利益冲突声明

您有否接受任何资金来支持研究这个主题？
是
请注明名称（个人，公司，学会等等）: BOOK

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
否

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

和审阅情况: DETACHER

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

利益冲突声明

您有否接受任何资金来支持研究这个主题？
否

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
否

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

Objectives: To demonstrate to the audience a combined facelift with fat grafting using a new injectable tissue replacement technique that modifies the fat graft into 3 parcel sizes to anatomically replace deep and superficial compartment fat loss, areas of bone loss and areas of epithelial and dermal thinning.

Introduction: Background: Patients with facial aging present with three to four major phenotypic findings that concern them enough to seek out surgical consultation. Sun damage, volume loss and laxity along with creasing secondary to facial expression are treated with a continuum of care approach, selecting the most appropriate treatment for the severity of the physical finding.

Materials / method: Materials and Methods: In replacing losses in soft tissue and bone in the aging face, we are applied an anatomic technique (ITR2) of modifying the fat graft into three types: a millifat (parcel size 2 mm); a microfat (1 mm) and a nanofat (>800 microns). Deep fat compartment, lip, columellar and bone losses are replaced with millifat which is a more structural graft, whereas, superficial fat compartment losses are replaced with microfat, a smaller graft used as a single layer. Nanofat is injected for regeneration of intradermal and epithelial tissues.

Results: All areas of soft tissue and bone loss are replaced with milli and microfat prior to the facelift, whereas, nanofat is delivered following the facelift procedure. Complications have occurred in 3 patients who required a small amount of fat to be removed from their lower eyelids using a blepharoplasty approach. None of these patients had any residual long term sequelae. There was one case of flap necrosis, but this did not appear related to the fat grafting aspect of the surgery and the patient was a non-smoker. No hematomas occurred.

Conclusion: In a small study of 12 hemi-midfacial regions with 3D photometry, a reduction in the rate of tissue decay was seen. ITR2 provides a precise anatomic replacement of tissues lost in the aging process. Combining the appropriate facelift technique based on the severity and type of physical findings addresses laxity, while facial volume is restored with anatomically precise fat grafts placed in the regions of loss.

利益冲突声明

您有否接受任何资金来支持研究这个主题？
否

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
是
请注明名称（个人，公司，学会等等）: Tulip- royalties on fat press (pending); Millenium Medical (royalites on kits, stock options in lieu of consulting)

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。

利益冲突声明

您有否接受任何资金来支持研究这个主题？
否

您是否接受过关于这项研究的任何酬金或其他报酬？
否

你是否和任何与您的研究所涉及的药物，材料或工具有密切联系的实体存在财务关系？
是
请注明名称（个人，公司，学会等等）: Tulip- royalties on fat press (pending); Millenium Medical (royalites on kits, stock options in lieu of consulting)

你是否拥有或者您已经为您此研究中的工具，药物或材料申请任何专利？
否

这项工作没有任何直接或间接的资金支持。由作者自己承担责任。