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

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.

Lipotransferencias en defectos estéticos post neurocirurgicos

“…No obstante, estos estudios confirman que el injerto de grasa es seguro, que no genera mayores complicaciones y que tiene altos índices de satisfacción del paciente y resultados estéticos favorables. 1,5 Varios autores sustentan los resultados favorables de esta técnica. Como menciona Gornitsky, la grasa sirve como relleno de tejido blando ideal porque es autóloga, biocompatible, de fácil acceso en la mayoría de los pacientes, relativamente permanente y puede integrarse en el tejido circundante en el lugar de la inyección.…”

Lipotranferences in post neurosurgical esthetic defects

“…Major complications are much rarer. [ 12 ] A significant concern with any fat grafting procedure is injury to underlying structures and iatrogenic exposure of plates and other foreign bodies. The most feared complication is fat embolism after intravascular injection, which can lead to blindness or stroke.…”

“…Although the overall complication rate for facial fat grafting is assumed to be around 2%, the actual complication rate of facial fat grafting is unknown due to the lack of reporting and the absence of consensus on the definition and identification of side effects. [ 12 , 14 , 15 ]…”

“…Although the overall complication rate for facial fat grafting is assumed to be around 2%, the actual complication rate of facial fat grafting is unknown due to the lack of reporting and the absence of consensus on the definition and identification of side effects. [12,14,15] Although there is a lack of prospective studies to further determine the actual complication rate of this procedure, with a clear report on complication guidelines, as mentioned by Schiraldi et al, based on the literature, lipotransfer has a high patient satisfaction rate, with few complications and minimal morbidity at the donor site. [15] Bourne presents the first prospective study that demonstrates safety and efficacy with fat grafts for the treatment of traumatic craniofacial deficits and scarring.…”