Objectives: We aim to assess the outcome of cosmetic facial fat transfer for the purpose of volume restoration.
Introduction: Historically, use of autologous fat for the correction of facial depressed scars was proposed in 1893 by Neuber. In 1930s, fat transplantation fell out of favor due to unpredictable resorption rate, cyst formation and fibrosis. However, newer technical modifications have improved fat viability, making lipofilling widely popular.
Adipose tissue was considered an inert organ, until its endocrine and metabolic functions were unraveled. e. Injecting fat in areas of atrophy gives volumetric rejuvenation and its survival depends on technique and recipient site characteristics.
Materials / method: A prospective, interventional study involving 10 patients on facial serial fat grafting for up to 3 sessions was conducted in Nepal. demographic profile, clinical assessment in terms of photographic evidences and the Global Aesthetic Improvement Scale (GAIS) score of the enrolled patients were kept. 3 Sessions were repeated at 3 months interval in 5 patients, while 5 patients had only one session. Records of Photographic evidence & GAIS score per operatively, immediate post-operatively, at 3 months & one year were kept.
Results: Among total patients, 7 patients (70%) reported “exceptional” improvement (GAIS Score 1) immediately following fat grafting, while 9 (90%) had moderate improvement (Score 3).
In next one year, only 3 patients (30%) had Score 1, all of whom had 3 sessions done. While 2 (20%) had Score 4 and 5 (50%) had Score 3 after one year. Serial fat grafting had better volume restoration & patient satisfaction.
Conclusion: Serial fat grafting is promising new tool in anti-aging and cell based regenerative therapy for facial volume loss.
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