Fat Grafting of the Midface

ABSTRACT

Autogenous fat injection of the midface is a viable and lasting remedy for midface soft tissue loss and has become a mainstay in facial rejuvenation. This serves as either a stand-alone technique or as an adjunct to other restorative lifting and repositioning techniques depending on patient needs. Although the use of fat grafting carries the inherent concern for resorption and a need for additional augmentation in the future, several tenets of fat transfer have emerged over the past century. Founded in these principles, the regimen set forth here has proved reliable and reproducible with little to no evidence of resorption over time.

KEYWORDS

Fat injection - facial rejuvenation - cheek - midface

REFERENCES

• 1 Neuber F. Fett transplantation.  Chir Kong Verhandl. 1893;  1 66-68
• 2 Peer L A. Loss of weight and volume in human fat grafts.  Plast Reconstr Surg. 1950;  5 217-230
• 3 Ellenbogen R. Free autogenous pearl fat grafts in the face—a preliminary report of a rediscovered technique.  Ann Plast Surg. 1986;  16 179-194
• 4 Wetmore S J. Injection of fat for soft tissue augmentation.  Laryngoscope. 1989;  99 50-57
• 5 Chajchir A, Benzaquen I. Fat-grafting injection for soft-tissue augmentation.  Plast Reconstr Surg. 1989;  84 921-934 discussion 935
• 6 Carraway J H, Mellow C G. Syringe aspiration and fat concentration: a simple technique for autologous fat injection.  Ann Plast Surg. 1990;  24 293-296, 297
• 7 Moscona R, Shoshani O, Lichtig H, Karnieli E. Viability of adipose tissue injected and treated by different methods: an experimental study in the rat.  Ann Plast Surg. 1994;  33 500-506
• 8 Yuksel E, Weinfeld A B, Cleek R et al.. Increased free fat-graft survival with the long-term, local delivery of insulin, insulin-like growth factor-I, and basic fibroblast growth factor by PLGA/PEG microspheres.  Plast Reconstr Surg. 2000;  105 1712-1720
• 9 Ayhan M, Senen D, Adanali G, Görgü M, Erdoğan B, Albayrak B. Use of beta blockers for increasing survival of free fat grafts.  Aesthetic Plast Surg. 2001;  25 338-342
• 10 Nguyen A, Pasyk K A, Bouvier T N, Hassett C A, Argenta L C. Comparative study of survival of autologous adipose tissue taken and transplanted by different techniques.  Plast Reconstr Surg. 1990;  85 378-386 discussion 387-389
• 11 Guyuron B, Majzoub R K. Facial augmentation with core fat graft: a preliminary report.  Plast Reconstr Surg. 2007;  120 295-302
• 12 Feinendegen D L, Baumgartner R W, Vuadens P et al.. Autologous fat injection for soft tissue augmentation in the face: a safe procedure?.  Aesthetic Plast Surg. 1998;  22 163-167