微整形注射解剖学

第一章 面、颈部解剖学概述.......................................................1

美学术语.......................................................................................2

基础美学术语.......................................................................2

面部分层.......................................................................................7

皮肤分层...............................................................................7

皮肤厚度..............................................................................10

面部表情肌及其运动..................................................................10

额部......................................................................................15

颞部......................................................................................16

眶区......................................................................................18

鼻区.....................................................................................20

口周肌肉.............................................................................24

面部 SMAS 分层及韧带.............................................................36

面部神经及其分布......................................................................41

感觉神经的分布.................................................................42

上面部.................................................................................43

中面部.................................................................................45

下面部.................................................................................47

神经阻滞麻醉.............................................................................48

眶上神经阻滞（SON 阻滞）..............................................49

滑车上神经阻滞（STN 阻滞）...........................................50

眶下神经阻滞（ION 阻滞）...............................................50

颧颞神经阻滞（ZTN 阻滞）..............................................52

颏神经阻滞（MN 阻滞）....................................................52

颊神经阻滞（BN 阻滞）....................................................54

下牙槽神经阻滞（IAN 阻滞）...........................................55

耳颞神经阻滞（ATN 阻滞）..............................................56

耳大神经阻滞（GAN 阻滞）..............................................56

面部血管及其分布.....................................................................57

头面部的血供.....................................................................57

眼动脉的面部分支.............................................................59

上颌动脉的面部分支..........................................................61

面动脉.................................................................................62

颞浅动脉.............................................................................65

面静脉.................................................................................66

静脉的连接.........................................................................70

颅面骨的体表标志.....................................................................70

35 个面部解剖的体表标志................................................ 70

颅骨的体表标志................................................................. 72

表面解剖.............................................................................73

面部肌肉的运动及褶皱形成............................................. 74

东亚人颅面骨的特征................................................................. 75

衰老过程的解剖.........................................................................80

面部组织的老化过程..........................................................81

面容衰老的复杂变化.........................................................84

参考文献.....................................................................................85

第二章 肉毒素注射的临床解剖学............................................91

引言.............................................................................................92

肉毒素治疗皱纹的适应证.................................................92

肌力代偿性再平衡.............................................................94

肉毒素的除皱治疗.....................................................................97

眼角纹（鱼尾纹）.............................................................97

下睑纹................................................................................100

额纹....................................................................................102

眉间纹................................................................................103

鼻背纹................................................................................110

鼻尖下垂.............................................................................111

露龈笑................................................................................114

鼻唇沟................................................................................115

不对称笑容的矫正及面瘫的治疗.................................... 118

鼻翼带................................................................................120

唇纹....................................................................................122

口角下垂............................................................................123

鹅卵石样外观....................................................................129

颈阔肌条索（火鸡颈）.................................................... 131

肉毒素与面部轮廓....................................................................136

咬肌肥大............................................................................136

颞肌肥大............................................................................141

唾液腺肥大........................................................................144

参考文献....................................................................................147

第三章 上面部注射填充的临床解剖......................................150

额部和眉间................................................................................151

临床解剖............................................................................151

注射点和方法....................................................................154

常见并发症........................................................................163

眼窝凹陷和卧蚕........................................................................163

临床解剖............................................................................163

注射点和方法....................................................................166

常见并发症........................................................................170

颞部............................................................................................171

临床解剖............................................................................171

注射点和方法....................................................................174

常见并发症........................................................................180

参考文献....................................................................................180

第四章 中面部注射填充的临床解剖...................................... 181

泪沟............................................................................................182

临床解剖............................................................................182

注射点和方法....................................................................186

鼻颧沟........................................................................................188

临床解剖............................................................................188

注射点和方法....................................................................191

睑颧沟........................................................................................193

临床解剖............................................................................193

注射点和方法....................................................................194

鼻唇沟........................................................................................195

临床解剖............................................................................195

注射点和方法....................................................................201

面颊凹陷...................................................................................204

临床解剖...........................................................................204

注射点和方法...................................................................207

颧骨下凹陷...............................................................................208

临床解剖...........................................................................208

注射点和方法...................................................................209

鼻................................................................................................210

临床解剖............................................................................210

注射点和方法....................................................................219

补充：东亚人内眦静脉的解剖........................................221

参考文献...................................................................................222

第五章 下面部注射填充的临床解剖.....................................225

唇...............................................................................................226

临床解剖...........................................................................226

注射点和方法...................................................................228

唇部血管的局部解剖........................................................231

下颏...........................................................................................234

临床解剖...........................................................................235

注射点和方法...................................................................237

常见并发症.......................................................................239

口周皱纹...................................................................................242

临床解剖...........................................................................242

注射点和方法...................................................................242

常见并发症.......................................................................244

木偶纹和下颌软组织松垂.......................................................244

临床解剖...........................................................................245

注射点和方法...................................................................246

常见并发症.......................................................................248

注射填充伴随症状的解剖学思考...........................................248

血管损伤...........................................................................248

减少栓塞的一些方法细节...............................................252

参考文献...................................................................................253