Objectives: Objectives
Fat transfer is currently an important treatment method for volume replacement in different areas of the face. Understanding fat processing and facial anatomy through deep and superficial fat compartments allows more accurate treatment of lost volumes. The benefits of replacing volume in aging areas with biologically active and autologous tissue ensures natural results and additionally improves the quality of surrounding tissues.
Introduction: Fat transfer techniques have evolved and their applications have been expanded in the treatment of the face. The indications cover facial symmetrization in reconstructive cases and wide applications for aesthetic purposes that are beyond replacement of lost volumes related to the aging process.
Materials / method: This study presents a series of cases of surgeries performed in a private clinic, demonstrating the versatility of applying fat transfer in facial treatment. The fat was collected from the abdominal region by liposuction using 3.0 mm cannulas with 60 ml syringes and was decanted. Then the fat was transferred to 20 ml syringes and subjected to mechanical fragmentation using 1.4 and 1.2 mm diameter transfer devices. The fat was transferred to the face with 1.4 and 1.2 mm microcannulas. The volume transferred were defined by the facial volume deficit in the deep and superficial fat compartments.
Results: Case report demonstrating treatment of facial hemi-atrophy caused by facial paralysis and treatment with fat transfer for facial symmetrization. Clinical cases demonstrating facial rejuvenation surgeries performed exclusively with fat transfer structuring and volumizing the face. Clinical cases demonstrating facial rejuvenation surgeries associating fat transfer with eyelid, facelift and neck surgeries. The benefits of replacing volume in aging areas with biologically active and autologous tissue ensures natural results and additionally improves the quality of surrounding tissues.
Conclusion: Current fat processing and transfer techniques allow fat transfer, either alone or in conjunction with other surgical procedures, to restructure the face, provide volume and improve the quality of the facial issues, including skin properties.
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