Fat Grafting for Facial Contouring

AbstractFat grafting is a safe, effective method for facial rejuvenation if used to restore lost facial volume, but it is not as a method to correct cutaneous deformities and rhytids, or to counteract gravitational effects. The most significant postoperative complication is weight gain that can make a face look overinflated. Accordingly, it is important to select a safe and appropriate candidate. This article outlines who is a suitable prospect for fat grafting and juxtaposes the two methods of facial volume restoration: fat grafting versus injectable fillers. Then a detailed exposition of the operative technique is outlined, including anesthesia, harvesting, processing, and injection. Finally, this article concludes with a description of the postoperative course and the management of potential complications.

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Fat Grafting for Facial Rejuvenation

Seminars in Plastic Surgery ◽

10.1055/s-0039-3402767 ◽

2020 ◽

Vol 34 (01) ◽

pp. 030-037 ◽

Cited By ~ 4

Author(s):

Kelly P. Schultz ◽

Anjali Raghuram ◽

Matthew J. Davis ◽

Amjed Abu-Ghname ◽

Edward Chamata ◽

...

Keyword(s):

Fat Grafting ◽

Facial Rejuvenation ◽

Nasolabial Fold ◽

Volume Depletion ◽

Systematic Method ◽

Face Lift ◽

Facial Aging ◽

Native Tissue ◽

The Face ◽

Injectable Fillers

AbstractFor optimal results, facial rejuvenation procedures should address both the tissue laxity and volume deflation associated with facial aging. The lift-and-fill face lift, in which fat grafting provides volumetric rejuvenation to the face while surgical lift effectively repositions and removes ptotic and redundant tissue, has revolutionized the plastic surgeon's approach to the aged face. An understanding of the intricate anatomy of distinct facial fat compartments and a systematic method to assess areas of fat atrophy and volume depletion are keys to provide patients with a natural and youthful result. Fat grafting may be used to improve contour in any area treatable by nonautologous injectable fillers, including the temples, forehead, upper and lower orbit, cheeks, perioral region, nasolabial fold, jawline, and chin—with the benefit of a more natural contour and integration with native tissue.

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Fat Augmentation as Adjunct to CORE Facelift Surgery

Facial Plastic Surgery ◽

10.1055/s-0041-1722893 ◽

2021 ◽

Author(s):

Capi C. Wever

Keyword(s):

Fat Grafting ◽

Facial Rejuvenation ◽

Golden Standard ◽

The Face

AbstractRuling out cases with strong jawlines, well-developed mid-cheek regions, and good fat presence, if done artistically, fat augmentation strongly assists midface definition and can replenish hollowed regions of the face. This is particularly true for candidates with low bodyfat or smaller skull structures. Hence, fat grafting is a strong adjunct to conventional excisional techniques in facial rejuvenation surgery, regardless of experience, technique, or geographical embedding. While CORE facelift techniques remain the golden standard that define the top level of facelift surgery, fat augmentation has its unique place along the full stretch of an individual surgeon's learning scope, as it will potentially improve results regardless of where one stands.

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