Complementary Fat Graft Retention Rates Are Superior to Initial Rates in Craniofacial Contour Reconstruction (original) (raw)
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Plastic and Reconstructive Surgery, 2017
A utologous free fat grafting is a technique shown to have a volume-increasing effect, and is beneficial as a reconstructive procedure for patients with craniofacial volume deficits resulting in asymmetry/contour irregularities because of congenital, infectious, traumatic, or postsurgical defects. 1-7 Although the unpredictability of long-term fat graft retention remains a major criticism of this technique, characterizing the potential predictive factors of retention is very important in expanding the growing body of fat graft literature that can tailor the surgical maneuvers and operative planning, and counsel patients and parents on the postoperative process. 8-10 We are not aware of any clinical investigation completely focused on evaluating the predictors of fat graft retention, particularly in the management of craniofacial contour asymmetry, although clinical and experimental investigations 1-7,11-15 have demonstrated that some variables (e.g., surgical technique, age, body mass index, donor
Use of autologous fat graft for correction of facial asymmetry stemming from Parry-Romberg syndrome
Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 2010
Facial hemiatrophy is a typical manifestation of Parry-Romberg syndrome, characterized by a slow progressive atrophy that appears in early stages of life, primarily affecting the subcutaneous tissue and subjacent fat on 1 side of the face. We describe the case of a 42-year-old female patient with stabilized moderate facial hemiatrophy on the left side of the face, successfully treated with a 2-stage autologous fat transplant and the use of subcutaneous tunnels among the musculature for the placement of the graft. We also describe the principal forms of correcting facial asymmetry in patients with Parry-Romberg syndrome and demonstrate that an autologous fat graft provides good results in the correction of this deformity, with improved esthetics and patient satisfaction.
Autologous Fat Transplantation in the Craniofacial Patient
Journal of Craniofacial Surgery, 2012
Patients with congenital craniofacial malformations present with complex challenges for reconstruction. Successful management requires individualized treatment often involving rebuilding the facial skeleton de novo, as well as correcting the overlying soft-tissue deficiencies in the final stages. At the University of California, Los Angeles (UCLA) Craniofacial Clinic, serial autologous fat transplantation performed during staged reconstruction is the preferred method.
Oral and Maxillofacial Surgery
Background This study aimed to evaluate the use of fat grafting enriched with platelet-rich plasma through a computerized-assisted mapping for esthetic restoration in progressive hemifacial atrophy (Parry-Romberg disease). Methods This prospective study was conducted on 53 patients presented by Parry-Romberg disease and was corrected by facial fat grafting (FFG) enriched with platelet-rich plasma (PRP). A computerized software program was used to design a detailed map to achieve clinical symmetry with fat grafting application, as the anatomical subunits direct 3-dimensional volumetric symmetric, and compartments direct isolated recipient-specific grafting. Also, volumetric asymmetry was assessed through outlines of facial contour, projection, and proportions for both sides and comparing the mirror image of unaffected side as a template. Results Objective ultrasound and photogrammetric measurements showed a significant improvement in facial symmetry postoperatively compared to preope...
Plastic surgery international, 2015
Deformities in the craniofacial region are of great social and functional importance. Several surgical techniques have been used to treat such pathologies often with high morbidity and lacking the ability to address smaller contour defects. The minimally invasive technique of fat transplantation has evolved rapidly within the last few decades. The objective of this paper is to present the versatility and applicability of fat transplantation in a wide range of contour deformities in the craniofacial region. We share our experiences in treating 13 patients with autoimmune disorders, congenital malformations, and acquired defects. Future perspectives of fat transplantation in the field of craniofacial reconstruction are discussed.
Alternative Therapies to Fat Grafting in the Craniofacial Region
Journal of Craniofacial Surgery, 2019
Autologous fat grafting is a technique with various applications in the craniofacial region ranging from the treatment of wounds, scars, keloids, and soft tissue deformities. In this review, alternative therapies to fat grafting are discussed. These are composed of established therapies like silicone gel or sheeting, corticosteroids, cryotherapy, and laser therapy. Novel applications of negative pressure wound therapy, botulinum toxin A injection, and biologic agents are also reviewed.