Fat grafting to the face and neck aids in volume restoration, thereby
addressing soft-tissue atrophy associated with the aging face, acquired conditions,
or congenital malformations. Often, fat grafting may sufficiently restore
facial volume alone or in conjunction with other facial rejuvenation procedures.
Facial/neck fat grafting requires a systematic and thoughtful approach, with
special care to atraumatic technique. This CME article covers the principles
and techniques for modern facial fat grafting to the face and neck. Increasing
data support the ability of autologous fat to produce significant and sustainable
appearance-related changes. The authors follow the general principles of the
Coleman technique for facial fat grafting and have observed tremendous success
over the years. Other techniques for facial fat grafting are also discussed
including microfat and nanofat processing. As the understanding of facial fat
compartments continues to evolve, the authors may better predict fat grafting
outcomes following augmentation. Finally, the technique described as “lipotumescence”
has been successfully used in the breast and other regions of the
body that have radiation damage and is discussed in this article specifically for
the face and neck.
After viewing this course, the participant should be able to:
- Understand age-related changes to the face and neck and pertinent
anatomy and discuss important aspects of fat graft harvesting, processing, and
- Recognize key differences between common techniques for fat
processing and infiltration and develop a plan for patients based on site-specific facial anatomical zones.
- Appreciate the utility of fat grafting as an adjunct to
other facial rejuvenating procedures such as face lift and blepharoplasty procedures
and list the potential complications from fat grafting to the face and neck.
Saïd C. Azoury, M.D.; Sameer Shakir, M.D.; Louis P. Bucky, M.D.; Ivona Percec, M.D., Ph.D.
Plastic and Reconstruction Surgery®Editors: Editor-in-Chief: Rod J. Rohrich, MD
Co-Editor: James M. Stuzin, MD
Section Editors: Donald H. Lalonde, MD; John YS Kim, MD
AMA PRA Category 1 CreditTM: 1.0
Patient Safety Credit: 0.5
Media:Journal Article, video
Release Date: 10/01/2021
Expiration Date: 10/01/2024
Estimated time to complete this course: 1 hour
*Course access ends on course expiration date
Directly provided by the American Society of Plastic Surgeons® (ASPS®)
The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The ASPS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.Disclosures
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