Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Clinical evaluation of autologous fat graft for facial deformity: a case series study

  • Khorasani, Mansour (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tehran University of Medical Sciences) ;
  • Janbaz, Pejman (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Qazvin University of Medical Sciences)
  • Received : 2020.11.10
  • Accepted : 2020.12.11
  • Published : 2021.08.31
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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.

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References

  1. Winters R, Moulthrop T. Is autologous fat grafting superior to other fillers for facial rejuvenation? Laryngoscope 2013;123:1068-9. https://doi.org/10.1002/lary.23614
  2. Stallworth CL, Wang TD. Fat grafting of the midface. Facial Plast Surg 2010;26:369-75. https://doi.org/10.1055/s-0030-1265020
  3. Vyas HJ, Sohn AM, Costello BJ. Liposuction and fat transfer techniques. In: Fonseca RJ, ed. Oral and maxillofacial surgery. 3rd ed. St. Louis: Elsevier; 2018:429-38.
  4. Marten TJ, Elyassnia D. Fat grafting in facial rejuvenation. Clin Plast Surg 2015;42:219-52. https://doi.org/10.1016/j.cps.2014.12.003
  5. Lam SM, Glasgold RA, Glasgold MJ. Fat harvesting techniques for facial fat transfer. Facial Plast Surg 2010;26:356-61. https://doi.org/10.1055/s-0030-1265016
  6. Tzikas TL. Lipografting: autologous fat grafting for total facial rejuvenation. Facial Plast Surg 2004;20:135-43. https://doi.org/10.1055/s-2004-861754
  7. Sykes JM, Tapias V, Pu LL. Autologous fat grafting viability: lower third of the face. Facial Plast Surg 2010;26:376-84. https://doi.org/10.1055/s-0030-1265025
  8. Coleman SR, Katzel EB. Fat grafting for facial filling and regeneration. Clin Plast Surg 2015;42:289-300, vii. https://doi.org/10.1016/j.cps.2015.04.001
  9. Minton TJ, Williams EF. Lipotransfer in the upper third of the face. Facial Plast Surg 2010;26:362-8. https://doi.org/10.1055/s-0030-1265018
  10. Xie Y, Zheng DN, Li QF, Gu B, Liu K, Shen GX, et al. An integrated fat grafting technique for cosmetic facial contouring. J Plast Reconstr Aesthet Surg 2010;63:270-6. https://doi.org/10.1016/j.bjps.2008.11.016
  11. Yu NZ, Huang JZ, Zhang H, Wang Y, Wang XJ, Zhao R, et al. A systemic review of autologous fat grafting survival rate and related severe complications. Chin Med J (Engl) 2015;128:1245-51. https://doi.org/10.4103/0366-6999.156142
  12. Matsumoto D, Sato K, Gonda K, Takaki Y, Shigeura T, Sato T, et al. Cell-assisted lipotransfer: supportive use of human adiposederived cells for soft tissue augmentation with lipoinjection. Tissue Eng 2006;12:3375-82. https://doi.org/10.1089/ten.2006.12.3375
  13. Gentile P, Orlandi A, Scioli MG, Di Pasquali C, Bocchini I, Curcio CB, et al. A comparative translational study: the combined use of enhanced stromal vascular fraction and platelet-rich plasma improves fat grafting maintenance in breast reconstruction. Stem Cells Transl Med 2012;1:341-51. https://doi.org/10.5966/sctm.2011-0065
  14. Keyhan SO, Hemmat S, Badri AA, Abdeshahzadeh A, Khiabani K. Use of platelet-rich fibrin and platelet-rich plasma in combination with fat graft: which is more effective during facial lipostructure? J Oral Maxillofac Surg 2013;71:610-21. https://doi.org/10.1016/j.joms.2012.06.176
  15. Yoshimura K, Asano Y, Aoi N, Kurita M, Oshima Y, Sato K, et al. Progenitor-enriched adipose tissue transplantation as rescue for breast implant complications. Breast J 2010;16:169-75. https://doi.org/10.1111/j.1524-4741.2009.00873.x
  16. Zocchi ML, Zuliani F. Bicompartmental breast lipostructuring. Aesthetic Plast Surg 2008;32:313-28. https://doi.org/10.1007/s00266-007-9089-3
  17. Tanna N, Wan DC, Kawamoto HK, Bradley JP. Craniofacial microsomia soft-tissue reconstruction comparison: inframammary extended circumflex scapular flap versus serial fat grafting. Plast Reconstr Surg 2011;127:802-11. https://doi.org/10.1097/PRS.0b013e3181fed6e4