Objectives: The Author shows some clinical cases of his experience about rejuvenation of the face, using the lipofilling as an ancillary procedure, as well as alternative surgery.
Introduction: During the last two decades, lipofilling has increasingly indicated by plastic surgeons for aesthetic treatments. Thanks to the improvements of the technique regarding harvesting, proceeding and injecting the adipose tissue, today it is very often used in facial rejuvenation, associated or not to other procedures
Materials / method: In presence of severe skin laxity, the face lift is considered by the Author the treatment of choice, but the association of lipofilling certainly improves our results : we can correct the depletion of the adipose component in different areas of the face and improve skin tone and texture. Lipofilling is used as complementary procedure with face lift in high-risk patients, such as heavy smokers or diabetics, and an alternative procedure in cases of moderate skin laxity , particularly if associated with reduction of the adipose compartment.
Results: In the cases treated with the association of lipofilling to the face lift, the results have always been encouraging both for the volumization achieved and for the overall improvement of the face. Even using lipofilling as a single procedure we have achieved good results but we have limited the indication only to patients with moderate excess skin.
Conclusion: Even if the facelift is the main surgical treatment for facial rejuvenation in presence of severe skin and tissue laxity, lipofilling must be taken into consideration as an ancillary procedure, as well as, in selected cases, as alternative surgery.
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