J Korean Assoc Oral Maxillofac Surg.  2021 Aug;47(4):286-290. 10.5125/jkaoms.2021.47.4.286.

Clinical evaluation of autologous fat graft for facial deformity: a case series study

• Khorasani M
• Janbaz P

• KMID: 2519826
• DOI: http://doi.org/10.5125/jkaoms.2021.47.4.286

Abstract

Objectives
The use of fat grafts in maxillofacial sculpturing is currently a common technique. Unlike fillers, autologous fats unite with facial tissues, but long-term results may still be unsatisfactory. Sharing long-term follow-ups can be helpful in making outcomes more predictable.
Materials and Methods
The data from patients who were admitted from 2014 to 2016 for fat augmentation were collected. In all cases, fat grafts were injected by blunt cannula using a tunneling technique in different planes. A fan shape order for the malar, periorbital, nasolabial fold, mandibular angle and body, and perioral area was established.
Results
Autologous fat was used for different sites of the maxillofacial regions. Of 15 patients, two patients were not satisfied due to fat graft resorption. For this, further injections were performed six months after the first injection using preserved fat grafts. One patient continued to be dissatisfied. There were no other complications related to fat transplants.
Conclusion
Fat transplantation is a safe, reliable, and non-invasive method for facial contour and facial soft tissue defect restoration. Additional methods such as mesenchymal stem cells along with fat injection increase the survival rate of transferred fat.

Keyword

Transplantation; Autologous; Adipose tissue; Facial asymmetry; Autografting

Figure

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  Fig. 1 An illustrative figure of injection technique showing the directions and areas.

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  Fig. 2 Malar area, infraorbital rim, and nasolabial fold augmentation. A, B. Preoperative views. C, D. Postoperative views.

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  Fig. 3 Right malar depression, thin upper and lower lips. A, B. Preoperative views. C, D. Postoperative views.

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  Fig. 4 Right malar area augmentation. A, B. Preoperative views. C, D. Postoperative views.

Reference

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