Abstract
The diameter of instruments used in transplantation is of decisive importance because of the influence of the diameter of the transplanted fat particles on the result of the transplantation and the aesthetic result. Since 2005, new types of cannulas have been developed for the harvesting and the grafting of very small fat particles into the facial region. Blunt cannulas of the size 16G, 19G, and 22G are recommended for layers under the skin up to 25G fine needles. Into the skin nanofat grafting is generally carried out in connection with a microfat grafting of the layer lying above it directly into the dermis. The treated patients become normal in appearance after just 3 days, and the final healing result is achieved after a period of 4 weeks. The suitable areas are the forehead, periorbital and brow and temple regions, lower eyelids, middle part of the face, lips, perioral region, and the lower third part of the face including the chin and jaw line.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Folkman J, Hochberg M. Self-regulation of growth in three dimensions. J Exp Med. 1973;138(4):745–53.
Kato H, Mineda K, Eto H, et al. Degeneration, regeneration, and cicatrization after fat grafting: dynamic total tissue remodeling during the first 3 months. Plast Reconstr Surg. 2014;133(3):303e–13e.
Coleman SR. Facial recontouring with lipostructure. Clin Plast Surg. 1997;24(2):347–67.
Trepsat F. Reshaping of the periorbital region. In: Terino EO, editor. Chapter 5: three dimensional facial sculpting. London: Informa Healthcare; 2007. p. 99–102.
Coleman SR. Update on structural fat grafting. In: Coleman SR, Mazzola RF, editors. Chapter 9: Fat injection. From filling to regeneration, vol. 188. St. Louis: Quality Medical Publishing; 2009. p. 193.
Trepsat F. Midface reshaping with micro-fat grafting. Ann Chir Plast Esthet. 2009;54:435–443 (in French).
Zeltzer AA, Tonnard PL, Verpaele AM. Sharp-needle intradermal fat grafting (SNIF). Aesthet Surg J. 2012;32(5):554–61.
Klinger M, Caviggioli, Klinger F, Pagliari AV, Villani F, Bandi V. Scar remodeling following burn injuries. In: Coleman SR, Mazzola RF, editors. Chapter 9: Fat injection—from filling to regeneration. St. Louis: Quality Medical Publishing; 2009. p. 193.
Mojallal A, Lequex C, Braye F, Breton P, Damour O, Foyatier JL. Improvement of skin quality and clinical experience. In: Coleman SR, Mazzola RF, editors. Chapter 10: Fat injection—from filling to regeneration. St. Louis: Quality Medical Publishing; 2009. p. 203.
Tonnard P, Verspaele A, Peeters G, Hamdi M, Cornelissen M, Declercq H. Nanofat grafting: basic research and clinical applications. Plast Reconstr Surg. 2013;132:1017–26.
Eto H, Kato H, Suga H, Aoi N, Doi K, Kuno S, Yoshimura K. The fate of adipocytes after nonvascularised fat grafting: evidence of early death and replacement of adipocytes. Plast Reconstr Surg. 2012;129(5):1081–92.
Coleman SR. Overview of placement technique. In: Coleman SR, editor. Chapter 3: Structural fat grafting. St. Louis: Quality Medical Publishing; 2004. p. 57.
Keck M, Janke J, Ueberreiter K. The influence of different local anaesthetics on the viability of preadipocytes. Handchir Mikrochir Plast Chir. 2007;39(3):215–9.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Surlemont, Y. (2019). The Face. In: Ueberreiter, K. (eds) Autologous fat tissue transfer. Springer, Cham. https://doi.org/10.1007/978-3-030-05402-1_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-05402-1_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-05401-4
Online ISBN: 978-3-030-05402-1
eBook Packages: MedicineMedicine (R0)