1,423 results match your criteria Facial Fat Grafting

Autologous Fat Transfer Harvest-site Complications: Incidence, Risk Factors, and Management.

Ophthalmic Plast Reconstr Surg 2021 Apr 28. Epub 2021 Apr 28.

Division of Ophthalmic Plastic and Orbital Surgery, University of California Davis Eye Center, Sacramento, California University of California Los Angeles, Los Angeles, California TOC Eye and Face, Austin, Texas Department of Ophthalmology, Dell Medical School, The University of Texas at Austin, Austin, Texas, U.S.A.

Purpose: Autologous fat transfer is an effective tool for volume restoration to the aging face. Although numerous reports exist regarding injection site complications, there is limited data on donor-site morbidity in the cosmetic surgery literature.

Methods: This study is a large-scale retrospective review to determine incidence of fat harvest-site complications, identify risk factors, and describe management strategies. Read More

View Article and Full-Text PDF

Periorbital Fat Grafting: A New Paradigm for Rejuvenation of the Eyelids.

Facial Plast Surg Clin North Am 2021 May 24;29(2):243-273. Epub 2021 Apr 24.

Marten Clinic of Plastic Surgery, 450 Sutter St Suite 2222, San Francisco, CA 94108, USA.

Fat grafting represents the most important new addition to surgical procedures to rejuvenate the orbit since the inception of the "blepharoplasty" technique. Traditional blepharoplasty procedures do not always address the changes that occur with age in the orbital area and can actually degrade the appearance of the eye. Fat grafting allows treatment of age-associated loss of periorbital volume not addressed by traditional blepharoplasty procedures. Read More

View Article and Full-Text PDF

Transcutaneous Blepharoplasty with Volume Preservation: Indications, Advantages, Technique, Contraindications, and Alternatives.

Andrew A Jacono

Facial Plast Surg Clin North Am 2021 May 24;29(2):209-228. Epub 2021 Apr 24.

Department of Otolaryngology-Head & Neck Surgery, Division of Facial Plastic Surgery, Albert Einstein College of Medicine, New York, NY, USA; Department of Facial Plastic and Reconstructive Surgery, Northwell Health (North Shore LIJ), Manhasset, NY, USA. Electronic address:

The aging appearance of the lower eyelids is multifactorial, involving changes in the skin, orbital fat, orbicularis muscle, soft tissue of the midface, and tear trough. The extent of these changes differs in each case and happens in a background of volume loss that occurs with facial aging. We present the indications, advantages, and technique for volumizing transcutaneous lower blepharoplasty with fat transposition. Read More

View Article and Full-Text PDF

Early Intervention with Autologous Fat Grafting to Reduce Hypertrophic Scar Formation: A Prelimilary Study.

Aesthetic Plast Surg 2021 Apr 22. Epub 2021 Apr 22.

Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Background: Once an early-stage immature scar develops into a hypertrophic scar, it is difficult to achieve satisfactory improvement with existing treatments. Therefore, the prevention of hypertrophic scar formation should be given priority. Fat grafting was previously proven to be an effective treatment for mature scars, but it has not been used in the early-stages of (less than three months) scar formation. Read More

View Article and Full-Text PDF

A pilot study on ex vivo expanded autologous adipose-derived stem cells of improving fat retention in localized scleroderma patients.

Stem Cells Transl Med 2021 Apr 19. Epub 2021 Apr 19.

Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, People's Republic of China.

In patients with localized scleroderma (LoS), facial deformity induced by subcutaneous atrophy greatly reduces life quality. Autologous fat grafting (AFG) is used for volume restoration but with low-fat retention due to various reasons. Adipose-derived stem cells (ADSCs) have shown potential effects in improving fat retention. Read More

View Article and Full-Text PDF

Autogenous Fat Transplantation and Botulinum Toxin Injection Into the Masseter Muscle to Create an Ideal Oval Face.

Aesthet Surg J 2021 Apr 12. Epub 2021 Apr 12.

Department of Anatomy, School of Basic Medicine Sciences, Southern Medical University, Guangzhou, China.

Background: East Asian faces vary in shape but only oval faces seem to be considered attractive. Many patients with wide faces seek removal of part of the mandibular angle and/or zygoma to achieve an ideal facial contour, but the procedure is high risk and the recovery period is relatively protracted.

Objectives: We sought to achieve ideal facial contours through the use of autologous fat grafting (AFG) combined with masseter botulinum toxin (BTX) injection for patients with wide faces and masseter hypertrophy. Read More

View Article and Full-Text PDF

Cerebral Embolism as a Result of Facial Filler Injections: A Literature Review.

Aesthet Surg J 2021 Apr 15. Epub 2021 Apr 15.

Private practice, Singapore.

Background: With the popularity of facial filler injections, increased severe adverse events, such as cerebral embolism, have been reported.

Objectives: This article aims to summarize the clinical manifestations, and proposed mechanism of the filler-induced cerebral embolism (FICE) cases.

Methods: A literature review was performed with the search keywords including "filler injection, hyaluronic acid, fat graft, cerebral infarction/embolism, stroke, cerebrovascular infarction, disorders of consciousness, and hemiplegia". Read More

View Article and Full-Text PDF

Restoring Facial Contour and Harmony Using Biphasic Calcium Phosphate Bioceramics.

Plast Reconstr Surg Glob Open 2021 Apr 8;9(4):e3516. Epub 2021 Apr 8.

EINCO Biomaterial Ltda., Belo Horizonte, Minas Gerais, Brazil.

Background: The restoration of facial contour is one of the pillars for the treatment of facial disharmonies and deformities. Fat transplantation and fillers have been widely used to improve the positioning of soft tissues, which are, however, directly related to the conditions and positioning of the underlying bone tissue. Recontouring of the latter has been performed using osteotomies and several types of bone grafts or biomaterials, as inlay or onlay grafts/implants. Read More

View Article and Full-Text PDF

Autologous Fat Grafting in Facial Cosmetic Surgery: A National Survey.

Facial Plast Surg 2021 Feb 12;37(1):136-138. Epub 2021 Apr 12.

Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon.

View Article and Full-Text PDF
February 2021

An Efficacy Study of a New Radical Treatment for Acne Vulgaris Using Fat Injection.

Aesthet Surg J 2021 Apr 2. Epub 2021 Apr 2.

Center of Plastic and Aesthetic Surgery, the First Affiliated Hospital of Harbin Medical University, Nangang, Harbin, People's Republic of China.

Background: Fat grafting is a popular operative approach for rejuvenation. Some patients needing facial fat grafting also have acne, a common disorder with a high incidence. Fat grafting may improve areas with acne in some patients. Read More

View Article and Full-Text PDF

Crushed Cartilage and Autologous Fat for Dorsal Nasal Refinement.

Aesthetic Plast Surg 2021 Apr 5. Epub 2021 Apr 5.

Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, 330 Cedar Street, 3rd Floor, Boardman Building, New Haven, CT, 06520, USA.

Background: Dorsal contour irregularities remain a potential undesirable sequela of rhinoplasty. Use of dorsal onlay grafts can camouflage such irregularities. In this article, a novel technique for dorsal onlay grafting utilizing crushed cartilage mixed with autologous fat is described. Read More

View Article and Full-Text PDF

Forehead Contouring as an Adjunct to Rhinoplasty: Evaluation of the Effect on Facial Appearance, Personal Traits and Patient Satisfaction.

Oguzhan Demirel

Aesthetic Plast Surg 2021 Apr 2. Epub 2021 Apr 2.

Denizli State Hospital Department of Plastic, Reconstructive, and Aesthetic Surgery, Sırakapılar, Selcuk Caddesi, Merkezefendi, 20100, Denizli, Turkey.

Background: The nose has a great impact on facial beauty and appearance. Therefore rhinoplasty is one of the most performed procedures worldwide. However, considering the varying degrees of cosmetic operations holistic approach to face is essential to achieve more successful results. Read More

View Article and Full-Text PDF

Facial Rejuvenation with Concentrated Lipograft-A 12 Month Follow-Up Study.

Cells 2021 Mar 8;10(3). Epub 2021 Mar 8.

Department of Plastic, Aesthetic and Reconstructive Surgery, University of Regensburg, Franz-Josef-Strauss-Allee 11, D-93053 Regensburg, Germany.

Lipofilling is a popular technique to treat volume loss in aging patients. The isolated adipose tissue is composed of adipocytes and stromal vascular fraction cells, which include adipose-derived stem cells (ASC). We hypothesize that the patient's wrinkle severity scale (WSS) and patient's satisfaction on the global aesthetic improvement scale (GAIS) can be improved after using concentrated lipoaspirate. Read More

View Article and Full-Text PDF

Efficacy, safety and complications of autologous fat grafting to the eyelids and periorbital area: A systematic review and meta-analysis.

PLoS One 2021 1;16(4):e0248505. Epub 2021 Apr 1.

Department of Epidemiology, Ministry of Education Key Lab of Hazard Assessment and Control in Special Operational Environment, School of Public Health, The Fourth Military Medical University, Xi'an, China.

Background: In recent years, autologous fat grafting (AFG), also known as fat transfer or lipofilling, has been widely performed for periorbital rejuvenation and defect correction, although the evidence regarding its efficacy and safety is still lacking. Besides, with respect to the periorbital region, it is invariably the earliest appearance area of the facial aging phenomenon. Therefore, a systematic review and meta-analysis is needed to evaluate the efficacy and safety of this technique. Read More

View Article and Full-Text PDF

Orthognathic Surgery to Improve Facial Profile: Assessment, 3-Dimensional Planning, and Technique.

Aesthet Surg J Open Forum 2021 Jan 19;3(1):ojaa051. Epub 2020 Nov 19.

Plastic and Reconstructive Surgery, Yale School of Medicine, New Haven, CT, USA.

A concave profile with class III malocclusion is most often due to a combination of maxillary hypoplasia and mandibular hyperplasia. Surgical correction entails normalization of jaw positions and is more challenging in the setting of concurrent asymmetry and open bite. Treatment should optimize both facial harmony and occlusion. Read More

View Article and Full-Text PDF
January 2021

New Mechanical Fat Separation Technique: Adjustable Regenerative Adipose-tissue Transfer (ARAT) and Mechanical Stromal Cell Transfer (MEST).

Aesthet Surg J Open Forum 2020 Dec 22;2(4):ojaa035. Epub 2020 Jul 22.

Department of Plastic and Reconstructive Surgery, MEST Medical Services, Izmir, Turkey.

Background: Adipose tissue is not only a very important source of filler but also the body's greatest source of regenerative cells.

Objectives: In this study, adipose tissue was cut to the desired dimensions using ultra-sharp blade systems to avoid excessive blunt pressure and applied to various anatomical areas-a procedure known as adjustable regenerative adipose-tissue transfer (ARAT). Mechanical stromal cell transfer (MEST) of regenerative cells from fat tissue was also examined. Read More

View Article and Full-Text PDF
December 2020

Rhinoplasty Combined With Centrofacial Lipofilling to Optimize Facial Proportions.

Aesthet Surg J Open Forum 2020 Sep 11;2(3):ojz034. Epub 2020 Jul 11.

Background: The perceived appearance of the nose is influenced by its foundations (ie, malar areas, lip, and chin). The association of nasal hump and centrofacial volume deficiency is not uncommon.

Objectives: We evaluated and analyzed the role of centrofacial lipofilling simultaneously to rhinoplasty to sculpt facial proportions and shapes all in one procedure. Read More

View Article and Full-Text PDF
September 2020

Oral and Maxillofacial Autologous Fat Transplantation: History, Clinical Application Status and Research Progress.

Aesthetic Plast Surg 2021 Mar 29. Epub 2021 Mar 29.

State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, School of Stomatology, The Fourth Military Medical University, 145 West Changle Road, Xian, 710032, Shaanxi, China.

After more than a century of development, autologous fat transplantation (AFT), a repair method for soft tissue defects and deformities, has the advantages of being simple, rapid, effective and safe, and it is increasingly favoured by plastic surgeons. This article reviews the developmental history of AFT, analyses its clinical application status in the oral and maxillofacial regions, and provides a preliminary summary and discussion of the research progress related to AFT. The hope is that that this technique could be widely applied for oral and maxillofacial diseases as well as facial rejuvenation indications. Read More

View Article and Full-Text PDF

Surgical Treatment of Lymphedema: A Systematic Review and Meta-Analysis of Controlled Trials. Results of a Consensus Conference.

Plast Reconstr Surg 2021 04;147(4):975-993

From the University of Chicago Medicine and Biological Sciences; Memorial Sloan Kettering Cancer Center; Boston Children's Hospital; University of Western Ontario; Sant Pau Hospital; University of Washington Medical Center; and Stanford University Medical Center.

Background: The goal of this consensus conference, sponsored by the American Association of Plastic Surgeons, was to perform a systematic review and meta-analysis of controlled trials to examine both the benefits and risks of surgical treatment and surgical prevention of upper and lower extremity lymphedema.

Methods: The panel met in Boston for a 3-day, face-to-face meeting in July of 2017. After an exhaustive review of the existing literature, the authors created consensus recommendations using the Grading of Recommendations, Assessment, Development and Evaluation criteria. Read More

View Article and Full-Text PDF

Facial Transplantation: Nonimmune-Related Hyperacute Graft Failure-The Role of Perfusion Injury: A Case Report.

Ann Plast Surg 2021 04;86(4):469-475

Department of Plastic and Reconstructive Surgery, Morsani College of Medicine, University of South Florida, Tampa, FL.

Background: The aim of this study was to report the first case of acute facial allograft transplantation (facial allograft transplantation) failure with allograft removal and autologous free-flap reconstruction.

Methods: A 49-year-old female patient affected by neurofibromatosis type 1 with a massive neurofibroma infiltrating the whole left hemiface was planned for FAT for the left hemiface including the auricle, all skin and soft tissues from the temporal region, periorbital and nasal region, and up to the perioral area. The maxillary process of the zygomatic bone, left hemimaxilla, and hemimandible from contralateral parasyphysis to the incisura mandibulae were also included. Read More

View Article and Full-Text PDF

Upper Lip Reconstruction Utilizing a Two-Stage Approach with Nanofat Grafting After Hemangioma Treatment.

Facial Plast Surg Aesthet Med 2021 Mar 11. Epub 2021 Mar 11.

Chinese Academy of Medical Sciences and Peking Union Medical College, Plastic Surgery Hospital, Beijing, China.

Lip deformities that occur after treatment of vascular anomalies treatment are often followed by serious local cicatricial adhesion and mucosa atrophy that can complicate reconstruction methods involving simple fat grafting or local flap transfer. To develop a novel technique that combines flap transfer with nanofat grafting that can be used to reconstruct the upper lip after treatment of vascular anomalies. A retrospective study of a consecutive series of 24 patients with upper lip deformities (13 female and 11 male) aged between 7 and 24 years old was conducted. Read More

View Article and Full-Text PDF

A Massive Right Hemisphere Infarction After Autologous Fat Grafting for Facial Filling.

J Craniofac Surg 2021 Mar-Apr 01;32(2):e215-e217

Department of Plastic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Abstract: Cerebral fat embolism following facial autologous fat injection is a rare and serious complication. There are limited long-term follow-up data on the motion, cognitive and mental outcomes of surviving patients with cerebral fat embolism following facial autologous fat injection. In this study, the authors reported a patient with a 22-year-old woman with a massive right hemisphere infarction following facial autologous fat injection had normal cognitive function, independent living ability, and social function at 5 years follow-up visit, even though computed tomography showed her entire right cerebral hemisphere had atrophied with softening lesions. Read More

View Article and Full-Text PDF

Facial Reanimation by Modified Intraoral Temporalis Tendon Transfer With Ancillary Procedures.

J Craniofac Surg 2021 Mar-Apr 01;32(2):626-628

Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, New Delhi, India.

Abstract: Facial nerve palsy is an exceedingly debilitating condition, incapacitating functional and aesthetic facets of the face. Orthodromic transfer of temporalis muscle is an easy and predictable technique which offers early animation of oral commissure and lower face. A retrospective chart review of 6 patients of facial palsy treated with orthodromic temporalis tendon transfer for facial reanimation is presented. Read More

View Article and Full-Text PDF

'Fat chance': a review of adipose tissue engineering and its role in plastic and reconstructive surgery.

Ann R Coll Surg Engl 2021 Apr 8;103(4):245-249. Epub 2021 Mar 8.

St Thomas' Hospital, London, UK.

Soft tissue reconstruction remains a continuing challenge for plastic and reconstructive surgeons. Standard methods of reconstruction such as local tissue transfer and free autologous tissue transfer are successful in addressing soft tissue cover, yet they do not come without the additional morbidity of donor sites. Autologous fat transfer has been used in reconstruction of soft tissue defects in different branches of plastic surgery, specifically breast and facial defect reconstruction, while further maintaining a role in body contouring procedures. Read More

View Article and Full-Text PDF

Early Fat Grafting for Augmentation in Craniofacial Microsomia.

J Craniofac Surg 2021 Mar 1. Epub 2021 Mar 1.

Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Japan Craniofacial Unit, Department of Pediatric Neurosurgery, Necker Hospital, Paris, France.

Abstract: Patients with craniofacial microsomia often require multiple surgical interventions to address both hard and soft tissue defects. For improvement of soft tissue defects, microvascular free tissue transfers have been widely performed after puberty. To camouflage facial asymmetry, early fat grafting was performed on five six-month-old patients, and acceptable outcomes were obtained without overcorrection. Read More

View Article and Full-Text PDF

Massive Cerebral Infarction Following Facial Injection of Autologous Fat: A Case Report and Review of the Literature.

Front Hum Neurosci 2021 9;15:610945. Epub 2021 Feb 9.

Department of Neurosurgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Facial fat grafting techniques often offer impressive surgical results. However, fatal complications, such as irreversible cerebral ischemia, blindness, and hemiplegia are associated with them. We have presented a case report of a patient who presented with a massive cerebral infarction, a serious complication of facial autologous fat injection. Read More

View Article and Full-Text PDF
February 2021

Lipofilling after Laser-Assisted Treatment for Facial Filler Complication: Volumetric and Regenerative Effect.

Plast Reconstr Surg 2021 Mar;147(3):585-591

From the Division of Plastic Surgery, University of Modena and Reggio Emilia.

Background: Nonresorbable substances are still injected to enhance soft-tissue volumes and fill subcutaneous defects. The minimally invasive intralesional laser treatment can remove foreign substances and the inflammatory reaction, eventually leaving depression and scar tissue in the treated area. Fat grafting can restore volume loss and improve scar tissue. Read More

View Article and Full-Text PDF