Semin Plast Surg 2020; 34(01): 030-037
DOI: 10.1055/s-0039-3402767
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Fat Grafting for Facial Rejuvenation

Kelly P. Schultz
1  Department of Surgery, Division of Plastic Surgery, Michael E. DeBakey, Baylor College of Medicine, Houston, Texas
,
Anjali Raghuram
1  Department of Surgery, Division of Plastic Surgery, Michael E. DeBakey, Baylor College of Medicine, Houston, Texas
,
Matthew J. Davis
1  Department of Surgery, Division of Plastic Surgery, Michael E. DeBakey, Baylor College of Medicine, Houston, Texas
,
Amjed Abu-Ghname
1  Department of Surgery, Division of Plastic Surgery, Michael E. DeBakey, Baylor College of Medicine, Houston, Texas
,
Edward Chamata
1  Department of Surgery, Division of Plastic Surgery, Michael E. DeBakey, Baylor College of Medicine, Houston, Texas
,
Rod J. Rohrich
1  Department of Surgery, Division of Plastic Surgery, Michael E. DeBakey, Baylor College of Medicine, Houston, Texas
2  Dallas Plastic Surgery Institute, Dallas, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
15 February 2020 (online)

Abstract

For optimal results, facial rejuvenation procedures should address both the tissue laxity and volume deflation associated with facial aging. The lift-and-fill face lift, in which fat grafting provides volumetric rejuvenation to the face while surgical lift effectively repositions and removes ptotic and redundant tissue, has revolutionized the plastic surgeon's approach to the aged face. An understanding of the intricate anatomy of distinct facial fat compartments and a systematic method to assess areas of fat atrophy and volume depletion are keys to provide patients with a natural and youthful result. Fat grafting may be used to improve contour in any area treatable by nonautologous injectable fillers, including the temples, forehead, upper and lower orbit, cheeks, perioral region, nasolabial fold, jawline, and chin—with the benefit of a more natural contour and integration with native tissue.

Financial Disclosure

R.J.R receives book royalties from Thieme Medical Publishers.