小结
定义
病史和体格检查
关键诊断因素
- 年龄＞40 岁
- 长期日晒
- 吸烟
- 面部皱纹线
- 颈部水平皱襞
- 手背和腕部皱纹线
- 动态皱纹线
- 重力性皱纹线
- 深纹
- 细纹
其他诊断因素
- 皮肤松弛
- 色素异常
- 真皮弹性纤维变性
- 红斑
- 毛细血管扩张
- 纹理变化
- 光化性角化病
危险因素
- 遗传易感性
- 年龄＞40 岁
- 白皙皮肤
- 过度肌肉活动
- 长期日晒
- 吸烟
- 污染
- 低收入人群
- 低 BMI
诊断性检查
首要检查
- 微距照相术
需考虑的检查
- 皮肤活检
新兴检查
- 表面光度仪
- 体内共焦显微术
治疗流程
面部静止时或表情活跃时均无明显皱纹
仅在表情活跃时出现浅表性皱纹
仅在表情活跃时出现深纹
面部静止时出现浅表性皱纹，表情活跃时出现深纹
面部静止时出现深纹和皮肤下垂，表情活跃时皱纹加深
撰稿人
作者
Dimitrios Dionyssiou, MD, PhD
Associate Professor in Plastic Surgery
Department of Plastic Surgery
Aristotle University of Thessaloniki
Thessaloniki
Greece
利益声明
DD declares that he has no competing interests.
Efterpi Demiri, MD, PhD
Professor in Plastic Surgery
Department of Plastic Surgery
Aristotle University of Thessaloniki
Thessaloniki
Greece
利益声明
ED declares that she has no competing interests.
Elisavet Lazaridou, MD, PhD
Professor
Second Department of Dermatology
Aristotle University of Thessaloniki
Thessaloniki
Greece
利益声明
EL declares that she has no competing interests.
同行评议者
George Hruza, MD
Clinical Professor of Dermatology and Otolaryngology
St. Louis University
St. Louis
Director
Laser and Dermatologic Surgery Center
Chesterfield
MO
利益声明
GH has been reimbursed by Allergan, Dermik, and Colbar Life Sciences to attend educational symposia and has also been paid to teach other physicians. GH is a consultant for Ulthera and has received equipment for research from Syneron. GH is an author of a reference cited in this topic.
Stephanos Papanastasiou, FRCSEd, MSc, EBOPRAS, FESSH
Consultant Plastic Surgeon
Lister Hospital
Stevenage
UK
利益声明
SP declares that he has no competing interests.
鉴别诊断
- 皮肤松弛症
- 韦纳氏综合征（早老症或全老症）
- 着色性干皮病
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皱纹
更多 患者教育信息
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