Autologous Fat Grafting in Facial Volumetric Restoration

Abstract

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.

Fat Re-Grafting in Facial Asymmetry: A 2-Case Report

“…Studying fat grafted areas with MRI-imaging and histological examination would have conclusively proven fat hypertrophy, hyperplasia and any increase in extracellular tissue components. Facial fat grafting in orthognathic surgery cases has been over the past few years [7]- [12] an easier alternative or additive armamentarium to the heavier osteotomy operations particularly when patient occlusion is acceptable or correctable in dental clinics.…”

Autologous adipose-derived stem cells: Basic science, technique, and rationale for application in ulcer and wound healing

“…Burnouf et al 30 33 0 Hardy et al 31 12 0 Dollfus et al 32 6 0 Clauser et al 33 47 0 Guijarro-Martínez et al 34 4 0 Claro Jr. et al 35 36 8 0 Seth et al 37 90 pain (4.4) poor cosmesis (3.3) Arcuri et al 38 19 abdominal hematoma requiring percutaneous surgical drainage at 2 days post-operatively (5.2) Weichman et al 39 100 deep infections (1.0) Biglioli et al 40 8 0 Endara et al 41 21 deep infections (9.5) superficial infection (4.7) hematoma requiring drainage and closure on the day of surgery (4.7) Kaoutzanis et al 42 108 superficial infection (1.0) Pasquale et al 43 32 0…”

“…We selected a total of 5089 patients who underwent plastic surgery and maxillo-facial surgical procedures such as breast reconstruction post mastectomy, breast augmentation, and facial remodeling. 30−43 Complications were reported in 169 cases (3.3% of the overall number). One hundred and forty-one (2.77%) patients were classified as having minor complications, while 28 patients (0.55%) were classified as major complications.…”

Preenrichment with Adipose Tissue-Derived Stem Cells Improves Fat Graft Retention in Patients with Contour Deformities of the Face

“…Additionally, it is frequently available as autologous and thus without immunogenicity issue. Moreover, its soft and dynamic nature makes it useful especially for cosmetic and reconstructive surgery [1]. Although adipose tissue grafting is a well-known technique to correct contour irregularities, quick absorption of fat at the site of application is a major concern for patients as well as clinicians [2].…”