Introduction: In the context of liposculpture, cervicofacial liposuction involves the application of negative pressure through a hollow cannula in the subcutaneous plane to gently avulse fat cells and accurately sculpt unwanted fat deposits on the face and neck. Furthermore, lipo contouring provides a versatile tool in the facial surgeon's arsenal to achieve the desired facial profile. In 2020, approximately 15.5 million cosmetic procedures were performed in the United States alone. Objective: A systematic review was carried out on the main clinical results, presenting studies on the risk of bias, and the advances in facial and cervical liposculpture as an important aesthetic tool for the dental surgeon. Methods: The rules of the Systematic Review-PRISMA Platform were followed. The search was carried out from November 2021 to February 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. Results: 64 articles were found involving liposculpture. A total of 32 articles were fully evaluated and 14 were included and developed in the present study. Considering the Cochrane tool for risk of bias, the overall assessment did not result in significant risk of bias studies. The Funnel Plot showed symmetrical behavior. Twenty-five studies did not meet the GRADE. Most patients who were involved in the studies showed improvements in facial augmentation and contouring. In patients with loss of facial volume, high-density fat transfer with the facial injection of SVF-gel resulted in significantly higher improvement scores and better patient satisfaction. Conclusion: According to the main clinical studies selected in the present study, cervicofacial liposculpture proved to be safe and effective. In patients with loss of facial volume, high-density fat transfer with a facial injection of SVF-gel resulted in significantly higher improvement scores and better patient satisfaction. Still, the results of the studies showed that the level of self-confidence and mental health-related quality of life can be significantly improved after facial lipofilling treatment.
Introduction: Liposculpture (LS) can complement cervicofacial aging surgery. Modern trends in face sculpting are expanding and adipose tissue transfer can result in optimal esthetic effects with minimally invasive techniques. Facial LS focuses on repositioning adipose tissue and increasing facial transition zones. This is accomplished using internal suspension sutures as well as with autologous fat grafting. Objective: To carry out a concise systematic review of the main clinical considerations and advances in facial and cervical liposculpture as an important aesthetic tool for dental surgeons. Methods: The rules of the Systematic Review-PRISMA Platform were followed. The search was carried out from November 2021 to February 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: Fifty articles were found involving facial liposculpture. A total of 30 articles were fully evaluated and 16 were included and developed in the present study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 10 studies at high risk of bias and 4 studies that did not meet the GRADE. Most patients who were involved in the studies showed improvements in facial augmentation and contouring. In patients with loss of facial volume, high-density fat transfer with SVF-gel facial injection resulted in significantly higher improvement scores and better patient satisfaction, with an improved/much improved esthetic appearance being observed. As a follow-up analysis of the studies, at an average of six months after completion, most patients were satisfied with the results. All procedures were well tolerated. Conclusion: According to the main clinical studies selected in the present study, cervicofacial liposculpture proved to be advantageous, with safety and efficacy.
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