An integrated fat grafting technique for cosmetic facial contouring

Yun Xie, Dan Ning Zheng, Qing Feng Li, Bin Gu, Kai Liu, Guo Xiong Shen, Lee Li-Qun Pu

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Background: Although several methods of fat grafting have been reported, there is no agreement regarding which technique should be used for autologous fat grafting and the final outcome after fat grafting often depends on the technique used by a surgeon. In this report we present an integrated fat grafting technique developed over the years for cosmetic facial contouring. Method: Fat grafts were harvested under low pressure with syringes, processed with low speed centrifugation, and then injected into the affected areas of the face with low volume for each pass via multi-tunnels, multi-planes, and multi-points. We describe the above integrated fat grafting technique as '3Ls and 3Ms' technique. A total of 83 patients with temporal, cheek, and periocular hollowing, lean or aging face or facial asymmetry were injected with autologous fats between 1 and 3 times at interval of 3 to 6 months. All patients were evaluated clinically and followed up to 8 years. Results: The absorption was found variable in different patients. Long-term follow-up proved that final correction after 1-3 injections of autologous fat had persisted for many years. Obviously improved facial contour was evident in most patients after autologous fat transplantations. More than 73.5% of the patients in this series were assessed as satisfactory by all 3 observers (patient, surgeon, and layerperson). Between 12.0% and 21.7% of the patients were mostly satisfactory. Less than 4.8% of the patients were unsatisfactory. Conclusions: Autologous fat grafting to the face is a safe and reliable option to improve facial contour in patients. The transplanted fat can survive well in the face with our integrated fat grafting technique. More than one injection may be required to achieve optimal outcome.

Original languageEnglish (US)
Pages (from-to)270-276
Number of pages7
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume63
Issue number2
DOIs
StatePublished - Feb 2010

Fingerprint

Cosmetic Techniques
Fats
Facial Asymmetry
Injections
Autologous Transplantation
Cheek
Syringes

Keywords

  • Autologous fat transplantation
  • Centrifugation
  • Face contouring
  • Injection

ASJC Scopus subject areas

  • Surgery

Cite this

An integrated fat grafting technique for cosmetic facial contouring. / Xie, Yun; Zheng, Dan Ning; Li, Qing Feng; Gu, Bin; Liu, Kai; Shen, Guo Xiong; Pu, Lee Li-Qun.

In: Journal of Plastic, Reconstructive and Aesthetic Surgery, Vol. 63, No. 2, 02.2010, p. 270-276.

Research output: Contribution to journalArticle

Xie, Yun ; Zheng, Dan Ning ; Li, Qing Feng ; Gu, Bin ; Liu, Kai ; Shen, Guo Xiong ; Pu, Lee Li-Qun. / An integrated fat grafting technique for cosmetic facial contouring. In: Journal of Plastic, Reconstructive and Aesthetic Surgery. 2010 ; Vol. 63, No. 2. pp. 270-276.
@article{3e98b25eda804001bbc3b3cfe56f2dca,
title = "An integrated fat grafting technique for cosmetic facial contouring",
abstract = "Background: Although several methods of fat grafting have been reported, there is no agreement regarding which technique should be used for autologous fat grafting and the final outcome after fat grafting often depends on the technique used by a surgeon. In this report we present an integrated fat grafting technique developed over the years for cosmetic facial contouring. Method: Fat grafts were harvested under low pressure with syringes, processed with low speed centrifugation, and then injected into the affected areas of the face with low volume for each pass via multi-tunnels, multi-planes, and multi-points. We describe the above integrated fat grafting technique as '3Ls and 3Ms' technique. A total of 83 patients with temporal, cheek, and periocular hollowing, lean or aging face or facial asymmetry were injected with autologous fats between 1 and 3 times at interval of 3 to 6 months. All patients were evaluated clinically and followed up to 8 years. Results: The absorption was found variable in different patients. Long-term follow-up proved that final correction after 1-3 injections of autologous fat had persisted for many years. Obviously improved facial contour was evident in most patients after autologous fat transplantations. More than 73.5{\%} of the patients in this series were assessed as satisfactory by all 3 observers (patient, surgeon, and layerperson). Between 12.0{\%} and 21.7{\%} of the patients were mostly satisfactory. Less than 4.8{\%} of the patients were unsatisfactory. Conclusions: Autologous fat grafting to the face is a safe and reliable option to improve facial contour in patients. The transplanted fat can survive well in the face with our integrated fat grafting technique. More than one injection may be required to achieve optimal outcome.",
keywords = "Autologous fat transplantation, Centrifugation, Face contouring, Injection",
author = "Yun Xie and Zheng, {Dan Ning} and Li, {Qing Feng} and Bin Gu and Kai Liu and Shen, {Guo Xiong} and Pu, {Lee Li-Qun}",
year = "2010",
month = "2",
doi = "10.1016/j.bjps.2008.11.016",
language = "English (US)",
volume = "63",
pages = "270--276",
journal = "Journal of Plastic, Reconstructive and Aesthetic Surgery",
issn = "1748-6815",
publisher = "Churchill Livingstone",
number = "2",

}

TY - JOUR

T1 - An integrated fat grafting technique for cosmetic facial contouring

AU - Xie, Yun

AU - Zheng, Dan Ning

AU - Li, Qing Feng

AU - Gu, Bin

AU - Liu, Kai

AU - Shen, Guo Xiong

AU - Pu, Lee Li-Qun

PY - 2010/2

Y1 - 2010/2

N2 - Background: Although several methods of fat grafting have been reported, there is no agreement regarding which technique should be used for autologous fat grafting and the final outcome after fat grafting often depends on the technique used by a surgeon. In this report we present an integrated fat grafting technique developed over the years for cosmetic facial contouring. Method: Fat grafts were harvested under low pressure with syringes, processed with low speed centrifugation, and then injected into the affected areas of the face with low volume for each pass via multi-tunnels, multi-planes, and multi-points. We describe the above integrated fat grafting technique as '3Ls and 3Ms' technique. A total of 83 patients with temporal, cheek, and periocular hollowing, lean or aging face or facial asymmetry were injected with autologous fats between 1 and 3 times at interval of 3 to 6 months. All patients were evaluated clinically and followed up to 8 years. Results: The absorption was found variable in different patients. Long-term follow-up proved that final correction after 1-3 injections of autologous fat had persisted for many years. Obviously improved facial contour was evident in most patients after autologous fat transplantations. More than 73.5% of the patients in this series were assessed as satisfactory by all 3 observers (patient, surgeon, and layerperson). Between 12.0% and 21.7% of the patients were mostly satisfactory. Less than 4.8% of the patients were unsatisfactory. Conclusions: Autologous fat grafting to the face is a safe and reliable option to improve facial contour in patients. The transplanted fat can survive well in the face with our integrated fat grafting technique. More than one injection may be required to achieve optimal outcome.

AB - Background: Although several methods of fat grafting have been reported, there is no agreement regarding which technique should be used for autologous fat grafting and the final outcome after fat grafting often depends on the technique used by a surgeon. In this report we present an integrated fat grafting technique developed over the years for cosmetic facial contouring. Method: Fat grafts were harvested under low pressure with syringes, processed with low speed centrifugation, and then injected into the affected areas of the face with low volume for each pass via multi-tunnels, multi-planes, and multi-points. We describe the above integrated fat grafting technique as '3Ls and 3Ms' technique. A total of 83 patients with temporal, cheek, and periocular hollowing, lean or aging face or facial asymmetry were injected with autologous fats between 1 and 3 times at interval of 3 to 6 months. All patients were evaluated clinically and followed up to 8 years. Results: The absorption was found variable in different patients. Long-term follow-up proved that final correction after 1-3 injections of autologous fat had persisted for many years. Obviously improved facial contour was evident in most patients after autologous fat transplantations. More than 73.5% of the patients in this series were assessed as satisfactory by all 3 observers (patient, surgeon, and layerperson). Between 12.0% and 21.7% of the patients were mostly satisfactory. Less than 4.8% of the patients were unsatisfactory. Conclusions: Autologous fat grafting to the face is a safe and reliable option to improve facial contour in patients. The transplanted fat can survive well in the face with our integrated fat grafting technique. More than one injection may be required to achieve optimal outcome.

KW - Autologous fat transplantation

KW - Centrifugation

KW - Face contouring

KW - Injection

UR - http://www.scopus.com/inward/record.url?scp=74849116170&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=74849116170&partnerID=8YFLogxK

U2 - 10.1016/j.bjps.2008.11.016

DO - 10.1016/j.bjps.2008.11.016

M3 - Article

C2 - 19071070

AN - SCOPUS:74849116170

VL - 63

SP - 270

EP - 276

JO - Journal of Plastic, Reconstructive and Aesthetic Surgery

JF - Journal of Plastic, Reconstructive and Aesthetic Surgery

SN - 1748-6815

IS - 2

ER -