Zhibin Yang, Xuefeng Han, Ming Li, Shengyang Jin, Facheng Li* and Xinyu Zhang
Department of Plastic Surgery, Chinese Academy of Medical Sciences, Peking Union Medical College, People’s Republic of ChinaFulltext PDF
1. Preoperative detailed communication with the patient, management of expectation, careful evaluation of facial and donor sites’ conditions, and marking of the operation areas is critical to postoperative satisfaction. 2. The infiltration of tumescent solution to recipient areas could decrease the incidence of intra operative hemorrhage, fat embolism and postoperative hematoma. Special attention should be paid for fat grafting onto temple and medial eyebrow arch, where blood vessels are vulnerable to be injured. 3. Asians are characterized by depressed mid face and wide facial contour, with fat grafting in shape of "T". The Asians prefer smooth lines and heart shape of the face to zygomatic arch and mandibular angle protrusion. 4. Fat is mainly placed in the upper layer of periosteum and submuscular layer for structural support, and a moderate amount of subcutaneous fat grafting is performed to form a transition area with the surrounding tissue. The skin texture and color can be improved by microfat grafting for the subcutaneous and intradermal layers.
Fat grafting; Facial rejuvenation; Liposuction; Facial aging
Yang Z, Han X, Li M, Jin S, Li F, Zhang X. Fat Grafting for Facial Rejuvenation. Clin Surg. 2019; 4: 2549.