Facial Fat Grafting Workup

  • Author: Ashok Tholpady, MD, MSc; Chief Editor: Al Aly, MD, FACS   more...
 
Updated: Nov 21, 2011
 

Laboratory Studies

  • No specific laboratory studies need to be ordered for patients undergoing this procedure unless clinically indicated (ie, patients with history of easy bleeding or bruising should have coagulation parameters and platelets checked).
Next

Imaging Studies

  • No specific imaging studies are required for this procedure. However, if concern exists as to the presence of an abdominal hernia, obtaining an ultrasound to exclude this diagnosis is prudent to avoid a potentially devastating bowel injury.
Previous
Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Ashok Tholpady, MD, MSc  Resident Physician, Department of Pathology and Laboratory Medicine, University of Texas Medical School at Houston

Ashok Tholpady, MD, MSc is a member of the following medical societies: Academy of Clinical Laboratory Physicians and Scientists, American Society for Clinical Pathology, College of American Pathologists, Harris County Medical Society, and United States and Canadian Academy of Pathology

Disclosure: Nothing to disclose.

Coauthor(s)

Thomas J Gampper, MD  Vice Chair, Department of Surgery, Director of Aesthetic and Laser Surgery, Associate Professor, Departments of Plastic Surgery and Clinical Neurosurgery, University of Virginia

Thomas J Gampper, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society for Laser Medicine and Surgery, American Society of Plastic Surgeons, Association of Academic Chairmen of Plastic Surgery, and Undersea and Hyperbaric Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Gregory Caputy, MD, PhD, FICS  Chief Surgeon, Aesthetica Plastic and Laser Surgery Center, Inc

Gregory Caputy, MD, PhD, FICS is a member of the following medical societies: American Society for Laser Medicine and Surgery, Canadian Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society

Disclosure: Syneron Corporation Salary Speaking and teaching

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Edward Owen Terino, MD  Director, Department of Plastic Surgery, Los Robles Medical Center

Edward Owen Terino, MD is a member of the following medical societies: American College of Surgeons, American Society for Aesthetic Plastic Surgery, and International College of Surgeons

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS  Clinical Professor of Plastic Surgery, University of California, Irvine, School of Medicine

Disclosure: Ethicon Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Angiotech Consulting fee None

Additional Contributors

The authors and editors of eMedicine gratefully acknowledge the contributions of previous author Wendy Gottlieb, MD, to the development and writing of this article.

References

  1. Illouz YG. L'avenir de la reutilization de la graisse apres liposuccion. Rev Chir Esthet Lang Franc. 1984;9:36.

  2. Ellenbogen R. Free autogenous pearl fat grafts in the face--a preliminary report of a rediscovered technique. Ann Plast Surg. Mar 1986;16(3):179-94. [Medline].

  3. Warren RJ, Aston SJ, Mendelson BC. Face lift. Plast Reconstr Surg. Dec 2011;128(6):747e-64e. [Medline].

  4. Laglenne S, Lalanne B, Laglenne B, Asius J. Un nouveau produit comblement des rides, entirement resorbable. Dermatologie. 2000;54:30-3.

  5. Richter AW, Ryde EM, Zetterström EO. Non-immunogenicity of a purified sodium hyaluronate preparation in man. Int Arch Allergy Appl Immunol. 1979;59(1):45-8. [Medline].

  6. Olenius M. The first clinical study using a new biodegradable implant for the treatment of lips, wrinkles, and folds. Aesthetic Plast Surg. Mar-Apr 1998;22(2):97-101. [Medline].

  7. Narins RS, Brandt F, Leyden J, et al. A randomized, double-blind, multicenter comparison of the efficacy and tolerability of Restylane versus Zyplast for the correction of nasolabial folds. Dermatol Surg. Jun 2003;29(6):588-95. [Medline].

  8. Clauser LC, Tieghi R, Galiè M, Carinci F. Structural fat grafting: facial volumetric restoration in complex reconstructive surgery. J Craniofac Surg. Sep 2011;22(5):1695-701. [Medline].

  9. Niechajev I, Sevcuk O. Long-term results of fat transplantation: clinical and histologic studies. Plast Reconstr Surg. Sep 1994;94(3):496-506. [Medline].

  10. Chajchir A, Benzaquen I, Moretti E. Comparative experimental study of autologous adipose tissue processed by different techniques. Aesthetic Plast Surg. Spring 1993;17(2):113-5. [Medline].

  11. Botti G, Pascali M, Botti C, Bodog F, Cervelli V. A clinical trial in facial fat grafting: filtered and washed versus centrifuged fat. Plast Reconstr Surg. Jun 2011;127(6):2464-73. [Medline].

  12. Kuran I, Tumerdem B. A new simple method used to prepare fat for injection. Aesthetic Plast Surg. Jan-Feb 2005;29(1):18-22; discussion 23. [Medline].

  13. Gatti JE. Permanent lip augmentation with serial fat grafting. Ann Plast Surg. Apr 1999;42(4):376-80. [Medline].

  14. Peer LA. Transplantation of Tissue. Baltimore: Lippincott Williams & Wilkins; 1959.

  15. Moore JH Jr, Kolaczynski JW, Morales LM, et al. Viability of fat obtained by syringe suction lipectomy: effects of local anesthesia with lidocaine. Aesthetic Plast Surg. Jul-Aug 1995;19(4):335-9. [Medline].

  16. Smahel J. Adipose tissue in plastic surgery. Ann Plast Surg. May 1986;16(5):444-53. [Medline].

  17. Ersek RA. Transplantation of purified autologous fat: a 3-year follow-up is disappointing. Plast Reconstr Surg. Feb 1991;87(2):219-27; discussion 228. [Medline].

  18. Cortese A, Savastano G, Felicetta L. Free fat transplantation for facial tissue augmentation. J Oral Maxillofac Surg. Feb 2000;58(2):164-9; discussion 169-70. [Medline].

  19. Bertossi D, Zancanaro C, Trevisiol L, et al. Lipofilling of the lips: ultrastructural evaluation by transmission electron microscopy of injected adipose tissue. Arch Facial Plast Surg. Sep-Oct 2003;5(5):392-8. [Medline].

  20. Coleman SR. Long-term survival of fat transplants: controlled demonstrations. Aesthetic Plast Surg. Sep-Oct 1995;19(5):421-5. [Medline].

  21. Rigotti G, Marchi A, Galie M, et al. Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg. Apr 15 2007;119(5):1409-22; discussion 1423-4. [Medline].

  22. Klinger M, Marazzi M, Vigo D, et al. Fat injection for cases of severe burn outcomes: a new perspective of scar remodeling and reduction. Aesthetic Plast Surg. May 2008;32(3):465-9. [Medline].

  23. Viard R, Bouguila J, Voulliaume D, Comparin JP, Dionyssopoulos A, Foyatier JL. [Fat grafting in facial burns sequelae.]. Ann Chir Plast Esthet. Jul 30 2011;[Medline].

  24. Tholpady SS, Llull R, Ogle RC, et al. Adipose tissue: stem cells and beyond. Clin Plast Surg. Jan 2006;33(1):55-62, vi. [Medline].

  25. Zuk PA, Zhu M, Ashjian P, et al. Human adipose tissue is a source of multipotent stem cells. Mol Biol Cell. Dec 2002;13(12):4279-95. [Medline].

  26. Brzoska M, Geiger H, Gauer S, et al. Epithelial differentiation of human adipose tissue-derived adult stem cells. Biochem Biophys Res Commun. Apr 29 2005;330(1):142-50. [Medline].

  27. Ayhan M, Senen D, Adanali G, et al. Use of beta blockers for increasing survival of free fat grafts. Aesthetic Plast Surg. Sep-Oct 2001;25(5):338-42. [Medline].

  28. Billings E Jr, May JW Jr. Historical review and present status of free fat graft autotransplantation in plastic and reconstructive surgery. Plast Reconstr Surg. Feb 1989;83(2):368-81. [Medline].

  29. Bosniak S, Cantisano-Zilkha M, Glavas IP. Nonanimal stabilized hyaluronic acid for lip augmentation and facial rhytid ablation. Arch Facial Plast Surg. Nov-Dec 2004;6(6):379-83. [Medline].

  30. Bostwick John III. Augmentation Mammaplasty. Plastic and Reconstructive Breast Surgery. 2000;I:239-370 (343).

  31. Carpaneda CA, Ribeiro MT. Percentage of graft viability versus injected volume in adipose autotransplants. Aesthetic Plast Surg. Winter 1994;18(1):17-9. [Medline].

  32. Chajchir A, Benzaquen I. Fat-grafting injection for soft-tissue augmentation. Plast Reconstr Surg. Dec 1989;84(6):921-34; discussion 935. [Medline].

  33. Coleman SR. Facial recontouring with lipostructure. Clin Plast Surg. Apr 1997;24(2):347-67. [Medline].

  34. Kulkarni RK, Moore EG, Hegyeli AF, et al. Biodegradable poly(lactic acid) polymers. J Biomed Mater Res. May 1971;5(3):169-81. [Medline].

  35. Kulkarni RK, Pani KC, Neuman C, et al. Polylactic acid for surgical implants. Arch Surg. Nov 1966;93(5):839-43. [Medline].

  36. Montanana Vizcaino J, Baena Montilla P, et al. Complications of autografting fat obtained by liposuction. Plast Reconstr Surg. Apr 1990;85(4):638-9. [Medline].

  37. Niechajev I. Lip enhancement: surgical alternatives and histologic aspects. Plast Reconstr Surg. Mar 2000;105(3):1173-83; discussion 1184-7. [Medline].

  38. Rees TD, Aston SJ, Thorne CHM. Blepharoplasty and facialplasty (subheadings facial aging and morphologic changes). Plast Surg. 1990;3:2360-3.

  39. Saylan Z. Facial fillers and their complications. Aesthetic Surg J. 2003;23:221-4.

  40. Schuller-Petrovic S. Improving the aesthetic aspect of soft tissue defects on the face using autologous fat transplantation. Facial Plast Surg. Apr 1997;13(2):119-24. [Medline].

  41. Sommer B, Sattler G. Current concepts of fat graft survival: histology of aspirated adipose tissue and review of the literature. Dermatol Surg. Dec 2000;26(12):1159-66. [Medline].

  42. Vleggaar D. Facial volumetric correction with injectable poly-L-lactic acid. Dermatol Surg. Nov 2005;31(11 Pt 2):1511-7; discussion 1517-8. [Medline].

  43. Yuksel E, Weinfeld AB, Cleek R, et al. Increased free fat-graft survival with the long-term, local delivery of insulin, insulin-like growth factor-I, and basic fibroblast growth factor by PLGA/PEG microspheres. Plast Reconstr Surg. Apr 2000;105(5):1712-20. [Medline].

 
Previous
Next
 
Preoperative view demonstrates marionette lines.
Infiltration of the abdominal fat donor site with tumescent fluid.
Aspiration of fat.
Layering of fat and tumescent fluid in the syringe.
Fat in a tulip syringe.
Transfer of aspirated fat into a small syringe for controlled injection.
Injection of a marionette line.
Injection of the glabellar furrow.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.