Fat Grafting for Facial Contouring

Abstract

Fat 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.

Keywords

facial fat grafting - fat transfer - fat graft - facial fillers - injectable fillers

• References

• 1 Lam SM, Glasgold MJ, Glasgold RA. Complementary Fat Grafting. Philadelphia, PA: Lippincott Williams & Wilkins; 2006
• 2 Glasgold MJ, Glasgold RA, Lam SM. Volume restoration and facial aesthetics. Facial Plast Surg Clin North Am 2008; 16 (04) 435-442 , vi
• 3 Glasgold RA, Lam SM, Glasgold MJ. Facial fat grafting: the new paradigm. Arch Facial Plast Surg 2008; 10 (06) 417-418
• 4 Lambros V. Fat grafting: a growing problem?. Plast Reconstr Surg 2018; 141 (02) 527-528
• 5 Krastev TK, Beugels J, Hommes J, Piatkowski A, Mathijssen I, van der Hulst R. Efficacy and safety of autologous fat transfer in facial reconstructive surgery. A systematic review and meta-analysis. JAMA Facial Plast Surg 2018; 20 (05) 351-360
• 6 Gu Z, Li Y, Li H. Use of condensed nanofat combined with fat grafts to treat atrophic scars. JAMA Facial Plast Surg 2018; 20 (02) 128-135
• 7 Lam SM, Glasgold RA, Glasgold MJ. Limitations, complications, and long-term sequelae of fat transfer. Facial Plast Surg Clin North Am 2008; 16 (04) 391-399 , v