The Downside of Fat: Avoiding and Treating Complications

Irene A. Kim; Gregory Keller; Michael J. Groth; Vishad Nabili

doi:10.1055/s-0036-1586498

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2016; 32(05): 556-559
DOI: 10.1055/s-0036-1586498

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Downside of Fat: Avoiding and Treating Complications

Irene A. Kim

¹Division of Facial Plastic Surgery, Department of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California

,

Gregory Keller

¹Division of Facial Plastic Surgery, Department of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California

,

Michael J. Groth

²Division of Ophthalmic Plastic and Reconstructive Surgery, Jules Stein Eye Institute, David Geffen School of Medicine at UCLA, Los Angeles, California

,

Vishad Nabili

¹Division of Facial Plastic Surgery, Department of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California

› Author Affiliations

Abstract

Three-dimensional facial volume restoration using fat has become widely accepted as an essential component of facial rejuvenation. Transplanted fat has benefits due to its inherently nonallergenic nature. The versatility of fat grafts allows for their use in all types of facial enhancement—improving the appearance of nasolabial folds, mesolabial grooves, flattened cheeks and upper lips, glabellar furrows, lipoatrophy, acne scars, and temporal hollowing. Yet despite its virtues as the ideal filler, autologous fat has its shortcomings with risks of complications. Our objective in this article is to present a systematic approach demonstrating the complications that can occur with each step of autologous fat grafting in facial rejuvenation and offering pearls to avoid and treat these complications.

Keywords

fat - filler - injection - complication - adipose

Full Text

References

References
1 Carruthers J, Carruthers A. Soft Tissue Augmentation. 3rd ed. London, United Kingdom: Saunders Elsevier; 2013: 3-4 , 171–172
2 Butterwick KJ, Nootheti PK, Hsu JW, Goldman MP. Autologous fat transfer: an in-depth look at varying concepts and techniques. Facial Plast Surg Clin North Am 2007; 15 (1) 99-111 , viii
3 Gause II TM, Kling RE, Sivak WN, Marra KG, Rubin JP, Kokai LE. Particle size in fat graft retention: a review on the impact of harvesting technique in lipofilling surgical outcomes. Adipocyte 2014; 3 (4) 273-279
4 Lam SM, Glasgold RA, Glasgold MJ. Fat harvesting techniques for facial fat transfer. Facial Plast Surg 2010; 26 (5) 356-361
5 Niechajev I, Sevćuk O. Long-term results of fat transplantation: clinical and histologic studies. Plast Reconstr Surg 1994; 94 (3) 496-506
6 Sommer B, Sattler G. Current concepts of fat graft survival: histology of aspirated adipose tissue and review of the literature. Dermatol Surg 2000; 26 (12) 1159-1166
7 Coleman SR. Structural fat grafting: more than a permanent filler. Plast Reconstr Surg 2006; 118 (3, Suppl): 108S-120S
8 Lazzeri D, Agostini T, Figus M, Nardi M, Pantaloni M, Lazzeri S. Blindness following cosmetic injections of the face. Plast Reconstr Surg 2012; 129 (4) 995-1012
9 Sa HS, Woo KI, Suh YL, Kim YD. Periorbital lipogranuloma: a previously unknown complication of autologous fat injections for facial augmentation. Br J Ophthalmol 2011; 95 (9) 1259-1263