An integrated fat grafting technique for cosmetic facial contouring

Xie, Yun; Zheng, Dan Ning; Li, Qingfeng; Gu, Bin; Liu, Kai; Shen, Guo Xiong; Pu, Lee Li-Qun

doi:10.1016/j.bjps.2008.11.016

Cited by 91 publications

(66 citation statements)

References 21 publications

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“…20 In the initial 54 cases we put the centrifugation speed at 3000 rpm for 3 minutes according to Coleman recommendation; however, we found significant fat absorption within 2-3 months following fat grafting. By decreasing the centrifugation speed to 1500 rpm for 3 minutes, we found that the rate of fat resorption was significantly less with Our finding is consistent with Xie et al 6 and Yoshimura et al 20 who recommended low speed centrifugation for better fat survival and take. Coleman refined the technique of fat grafting with the application of centrifugation and a traumatic transfer of fat during operation.…”

Section: Postoperative Care and Follow-upsupporting

confidence: 82%

“…The incorporation of fat transfer has been driven by a greater appreciation of the role of volume loss in facial aging and the importance of restoring volume to achieve a natural rejuvenated appearance. 14 In this series, the commonest site for fat graft injection was to augment suborbital and cheek area simultaneously, which is in agreement with Xie et al 6 and Jason et al 13 As the midface region tends to be the primary area of age-related volume loss. Clinically, these changes present as tear trough deformities, malar hollowing, and loss of cheek definition.…”

Section: Postoperative Care and Follow-upsupporting

confidence: 79%

“…3,4 Many techniques of fat grafting have been described in the literature. 5,6 It has been a common practice that the donor site of fat grafting is usually selected by the surgeon based on his or her preference or the desired areas chosen by the patient. The question of which is the best donor site to harvest fat grafts remains unclear as most of the previous studies were not conducted scientifically to adequately address this question.…”

Section: Introductionmentioning

confidence: 99%

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2017

Zanco J Med Sci

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Background and objective:There is no universal agreement on how one should harvest, process, or inject fat. The objectives of this study were to evaluate our integrated fat grafting technique, reporting our long term result in 189 patients who underwent autologous fat graft for facial rejuvenation. Methods: The lower abdomen or thigh was chosen as the donor site for fat graft harvesting under low pressure with 10 cc syringe, processed with low speed centrifugation, and then injected into the face using blunt tip 1 mm cannula in multiple points, using multiple passes, into multiple tissue planes. A total of 189 patients were injected with the above technique for facial rejuvenation. The results were evaluated clinically and photographically and followed for up to five years. Data were analyzed using the statistical package for the social sciences. Results: Fat absorption leading to volume loss was the commonest minor complication reported in 51 cases (27%). No major complications were reported in this series. About 70% of the patients in this series were highly satisfied after first fat grafting. The main cause of dissatisfaction was the volume loss due to fat absorption which necessitated secondary fat grafting. Conclusion: Our fat grafting technique emphasizes maintaining the viability of transferred fat grafts during their harvest, purification and placement with a good long-term result.

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Section: Postoperative Care and Follow-upsupporting

confidence: 82%

Section: Postoperative Care and Follow-upsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

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Untitled

2017

Zanco J Med Sci

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“…In sum, typically 1 to 3 mL is injected per upper periorbita. The desired result is one of modest overcorrection, 29,33 with minimal pretarsal show, obliteration of the hallowing below the orbital rim, and an emphasis on filling the lateral brow (see Fig. 5).…”

Section: Fat Transfermentioning

confidence: 96%

Adjunctive Fat Grafting to the Upper Lid and Brow

Collar¹,

Boahene²,

Byrne³

2013

Clinics in Plastic Surgery

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“…[2][3][4][5][6] Absorption of the tissue causes many patients to undergo multiple costly procedures, and prevents the widespread clinical adoption of lipofilling. [7][8][9] Aberrant adipocyte necrosis and subsequent inflammation can also result in other complications such as hematoma, oil cysts, calcifications, or poor aesthetic outcomes. 10 The mechanisms and factors influencing graft retention are still unknown.…”

Section: Introductionmentioning

confidence: 99%