Lip Augmentation with Preserved Fascia Lata

Abstract

Fascia lata grafting is a simple, controlled technique for graded lip enhancement.

Preserved Particulate Fascia Lata for Injection: A New Alternative

“…9 Beyond these general advantages to allograft selection, particulate fascia lata provides the opportunity to use allograft material in a form not otherwise available in its native state-as an injectable suspension. [1][2][3][4][5][6][7]10,11 During the many decades of its use, there has not been an allergic reaction of any type reported to the implantation of fascia lata in any size or area of the body, so "skin testing" in a remote location is performed at the physician's discretion. 2,3,10,11 Although in these instances allograft fascia often proves to have similar integrity to autografts, small pieces and particulate fascia lata are beneficial primarily because of their capacity to replace tissue volume.…”

“…Many surgical procedures, for example, suburethral sling or dural repair, depend on preserved fascia lata as a single sheet, in which case its efficacy has been judged by its tensile strength, surface integrity, or ability to heal to neighboring host tissues. [1][2][3][4][5][6][7]10,11 This may be attributed to the high acceptance of human collagen and the other materials found in fascia that survive processing, a further reduction in antigenicity that may occur during sterilization, and the fact that the grafts are largely destroyed and infiltrated by native cells. Beyond this minimum attribute, particles may immediately mat together after the hydrating fluid has been reabsorbed and, after recollagenation of the inclusion, re-create a sheet of native collagen which then can improve local tissue strength, providing an additional advantage that does not occur with soluble collagen preparations.…”

“…For more than 70 years, preserved fascia lata has fulfilled these criteria and, consequently, continues to be preferred for new clinical applications by various surgical subspecialities. 6,7 Histologic studies demonstrated that, as in other locations with larger grafts, small pieces of fascia lata implanted intradermally were digested as an extraneous tissue and replaced with native collagen. 4,5 Later articles advocated the implantation of small pieces for lip augmentation and the repair of traumatic scars.…”

“…[1][2][3] The first use of allograft fascia lata for dermatologic problems was reported in 1994, when the insertion of small intradermal grafts to elevate pitted acne scars was described. 6 This later reinvestment of the allograft matrix by the host fibroblast response generated a vascularized sheet of collagen that essentially restored the original elements found in native fascia and was called recollagenation. 6,7 Histologic studies demonstrated that, as in other locations with larger grafts, small pieces of fascia lata implanted intradermally were digested as an extraneous tissue and replaced with native collagen.…”

Lip Augmentation☆, ☆☆

“…Other implant materials that have been used include superficial musculoaponeurotic system material from face lifts, 3 latissimus dorsi, 4 breast implant capsule, 5 and autogenous or banked fascia lata. 6 As an alloplastic material, collagen is one of the more popular filler materials. 7 Bovine collagen is typically used, but patients can now donate their own fibroblasts to make autologous collagen (Autologen ® ; Collagenesis Inc., Beverly, MA).…”