Long-term Outcomes of Temporal Hollowing Augmentation by Targeted Volume Restoration of Fat Compartments in Chinese Adults

Huang, Ru‐Lin; Xie, Yun; Wang, Wenjin; Tan, Poh-Ching; Li, Qingfeng

doi:10.1001/jamafacial.2018.0165

Cited by 25 publications

(27 citation statements)

References 29 publications

(61 reference statements)

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“…Based on these considerations and anatomic studies in the temporal region, 5 midiface, 6 and hand, 7 the authors developed a concept of targeted fat grafting technique, which advocates targeted restoration of physiologic distribution and volume of fat compartments using anatomically adequate cannula entry sites and injection planes. The authors' previous clinical studies have demonstrated effective and safety profiles in facial contouring, 6 temporal hollowing augmentation, 5,8 and hand rejuvenation 7 and suggested more applications in other regions.…”

Section: Introductionmentioning

confidence: 97%

Fat Grafting for Facial Contouring (Temporal Region and Midface)

Xie

Huang

Wang

et al. 2020

Clinics in Plastic Surgery

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Section: Introductionmentioning

confidence: 97%

Fat Grafting for Facial Contouring (Temporal Region and Midface)

Xie

Huang

Wang

et al. 2020

Clinics in Plastic Surgery

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“…In all, the fat grafting retention rates varied from 21.0% to 82.3% with 3- to 36-month follow-up periods. Among these articles, some studies [17,20–25] were designed to collect follow-up data at unified time points, commonly 3, 6, and/or 12 months. For these studies, we tried to list the measurement data of the unified points of time to better analyze the fat grafting retention rates among the different fat-processing techniques.…”

Section: Resultsmentioning

confidence: 99%

Facial aesthetic fat graft retention rates after filtration, centrifugation, or sedimentation processing techniques measured using three-dimensional surface imaging devices

Wang

Zhao

Han

et al. 2019

Chinese Medical Journal

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Objective: How to increase the long-term retention rate of autologous fat grafting has been widely discussed. This study aimed to evaluate long-term fat graft retention rates for the most widely used fat processing methods in the area of facial esthetic surgery, including centrifugation, filtration, and sedimentation, using three-dimensional (3D) imaging. Data Sources: PubMed, Embase, Wiley/Cochrane Library, and Web of Science databases were comprehensively searched from inception to July 2018 according to the guidelines of the American Society of Plastic Surgeons Fat Graft Task Force Assessment Methodology. Study Selection: Articles were screened using predetermined inclusion and exclusion criteria. Data collected included patient characteristics, follow-up devices, fat grafting techniques, and clinical outcomes. Patient cohorts were pooled, and fat graft retention rates were calculated. Complications were summarized according to different clinical characteristics. Results: Of 77 articles, 10 clinical studies met the inclusion criteria and reported quantified measurement outcomes with 3D imaging which provide precise volumetric data with approximately 2% standard deviation compared to real volumes. Data of 515 patients were included. Fat grafting retention varied from 21% to 82%. We found filtration and centrifugation techniques could result in better retention outcomes. However, retention varied within each processing technique, with no significant difference among the 3 techniques. Twenty-two complications were reported among 515 patients, including donor-site hematoma (1 case), mild post-operative erythema (2 cases), mild volumetric asymmetries (2 cases), chronic edema (2 cases), overcorrection (2 cases), skin irregularity (6 cases), and headache or dysesthesia (7 cases). Conclusions: Filtration and centrifugation techniques may result in better fat grafting retention outcomes than gravity sedimentation; however, more accurate statistical evidence is needed. Controversies continue to exist with respect to the performance of the different fat-processing techniques in fat graft retention.

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“…Huang et al's anatomic study demonstrated four fat compartments in the temporal region ideal for fat grafting . This was followed up by a study looking at 142 autologous fat grafts with both subjective improvement as well as clinical improvement of two grades on average based on the Hollowness Severity Rating Scale …”

Section: Discussionmentioning

confidence: 99%

Progressive Scalp Thinning Over Mesh Cranioplasty and the Role of Lipotransfer

et al. 2019

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Objectives To evaluate the role of lipotransfer in progressive scalp thinning following titanium mesh cranioplasty. Methods Retrospective review of single surgeon, single tertiary referral experience of all patients who underwent mesh cranioplasty. Patient demographics, prior radiotherapy, frequency and timing of scalp thinning, and treatment course data were obtained. Results A total of 144 patients were included, 77 male and 67 female with mean ages 58.2 and 54.8, respectively. One hundred four patients (72%) developed mesh exposure or impending exposure requiring reconstruction. Fifty‐six patients (54%) with scalp thinning were treated with lipotransfer, 40 of which were salvaged and the remainder of these patients definitively managed with cranioplasty and reconstruction. Prior radiotherapy was found to be associated with higher rates of mesh exposure (P = .0028), but not predictive of response to lipotransfer. Conclusion Lipotransfer is a useful technique in managing moderate scalp thinning following mesh cranioplasty. Mesh exposure or severe thinning require definitive cranioplasty and reconstruction. Level of Evidence IV Laryngoscope, 130: 1926–1931, 2020

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Long-term Outcomes of Temporal Hollowing Augmentation by Targeted Volume Restoration of Fat Compartments in Chinese Adults

Cited by 25 publications

References 29 publications

Fat Grafting for Facial Contouring (Temporal Region and Midface)

Fat Grafting for Facial Contouring (Temporal Region and Midface)

Facial aesthetic fat graft retention rates after filtration, centrifugation, or sedimentation processing techniques measured using three-dimensional surface imaging devices

Progressive Scalp Thinning Over Mesh Cranioplasty and the Role of Lipotransfer

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