Aesthetic facial contour augmentation with microlipofilling

Abstract

Background We have found that the use of microfat grafts can improve the contour of the face. Objective We describe our technique for facial contour augmentation using microlipofilling and present the results of 32 cases treated between 1995 and 2002. Methods We conducted a preoperative evaluation, including photographic and radiologic studies, to determine for which patients the procedure was appropriate and to identify the need for additional procedures. Fat was harvested with the use of 10-mL syringes with 14-gauge needles. Only 5 mL of fat was harvested in each syringe. After the donated fat was washed and fragmented, it was infiltrated by means of a percutaneous approach with 18- or 20-gauge needles to reduce trauma and avoid scarring. Thin (2-mm-wide) rolls of fat grafts were placed in well-vascularized tissues to prevent absorption. The amount of fat infiltrated depended on the flatness of the area. Results All patients had satisfactory outcomes after follow-up ranging from 1 to 5 years. Complications were rare. Conclusions With appropriate placement, facial contour augmentation with microlipofilling is a safe, simple, inexpensive aesthetic procedure that provides consistent, long-term aesthetic improvement.