Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.

  • Presentation

Autologous Fat Augmentation

Description

The presentation discusses the practice of autologous fat augmentation, emphasizing its importance and benefits for aesthetic improvements over traditional fillers. The speaker highlights the increasing issues associated with fillers, such as unnatural results and complications, and shares personal experiences of success with fat transfers. Important aspects of patient selection and expectation management are covered, stressing that understanding what fat transfer can achieve is vital to patient satisfaction. Techniques for harvesting and injecting fat, including the importance of using small syringes and proper cannulas, are detailed. The speaker also elaborates on changes in facial structure due to aging and the significance of addressing volume loss across the entire face rather than isolated areas. By educating patients on the changes that occur with age, practitioners can help guide them to proper treatment options, including fat grafting. The presentation concludes by encouraging the audience to incorporate fat transfer into their practices as a cost-effective and lasting solution for facial rejuvenation, creating a foundation upon which fillers can be added later.

View more

Conclusions

  • Fat transfer can effectively address volume loss and rejuvenate facial regions where fillers may not suffice.
  • Educating patients about realistic outcomes and the aging process is crucial to managing expectations with fat grafting.
  • Using a combination of techniques, such as nanofat and regular fat grafting, can enhance results and address specific facial issues like fine lines and hollow areas.
  • Long-term follow-up studies are needed to fully understand the effects of aging on facial structures and the effectiveness of fat grafting over time.
  • Proper technique and targeted areas for fat transfer are critical for achieving desirable results and minimizing risks.
  • Patients may benefit from autologous fat augmentation, leading to long-lasting effects if performed correctly.
  • Windhager S, Mitteroecker P, Rupić I, Lauc T, Polašek O, Schaefer K. Facial aging trajectories: A common shape pattern in male and female faces is disrupted after menopause. Am J Phys Anthropol. 2019;169(4):678-688. doi:10.1002/ajpa.23878
  • Wan D, Amirlak B, Rohrich R, Davis K. The clinical importance of the fat compartments in midfacial aging. Plast Reconstr Surg Glob Open. 2014 Jan 6;1(9):e92. doi: 10.1097/GOX.0000000000000035. PMID: 25289286; PMCID: PMC4174112.
  • van Dongen JA1,2, van Boxtel J1,2, Harmsen MC1, Stevens HP3. The Development of Facial Lipofilling from a Historical Point of View. J Plast Reconstr Aesthet Surg. 2016 Feb;69(2):170-9.
  • Nguyen A1, Guo J1, Banyard DA1, Fadavi D1, Toranto JD1, Wirth GA1, Paydar KZ1, Evans GR2, Widgerow AD3. Stromal vascular fraction: A regenerative reality? Part 1: Current concepts and review of the literature.
  • Nguyen A1, Guo J1, Banyard DA1, Fadavi D1, Toranto JD1, Wirth GA1, Paydar KZ1, Evans GR2, Widgerow AD3. Stromal vascular fraction: A regenerative reality? Part 2: Mechanisms of regenerative action. Tissue Eng. 2006 Dec;12(12):3375-82.
  • Matsumoto D1, Sato K, Gonda K, Takaki Y, Shigeura T, Sato T, Aiba-Kojima E, lizuka F, Inoue K, Suga H, Yoshimura K. Cell-assisted lipotransfer: supportive use of human adipose-derived cells for soft tissue augmentation with lipoinjection. Plast Reconstr Surg. 2015 Oct;136(4):897-912.
  • Strong AL, Cederna PS, Rubin JP, Coleman SR, Levi B. The Current State of Fat Grafting: A Review of Harvesting, Processing, and Injection Techniques. Clin Plast Surg. 2015 Apr;42(2):219-52.
  • Marten TJ, Elyassnia D. Fat grafting in facial rejuvenation.