),男,浙江嘉兴人,硕士,主任医师,主要从事烧伤治疗、急慢性创面修复、瘢痕防治、美容整形方面研究

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R622

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Application of Botulinum Toxin Type A Combined with Other Technologies in Facial Rejuvenation
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    摘要:

    随着面部年轻化需求增加,非手术微创治疗日益普及。A型肉毒毒素(BoNT-A)通过阻断神经肌接头递质释放,可有效改善额纹、眉间纹、鱼尾纹等动态皱纹,但对容积丢失、组织松弛及整体肤质衰老作用有限。近年来,临床常将其与透明质酸填充剂、富血小板血浆配合微针、自体脂肪移植、点阵激光及线材提升等技术联合应用,从肌张力调控、容积重建和皮肤重塑多层面干预老化面容。实践发现该类联合方案在皱纹减轻、轮廓重塑和肤质改善方面优于单一技术,且在规范操作下安全性良好。本文对BoNT-A联合多种注射及微创技术在面部年轻化中的应用和不良反应特点作一综述,结合可能的协同机制评估现有证据优势与局限,并简要讨论联合路径规范化及个体化策略的研究方向,以期为临床优化非手术面部年轻化方案提供参考。

    Abstract:

    With the increasing demand for facial rejuvenation, non-surgical minimally invasive treatments have become increasingly popular. Botulinum toxin type A (BoNT-A) can effectively improve dynamic wrinkles such as forehead lines, glabellar lines, and crow's feet by blocking the release of neurotransmitters at the neuromuscular junction, but its effect on volume loss, tissue laxity, and overall skin aging is limited. In recent years, it has been commonly combined with hyaluronic acid fillers, platelet-rich plasma with microneedling, autologous fat grafting, fractional laser, thread lifting and other technologies in clinical practice, intervening in aging facial features from multiple aspects including muscle tension regulation, volume reconstruction and skin remodeling. Practice has shown that such combined regimens are superior to single technologies in reducing wrinkles, reshaping facial contours and improving skin texture, and are safe under standardized operation. This paper reviews the application and adverse reaction characteristics of BoNT-A combined with various injection and minimally invasive technologies in facial rejuvenation, evaluates the advantages and limitations of existing evidence based on possible synergistic mechanisms, and brieffy discusses the research directions of standardized combined approaches and individualized strategies, aiming to provide references for optimizing clinical non-surgical facial rejuvenation regimens.

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李佳坤 ,潘孙峰. A型肉毒毒素联合技术在面部年轻化中的应用[J].医学美学美容,2026,35(3):186-190.

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  • 在线发布日期: 2026-03-11
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