Autologous fat transplantation has been performed for almost a century. Only recently, however, has the fat removed by suction been used for correcting certain skin defects as well as for cosmetic enhancement. This paper presents the clinical indications for such a procedure as well as different methods of harvesting the fat intended for transplantation. New techniques and instrumentation intended to facilitate the extraction and injection of fat and make it as atraumatic as possible are described and illustrated. Although survival of the transplanted fat varies, depending on many factors, and has not been fully documented, this procedure is a new and exciting addition to the cosmetic surgeon's armamentarium.

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Liposuction and microlipoinjection can be used to improve the contour of the face, correct certain defects, and improve signs of aging. The technique of facial liposuction as well as that of collecting and injecting the fat used for microlipoinjection (autologous fat transplantation), is described.

Phenol is used to induce peeling of certain superficial skin lesions, for improving eyelid rhytides, and for total facial rejuvenation. Contraindications and complications of the phenol chemical peel are examined. Phenol solution formula and mechanism of action are described along with techniques for sedation, cleansing, application, and postoperative care.

This report describes a new method of removing medium-to large-sized lipomas through a 0.5-cm incision using the techniques of lipo-suction surgery which was introduced in the United States in 1982 by French surgeons. Our series of six cases in which large-sized lipomas had been extracted showed satisfactory results with minimal incisional scars or evidence of recurrence during the follow-up period ranging from 6 to 14 months.