Abstract
The use of facial fat grafting has traditionally been limited to increasing the volume in the subcutaneous plane. Fat grafts have only rarely been applied in more superficial dermal planes or in deeper planes.
The recent development of new ways of processing fat has made it possible to obtain smaller diameter grafts which can be injected with either cannulas or sharp needles. This important step forward means that we can apply fat grafts to complement conventional surgical techniques, not just for use as fillers, but in fine remodeling as well as to improve fine lines and to enhance tissue quality.
This chapter describes the method for obtaining, processing, and injecting these new types of fat and discusses their main indications in facial rejuvenation.
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References
Rohrich RJ, Pessa JE, Ristow B. The youthful cheek and the deep medial fat compartment. Plast Reconstr Surg. 2008;121(6):2107–12.
Serra-Renom JM, Serra-Mestre JM. Periorbital rejuvenation to improve the negative vector with blepharoplasty and fat grafting in the malar area. Ophthal Plast Reconstr Surg. 2011;27(6):442–6.
Rohrich RJ, Ghavami A, Constantine FC, et al. Lift-and-fill face lift: integrating the fat compartments. Plast Reconstr Surg. 2014;133(6):756e–67e.
Wang W, Xie Y, Huang RL, et al. Facial contouring by targeted restoration of facial fat compartment volume: the midface. Plast Reconstr Surg. 2017;139(3):563–72.
Park BS, Jang KA, Sung JH, et al. Adipose-derived stem cells and their secretory factors as a promising therapy for skin aging. Dermatol Surg. 2008;34(10):1323–6.
Tonnard P, Verpaele A, Peeters G, et al. Nanofat grafting: basic research and clinical applications. Plast Reconstr Surg. 2013;132(4):1017–26.
Bernardini FP, Gennai A, Izzo L, et al. Superficial enhanced fluid fat injection (SEFFI) to correct volume defects and skin aging of the face and periocular region. Aesthet Surg J. 2015;35(5):504–15.
Trepsat F. Midface reshaping with micro-fat grafting. Ann Chir Plast Esthet. 2009;54(5):435–43.
Nguyen PS, Desouches C, Gay AM, et al. Development of micro-injection as an innovative autologous fat graft technique: the use of adipose tissue as dermal filler. J Plast Reconstr Aesthet Surg. 2012;65(12):1692–9.
Lindenblatt N, van Hulle A, Verpaele AM, et al. The role of microfat grafting in facial contouring. Aesthet Surg J. 2015;35(7):763–71.
Marten TJ, Elyassnia D. Fat grafting in facial rejuvenation. Clin Plast Surg. 2015;42(2):219–52.
Vila Rovira R, Serra Renom JM. Microliposucción y Microinyección de grasa en la region facial. In: Vila Rovira R, Serra Renom JM, editors. Liposucción en cirugía Plástica y Estética. Barcelona: Salvat; 2007. p. 153–63.
Zeltzer AA, Tonnard PL, Verpaele AM. Sharp-needle intradermal fat grafting (SNIF). Aesthet Surg J. 2012;32(5):554–61.
Gennai A, Zambelli A, Repaci E, et al. Skin rejuvenation and volume enhancement with the micro superficial enhanced fluid fat injection (M-SEFFI) for skin aging of the periocular and perioral regions. Aesthet Surg J. 2017;37(1):14–23.
Coleman SR. Facial recontouring with lipostructure. Clin Plast Surg. 1997;24:347–67.
Serra-Renom JM, Serra-Mestre JM. Atlas of minimally invasive facelift: facial rejuvenation with volumetric lipofilling. Cham: Springer International Publishing AG; 2016.
Osinga R, Menzi NR, Tchang LA, et al. Effects of intersyringe processing on adipose tissue and its cellular components: implications in autologous fat grafting. Plast Reconstr Surg. 2015;135(6):1618–28.
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.
Butterwick KJ. Fat autograft muscle injection (FAMI): new technique for facial volume restoration. Dermatol Surg. 2005;31(11 Pt 2):1487–95.
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This work received no financial support. The authors have no financial interest to declare in relation to the contents.
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Serra-Mestre, J.M., Serra-Renom, J.M. (2019). Variants of Fat Grafting: From Structural Fat Grafting to Microfat, Sharp-Needle Intradermal Fat (SNIF), Nanofat, Emulsion, SNIE, FAMI, and SEEFI. In: Pinto, H., Fontdevila, J. (eds) Regenerative Medicine Procedures for Aesthetic Physicians. Springer, Cham. https://doi.org/10.1007/978-3-030-15458-5_8
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DOI: https://doi.org/10.1007/978-3-030-15458-5_8
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