Injection Techniques

  • Mario Goisis
  • Giuseppe A. Ferraro
  • Sara Izzo


Many scientific articles have been published concerning the harvesting and processing of fat; on the contrary, very few EBM articles regarding reinjection of fat are available in literature [1, 2].


  1. 1.
    Atashroo D, Raphel J, Chung MT, Paik KJ, Parisi-Amon A, McArdle A, Senarath-Yapa K, Zielins ER, Tevlin R, Duldulao C, Walmsley GG, Hu MS, Momeni A, Domecus B, Rimsa JR, Greenberg L, Gurtner GC, Longaker MT, Wan DC. Studies in fat grafting: part II. Effects of injection mechanics on material properties of fat. Plast Reconstr Surg. 2014;134(1):39–46.CrossRefGoogle Scholar
  2. 2.
    Chung MT, Paik KJ, Atashroo DA, Hyun JS, McArdle A, Senarath-Yapa K, Zielins ER, Tevlin R, Duldulao C, Hu MS, Walmsley GG, Parisi-Amon A, Momeni A, Rimsa JR, Commons GW, Gurtner GC, Wan DC, Longaker MT. Studies in fat grafting: part I. Effects of injection technique on in vitro fat viability and in vivo volume retention. Plast Reconstr Surg. 2014;134(1):29–38.CrossRefGoogle Scholar
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    Goisis M. Comparison between different techniques. Face congress, London; 2016.Google Scholar
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    Kirkham JC, Lee JH, Medina MA 3rd, McCormack MC, Randolph MA, Austen WG Jr. The impact of liposuction cannula size on adipocyte viability. Ann Plast Surg. 2012;69:479–81.CrossRefGoogle Scholar
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    Erdim M, Tezel E, Numanoglu A, Sav A. The effects of the size of liposuction cannula on adipocyte survival and the optimum temperature for fat graft storage: an experimental study. J Plast Reconstr Aesthet Surg. 2009;62:1210–4.CrossRefGoogle Scholar
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    Amar RE, Fox DM. The facial autologous muscular injection (FAMI) procedure: an anatomically targeted deep multiplane autologous fat-grafting technique using principles of facial fat injection. Aesthet Plast Surg. 2011;35(4):502–10.CrossRefGoogle Scholar
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    Amar RE, Fox DM, Balin A. Cannulation and injection of the muscles of facial expression: a cadaver study. Dermatol Surg. 2010;36(3):331–8. Epub 2010 Jan 19CrossRefPubMedPubMedCentralGoogle Scholar
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    Butterwick KJ. Fat autograft muscle injection (FAMI): new technique for facial volume restoration. Dermatol Surg. 2005;31(11 Pt 2):1487–95.CrossRefGoogle Scholar
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    Butterwick KJ. Enhancement of the results of neck liposuction with the FAMI technique. J Drugs Dermatol. 2003;2(5):487–93.PubMedGoogle Scholar
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    Goisis M. Anatomy of fat injection, a cadaveric dissection demonstration. 5CC congress, Barcellona; 2016.Google Scholar
  17. 17.
    Willemsen JP, van der Lei B, Stevens HP. The effects of platelet-rich plasma on recovery time and aesthetic outcome in facial rejuvenation: preliminary retrospective observations. Aesthet Plast Surg. 2014;38:1057–63.CrossRefGoogle Scholar
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    Panettiere P, Accorsi D, Marchetti L, Sgro F, Sbarbati A. Large-breast reconstruction using fat graft only after prosthetic reconstruction failure. Aesthet Plast Surg. 2011;35:703–8.CrossRefGoogle Scholar
  20. 20.
    Rigotti G, Marchi A, Galie M, et al. Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg. 2007;119:1409–22. discussion 1423–1404CrossRefGoogle Scholar
  21. 21.
    Garza RM, Paik KJ, Chung MT, Duscher D, Gurtner GC, Longaker MT, Wan DC. Studies in fat grafting: part III. Fat grafting irradiated tissue—improved skin quality and decreased fat graft retention. Plast Reconstr Surg. 2014;134(2):249–57.CrossRefGoogle Scholar
  22. 22.
    Eto H, Kato H, Suga H, et al. The fate of adipocytes after nonvascularized fat grafting: evidence of early death and replacement of adipocytes. Plast Reconstr Surg. 2012;129:1081–92.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mario Goisis
    • 1
  • Giuseppe A. Ferraro
    • 2
  • Sara Izzo
    • 2
  1. 1.Maxillo-Facial and Aesthetic SurgeonGo Easy ClinicMilanItaly
  2. 2.Doctor’s EquipeMilanItaly

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