Autologous Fat Transfer for Facial Recontouring: Is There Science behind the Art?

Kaufman, Matthew R.; Miller, Timothy A.; Huang, Catherine K.; Roostaien, J.; Wasson, Kristy L.; Ashley, Rebekah K.; Bradley, James P.

doi:10.1097/01.prs.0000260712.44089.e7

Cited by 204 publications

(119 citation statements)

References 55 publications

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“…From Coleman's technique, different approaches for fat harvesting, processing, and injection were suggested for improving the cosmetic outcome and graft survival. [22][23][24][25][26][27][28] Recently, immunohistochemical studies of the extracellular matrix of the lipoaspirate showed the presence of adipose-derived stem cells. [17][18][19] For its volumetric qualities and regenerative capacity, fat harvesting was suggested in many facial asymmetries: after trauma, post-tumor resection, congenital complex, and hemifacial asymmetry (Franceschetti and Romberg syndromes).…”

Section: Discussionmentioning

confidence: 99%

Autologous Fat Grafting in Facial Volumetric Restoration

2016

Journal of Craniofacial Surgery

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The authors reported their surgical experience about structural fat grafting in the management of facial volumetric deficit. The purpose of this study was to assess the real indications, cosmetic results, complications, and global patient satisfaction of the Coleman technique in redefining facial contours in congenital and postoperative deformities. A retrospective analysis of 32 patients grafted according to Coleman's technique was performed, and the long-term outcomes and patient satisfaction were evaluated. The mean postoperative clinical follow-up was 14 months. The morphological changes were analyzed by comparing the photographic presurgical facial contour and the postoperative correction of soft tissue defects. All consecutive cases reported showed a progressive fat resorption for 3 months after surgery and its stable integration only after this period. Best results were performed in the treatment of genetically determined syndromes, such as the Franceschetti and Romberg syndromes. The authors suggest this surgical technique also for the treatment of unaesthetic cutaneous abscess cavity after incision and drainage. Unsatisfactory outcomes were obtained in the treatment of the posttraumatic facial scar, which needed more surgical procedures.

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Section: Discussionmentioning

confidence: 99%

Autologous Fat Grafting in Facial Volumetric Restoration

2016

Journal of Craniofacial Surgery

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“…In early 2007, Kaufman MR et al reported no evidence of the post autologous fat grafting fat survivability and the predictability of volume restoration. In conducting a quantitative study using large-scale clinical assessment and three-dimensional volumetric imaging to provide useful outcome data, they found that fat survival of autologous fat graft in that period is questionable [21]. By contrast, a rapid growth of new procedures used to collect larger amounts of transplantable fatty tissue by using liposuction (e.g., water-assisted liposuction); and the procedure of autologous lipo-transplantation after tissue separations.…”

Section: Discussionmentioning

confidence: 99%

Using Breast MRI to Evaluate Complications of Autologous Fat Grafting

Lin¹

2014

Surgery Curr Res

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“…However, resorption of fat transplanted has been reported (Sommer & Sattler, 2000;Masuda et al, 2004;Kaufman et al, 2007) and current efforts focus on identifying methods that may minimize this undesirable result. There is no universal agreement on what constitutes an ideal methodology to obtain better graft takes and results.…”

Section: Autologous Fat Graftsmentioning

confidence: 99%