Anatomic Characteristics and Treatment of the Midcheek Groove by Deep Filling
BACKGROUNDBecause the anatomic mechanisms underlying the formation of the midcheek groove are unclear, treatments to date have resulted in unsatisfactory outcomes. OBJECTIVEThis study investigated the anatomical foundation of the midcheek groove and evaluated appropriate treatment methods. MATERIALS...
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| Veröffentlicht in: | Dermatologic surgery 2021-02, Vol.47 (2), p.e47-e52 |
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| container_title | Dermatologic surgery |
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| creator | Du, Yuyang Zhong, Yuan Wang, Zhizhou Sui, Hongjin Luo, Sai |
| description | BACKGROUNDBecause the anatomic mechanisms underlying the formation of the midcheek groove are unclear, treatments to date have resulted in unsatisfactory outcomes.
OBJECTIVEThis study investigated the anatomical foundation of the midcheek groove and evaluated appropriate treatment methods.
MATERIALS AND METHODSSix cadaver hemifacial specimens were subjected to gross anatomic dissection and 6 to P45 sheet plastination. Based on the anatomic results, the area under the orbicularis oculi muscle (OOM) was selected for deep filling. Patients were evaluated by measuring 3D depth, regrading, and self-assessment.
RESULTSThe medial band was observed to be an important structure of the OOM, with the facial projection overlapping the midcheek groove trace. Two of the 6 P45 specimens were found to have compact fibroelastic bundles (CFBs) between the medial band and the dermis. Deep filling of the area under the OOM significantly reduced the depth of each section in all 34 patients (p < .001). Grades 3 and 4 midcheek grooves were downgraded distinctively. Most subjects expressed satisfaction with outcomes.
CONCLUSIONFormation of the midcheek groove is associated with the passage of CFBs. Deep filling of the area under the OOM effectively improves the midcheek grooves. |
| doi_str_mv | 10.1097/DSS.0000000000002741 |
| format | Article |
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OBJECTIVEThis study investigated the anatomical foundation of the midcheek groove and evaluated appropriate treatment methods.
MATERIALS AND METHODSSix cadaver hemifacial specimens were subjected to gross anatomic dissection and 6 to P45 sheet plastination. Based on the anatomic results, the area under the orbicularis oculi muscle (OOM) was selected for deep filling. Patients were evaluated by measuring 3D depth, regrading, and self-assessment.
RESULTSThe medial band was observed to be an important structure of the OOM, with the facial projection overlapping the midcheek groove trace. Two of the 6 P45 specimens were found to have compact fibroelastic bundles (CFBs) between the medial band and the dermis. Deep filling of the area under the OOM significantly reduced the depth of each section in all 34 patients (p < .001). Grades 3 and 4 midcheek grooves were downgraded distinctively. Most subjects expressed satisfaction with outcomes.
CONCLUSIONFormation of the midcheek groove is associated with the passage of CFBs. Deep filling of the area under the OOM effectively improves the midcheek grooves.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1097/DSS.0000000000002741</identifier><identifier>PMID: 32852427</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Adipose Tissue - transplantation ; Adult ; Cadaver ; Cannula ; Cheek - anatomy & histology ; Cheek - diagnostic imaging ; Cheek - surgery ; Dermis - anatomy & histology ; Dermis - surgery ; Dissection ; Esthetics ; Facial Muscles - anatomy & histology ; Facial Muscles - surgery ; Female ; Follow-Up Studies ; Healthy Volunteers ; Humans ; Injections, Subcutaneous - instrumentation ; Injections, Subcutaneous - methods ; Male ; Middle Aged ; Patient Satisfaction ; Rhytidoplasty - methods ; Transplantation, Autologous ; Treatment Outcome ; Young Adult</subject><ispartof>Dermatologic surgery, 2021-02, Vol.47 (2), p.e47-e52</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>2020 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2020 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4011-78b6687a2b6beaa2ea875e62d056b9409a6d811b411b31d443f2673fceb79d573</citedby><cites>FETCH-LOGICAL-c4011-78b6687a2b6beaa2ea875e62d056b9409a6d811b411b31d443f2673fceb79d573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32852427$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Du, Yuyang</creatorcontrib><creatorcontrib>Zhong, Yuan</creatorcontrib><creatorcontrib>Wang, Zhizhou</creatorcontrib><creatorcontrib>Sui, Hongjin</creatorcontrib><creatorcontrib>Luo, Sai</creatorcontrib><title>Anatomic Characteristics and Treatment of the Midcheek Groove by Deep Filling</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>BACKGROUNDBecause the anatomic mechanisms underlying the formation of the midcheek groove are unclear, treatments to date have resulted in unsatisfactory outcomes.
OBJECTIVEThis study investigated the anatomical foundation of the midcheek groove and evaluated appropriate treatment methods.
MATERIALS AND METHODSSix cadaver hemifacial specimens were subjected to gross anatomic dissection and 6 to P45 sheet plastination. Based on the anatomic results, the area under the orbicularis oculi muscle (OOM) was selected for deep filling. Patients were evaluated by measuring 3D depth, regrading, and self-assessment.
RESULTSThe medial band was observed to be an important structure of the OOM, with the facial projection overlapping the midcheek groove trace. Two of the 6 P45 specimens were found to have compact fibroelastic bundles (CFBs) between the medial band and the dermis. Deep filling of the area under the OOM significantly reduced the depth of each section in all 34 patients (p < .001). Grades 3 and 4 midcheek grooves were downgraded distinctively. Most subjects expressed satisfaction with outcomes.
CONCLUSIONFormation of the midcheek groove is associated with the passage of CFBs. Deep filling of the area under the OOM effectively improves the midcheek grooves.</description><subject>Adipose Tissue - transplantation</subject><subject>Adult</subject><subject>Cadaver</subject><subject>Cannula</subject><subject>Cheek - anatomy & histology</subject><subject>Cheek - diagnostic imaging</subject><subject>Cheek - surgery</subject><subject>Dermis - anatomy & histology</subject><subject>Dermis - surgery</subject><subject>Dissection</subject><subject>Esthetics</subject><subject>Facial Muscles - anatomy & histology</subject><subject>Facial Muscles - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Healthy Volunteers</subject><subject>Humans</subject><subject>Injections, Subcutaneous - instrumentation</subject><subject>Injections, Subcutaneous - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Satisfaction</subject><subject>Rhytidoplasty - methods</subject><subject>Transplantation, Autologous</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1LwzAUhoMobk7_gUguvelMTtMmvRybm8KGF5vXJW1PbV0_ZtI59u-NbIp4oYFDEnje98BDyDVnQ84ieTdZLofsxwEp-Anp8wCEJyQEp-7NZOixgEOPXFj7yhiHyGfnpOeDchjIPlmMGt21dZnScaGNTjs0pe3K1FLdZHRlUHc1Nh1tc9oVSBdllhaIazozbfuONNnTCeKGTsuqKpuXS3KW68ri1fEekOfp_Wr84M2fZo_j0dxLBePckyoJQyU1JGGCWgNqJQMMIWNBmESCRTrMFOeJcOPzTAg_h1D6eYqJjLJA-gNye-jdmPZti7aL69KmWFW6wXZrYxC-VAJUFDhUHNDUtNYazOONKWtt9jFn8afI2ImMf4t0sZvjhm1SY_Yd-jLnAHUAdm3lpNl1td2hiQvUVVf81y3-iDrK9YPygAFn4L6eGx75H-knjXY</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Du, Yuyang</creator><creator>Zhong, Yuan</creator><creator>Wang, Zhizhou</creator><creator>Sui, Hongjin</creator><creator>Luo, Sai</creator><general>Lippincott Williams & Wilkins</general><general>by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20210201</creationdate><title>Anatomic Characteristics and Treatment of the Midcheek Groove by Deep Filling</title><author>Du, Yuyang ; Zhong, Yuan ; Wang, Zhizhou ; Sui, Hongjin ; Luo, Sai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4011-78b6687a2b6beaa2ea875e62d056b9409a6d811b411b31d443f2673fceb79d573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adipose Tissue - transplantation</topic><topic>Adult</topic><topic>Cadaver</topic><topic>Cannula</topic><topic>Cheek - anatomy & histology</topic><topic>Cheek - diagnostic imaging</topic><topic>Cheek - surgery</topic><topic>Dermis - anatomy & histology</topic><topic>Dermis - surgery</topic><topic>Dissection</topic><topic>Esthetics</topic><topic>Facial Muscles - anatomy & histology</topic><topic>Facial Muscles - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Healthy Volunteers</topic><topic>Humans</topic><topic>Injections, Subcutaneous - instrumentation</topic><topic>Injections, Subcutaneous - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Satisfaction</topic><topic>Rhytidoplasty - methods</topic><topic>Transplantation, Autologous</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Du, Yuyang</creatorcontrib><creatorcontrib>Zhong, Yuan</creatorcontrib><creatorcontrib>Wang, Zhizhou</creatorcontrib><creatorcontrib>Sui, Hongjin</creatorcontrib><creatorcontrib>Luo, Sai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Du, Yuyang</au><au>Zhong, Yuan</au><au>Wang, Zhizhou</au><au>Sui, Hongjin</au><au>Luo, Sai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomic Characteristics and Treatment of the Midcheek Groove by Deep Filling</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>47</volume><issue>2</issue><spage>e47</spage><epage>e52</epage><pages>e47-e52</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>BACKGROUNDBecause the anatomic mechanisms underlying the formation of the midcheek groove are unclear, treatments to date have resulted in unsatisfactory outcomes.
OBJECTIVEThis study investigated the anatomical foundation of the midcheek groove and evaluated appropriate treatment methods.
MATERIALS AND METHODSSix cadaver hemifacial specimens were subjected to gross anatomic dissection and 6 to P45 sheet plastination. Based on the anatomic results, the area under the orbicularis oculi muscle (OOM) was selected for deep filling. Patients were evaluated by measuring 3D depth, regrading, and self-assessment.
RESULTSThe medial band was observed to be an important structure of the OOM, with the facial projection overlapping the midcheek groove trace. Two of the 6 P45 specimens were found to have compact fibroelastic bundles (CFBs) between the medial band and the dermis. Deep filling of the area under the OOM significantly reduced the depth of each section in all 34 patients (p < .001). Grades 3 and 4 midcheek grooves were downgraded distinctively. Most subjects expressed satisfaction with outcomes.
CONCLUSIONFormation of the midcheek groove is associated with the passage of CFBs. Deep filling of the area under the OOM effectively improves the midcheek grooves.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>32852427</pmid><doi>10.1097/DSS.0000000000002741</doi></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adipose Tissue - transplantation Adult Cadaver Cannula Cheek - anatomy & histology Cheek - diagnostic imaging Cheek - surgery Dermis - anatomy & histology Dermis - surgery Dissection Esthetics Facial Muscles - anatomy & histology Facial Muscles - surgery Female Follow-Up Studies Healthy Volunteers Humans Injections, Subcutaneous - instrumentation Injections, Subcutaneous - methods Male Middle Aged Patient Satisfaction Rhytidoplasty - methods Transplantation, Autologous Treatment Outcome Young Adult |
| title | Anatomic Characteristics and Treatment of the Midcheek Groove by Deep Filling |
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