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Objectives: Thorough understanding the key points of fat grafting in facial rejuvenation.

Introduction: More than 12 decades have passed since the first clinical application of fat grafting. Because fat grafting is associated with an unpredictable survival/retention rate and potential complications, such as fibrosis, abscess/cyst formation, nodulation irregularity, and neurovascular injury, autologous fat grafting has become a popular procedure due to the ease of harvesting, an abundance of graft material (autologous adipose tissue), and lack of transplantation rejection.

Materials / method: Lin introduced the concept of micro-autologous fat transplantation (MAFT) in 2007. The dogma of MAFT focused on the theme that each transplanted fat parcel should be less than<1/100 mL (0.01 mL) to avoid central necrosis, which is the main cause of most complications after fat grafting. The innovative instrument, the MAFT-GUN, has been developed and certified. This innovative instrument has a patented mechanism that facilitates and ensures that surgeons deliver fat parcels flexibly and consistently at volumes of 1/60, 1/90, 1/120, 1/150, 1/180, or 1/240 mL.

Results: This presentation discusses the history of fat grafting and parcel size, focusing on the prevention of central necrosis. Representative cases are shown and shared with detailed discussion.

Conclusion: The key points of the MAFT technique and its clinical results for facial and body contouring are illustrated to demonstrate its feasibility and indispensability in aesthetic, reconstructive, and regenerative surgeries for facial rejuvenation.

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Objectives: Learning about new concepts of fat grafting with lipoconcentrate.

Introduction: Lipoconcentrate fat grafting removed a large amount of oil within fatty tissue and preserved most ASC and ECM which were important factors that affect the clinical results.

Materials / method: Articles review and clinical experience.

Results: Lipoconcentrate enhanced the regenerative effect compared to traditional fat grafting and shortened the recovery phase of cases.

Conclusion: Lipoconcentrate is a simple mechanical process of fatty tissue that effectively improved the clinical results of facial fat grafting.

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Objectives: After these lecture the learning will understand different application of fat injection in craniofacial reconstruction and its combination with facial skeleton surgeries.

Introduction: The field of aesthetic medicine has been changing in such a rapid pace it has become hard to keep up with the latest trends and developments. According to American Society for Aesthetic Plastic Surgery, there was 3.7 million people received hyaluronic acid injection, 6 million people received botulinum toxin A injection. There is a trend of minimal invasive procedure and minimal downtime.

Materials / method: Fat graft is the procedure that offers much longer time compare to hyaluronic acid. Because the facial surgical wound is minimal the recovery time is short.

Results: The patients with dental facial skeletal deformities frequently also need filler that last much longer time. If the patient need facial skeleton correction we can combine fat injection for these patients, this will further improve the satisfaction rate.

Conclusion: Fat graft is a good surgical procedures for different kinds of craniofacial deformities.

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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 compa

Results: Case report series 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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Objectives: We aimed to study our experience with an aim to evaluate the most common indications for facial fat grafting as well as the common volumes used

Introduction: Facial fat grafting is a powerful tool in modern surgical facial rejuvenation. It offers several advantages over traditional alternatives to fillers, particularly in the Indian context, including cost effectiveness and longevity.

Materials / method: A retrospective analysis of all fat grafting cases from 2017-2019 was done. These cases were analysed by age, gender, indication, region of the face, and volume used

Results: A total of 52 cases were identified. The most common indication was facial rejuvenation, followed by dark circles. The most common area treated was the under eye, followed by nasolabial fold. An average of 14cc fat was used in each case. An overwhelming majority of patients expressed satisfaction at the procedure (96%). Complications included bruising (5%) and temporary swelling (25%).

Conclusion: Midface rejuvenation was the most common indication for fat grafting. Dark circles was a very common complaint as well, where dual treatment using microfat and nanofat was beneficial. The ability to use larger volumes at lower cost, as well as longevity of treatment, contributed to the popularity of fat grafting in Indian patients.

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