scholarly journals Fat Grafting for Facial Rejuvenation

2020 ◽  
Vol 34 (01) ◽  
pp. 030-037 ◽  
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.

Regen Fat Code: A Standardized Protocol for Facial Volumetry and Rejuvenation

2021 ◽  
Author(s):  
Luiz Charles-de-Sá ◽  
Natale Ferreira Gontijo-de-Amorim ◽  
Sydney Coleman ◽  
Gino Rigotti
Keyword(s):  
Volumetric Analysis ◽  
Fat Grafting ◽  
Nasolabial Fold ◽  
Facial Aging ◽  
Tissue Replacement ◽  
Standardized Protocol ◽  
The Face ◽  
Group A ◽  
Clinical Tools ◽  
Group B

Abstract Background Facial aging is a degenerative process that impairs contour and angle prominences. Rejuvenation is based on tissue replacement, volumization of the atrophic areas, improvement of flaccidity and cutaneous photoaging. Objectives The study aims to apply structural fat grafting to manage volumetric deficits of the face, following a new systematic protocol called “Regen Fat Code” (RF Code); created to standardize the structural lipotransfer methods. Methods This is a prospective clinical trial involving 80 healthy candidates for facial rejuvenation that were split into two groups. Group A underwent only structural lipotransfer and Group B was submitted to replacement of deep facial structures by face lifting plus structural lipotransfer. Structural lipotransfer followed the protocol “RF Code” and 3 clinical tools were adopted for facial volumetric analysis pre and postoperatively. Results Total Volume (ml) of lipotransfer in group A and B per area ranged between 1-20 ml (vol mean=12 ml; SD: 5): Nasolabial Fold (vol mean=3.32 ml - SD:0.92); Superior Lip (vol mean= 2.0 - SD: 0.62); Inferior Lip (vol mean= 2.76 - SD:0.71); Malar (vol mean= 8.51- SD:5.25), Inferior Eyelid (vol mean= 1.2 ml – SD: 0.54) and Chin (vol meas=7.18 ml – SD:1.99). Areas with less mobility showed a lower absorption index than dynamic areas. Conclusions The development of the present guide protocol demonstrated the potential of grouping many parameters based on the lipotransfer method to volumize and regenerate atrophic areas of the face. Easy to apply, allowed the proposition of different volumizing and regenerative effects, according to the surgical area’s demands.

scholarly journals Fat Augmentation as Adjunct to CORE Facelift Surgery

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.

scholarly journals Facial aging: A clinical classification

2007 ◽  
Vol 40 (02) ◽  
pp. 178-180
Author(s):  
Melvin A Shiffman
Keyword(s):  
Aging Process ◽  
Facial Rejuvenation ◽  
Clinical Classification ◽  
Facial Aging ◽  
Clinical Method ◽  
Chemical Peels ◽  
The Face ◽  
Quick Estimate

ABSTRACTthe purpose of this classification of facial aging is to have a simple clinical method to determine the severity of the aging process in the face. this allows a quick estimate as to the types of procedures that the patient would need to have the best results. procedures that are presently used for facial rejuvenation include laser, chemical peels, suture lifts, fillers, modified facelift and full facelift. the physician is already using his best judgment to determine which procedure would be best for any particular patient. this classification may help to refine these decisions.

Fat Grafting Volume Restoration to the Brow and Temporal Regions

2018 ◽  
Vol 34 (02) ◽  
pp. 164-172 ◽  
Author(s):  
Thomas Tzikas
Keyword(s):  
Surgical Procedures ◽  
Subcutaneous Tissue ◽  
Fat Grafting ◽  
Bone Volume ◽  
Volume Depletion ◽  
Facial Aging ◽  
Tissue Volume ◽  
Brow Ptosis ◽  
Upper Face ◽  
The Temple

AbstractPrimary manifestations of facial aging are the reduction in subcutaneous tissue volume, especially the atrophy of fat as well as bone volume depletion which directly contribute to loss of support and laxity of the skin. Depressions and hollows develop with a visible disruption of the cosmetic facial aesthetic units resulting in harsh shadows. This is especially evident in the eyebrow and temporal regions which accentuate the appearance of brow ptosis and a hollow, almost cadaveric look to the temple. Restoration of volume to these areas has been shown to rejuvenate the upper face creating a softer, fuller, and more youthful appearance. Fat grafting by itself or in combination with upper facial surgical procedures plays a major role in the restoration of youthful facial qualities in this region.

scholarly journals Facial Rejuvenation With Fat Grafting and Fillers

2021 ◽  
Vol 41 (Supplement_1) ◽  
pp. S31-S38
Author(s):  
J Sarah Crowley ◽  
Elizabeth Kream ◽  
Sabrina Fabi ◽  
Steven R Cohen
Keyword(s):  
Calcium Hydroxyapatite ◽  
Fat Grafting ◽  
Facial Rejuvenation ◽  
Volume Loss ◽  
Level Of Evidence ◽  
Tissue Replacement ◽  
Dermal Thickness ◽  
The Face ◽  
Modality Approach ◽  
A New Technique

Abstract Facial rejuvenation requires a multi-modality approach to address the sun damage, volume loss, and thinning of skin that occurs with aging. With age, the collagen fibrils that provide strength become fragmented and fibroblasts connections become weak, leading to skin laxity and loss of youthful skin. Fillers can lead to a more youthful appearance by providing volumetric support. Synthetic fillers such as hyaluronic acid products, calcium hydroxyapatite, polylactic acid, and polymethylmethacralate have bio-stimulatory affects, ranging from small effects on fibroblast production to prolonged stimulatory effects on dermal thickness and blood supply. Fat grafting is also an ideal technique for facial rejuvenation because it is readily available, natural, and has regenerative effects. This review describes a new technique of fat grafting for the face called Injectable Tissue Replacement and Regeneration that specifically addresses the different anatomic compartments of the face with volume loss. With this brief review, we aim to evaluate the currents trends of fat grafting and fillers in the management of facial rejuvenation, including the cellular changes that occur with facial aging, the bio-stimulatory effects of fillers, and the anatomic replacement of tissue with fat grafting. >Level of Evidence: 4

scholarly journals Fat Grafting for Facial Contouring

2019 ◽  
Vol 35 (03) ◽  
pp. 278-285 ◽  
Author(s):  
Samuel M. Lam
Keyword(s):  
Weight Gain ◽  
Postoperative Complication ◽  
Operative Technique ◽  
Fat Grafting ◽  
Facial Rejuvenation ◽  
Gravitational Effects ◽  
Postoperative Course ◽  
Detailed Exposition ◽  
Injectable Fillers

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.

scholarly journals The Future of Fat Grafting

2021 ◽  
Vol 41 (Supplement_1) ◽  
pp. S69-S74
Author(s):  
Summer E Hanson
Keyword(s):  
Adipose Tissue ◽  
Breast Reconstruction ◽  
Fat Grafting ◽  
The Other ◽  
Special Topic ◽  
Autologous Fat Grafting ◽  
Upper Arm ◽  
Future Directions ◽  
Autologous Fat ◽  
The Face

Abstract One of the earliest reported cases of autologous fat grafting (AFG) was by Neuber in 1893 and consisted of the transfer of small lobules of fat from the upper arm for cicatrical depression of the face. He advocated the use of smaller grafts, noting that pieces larger than the size of a bean would form cysts. In 1895, Czerny excised a lumbar lipoma and transplanted it to the chest for breast reconstruction. Since these early reports, the knowledge base around AFG has expanded exponentially, as illustrated by the other papers within this special topic. As we embark on the next phase of AFG in the clinical setting, there are several directions which are near-clinical translation. This paper discusses future directions in fat grafting that build on optimization of our current techniques as clinical indications expand, such as supplementing purified lipoaspirate and the associated regulatory burden, or deconstructing adipose tissue to selectively use adipose graft components for a variety of regenerative indications.

Modern Fat Grafting Techniques to the Face and Neck

2021 ◽  
Vol 148 (4) ◽  
pp. 620e-633e
Author(s):  
Saïd C. Azoury ◽  
Sameer Shakir ◽  
Louis P. Bucky ◽  
Ivona Percec
Keyword(s):  
Fat Grafting ◽  
The Face

Uso de fios faciais de tração como um meio para o rejuvenescimento facial – relato de caso

2021 ◽  
Vol 2 (6) ◽  
pp. 8-20
Author(s):  
Sidmarcio Ziroldo ◽  
Ana Paula Freitas Farias ◽  
Morgana Martins Setubal ◽  
Pedro Ivo Polak Junior ◽  
Talge Monteiro Celuppi Gonçalves
Keyword(s):  
Postoperative Complications ◽  
Polylactic Acid ◽  
Operating Time ◽  
Facial Rejuvenation ◽  
Thread Lift ◽  
The Face ◽  
Collagen Stimulation

Among the procedures for facial rejuvenation, thread lift are currently widespread among professionals and highly sought after by patients. This demand can be justified because they are procedures, without incisions, shorter inactivy time, low operating time, and for the risk of postoperative complications when compared to rhytidoplasty. These are procedures capable of promoting collagen stimulation, elevating ptosis tissues, and adding volume to the application areas contributing to the restructuring of the face. Thread lift have evolved considerably over the years and can be now meet on absorbable devices based on polydioxanone and polylactic acid. In this article is proposed the use of Fiobloc® thread lift for the purpose of assessing their affectiveness in the replacement of ptosis tissues.

Some Tips on Face-Lifting

1979 ◽  
Vol 87 (4) ◽  
pp. 522-532 ◽  
Author(s):  
Jack R. Anderson ◽  
Calvin M. Johnson
Keyword(s):  
Surgical Procedure ◽  
Face Lift ◽  
The Past ◽  
The Face

The face-lift operation is not difficult for the well-trained otolaryngologist. However, as in every surgical procedure, there are certain techniques that facilitate its performance and improve results. This paper discusses some of these techniques that have been developed during the past 20 years.

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