Fat graft in the face (evolution)

RESUMO

The authors present the critical analysis about the use of the fat graft in the face and also show the indications and limitations of this procedure in large moving areas. Finally, they present their results in terms of slow follow up. (Photos 6 to 13) In the previous symposium we presented the procedure described by FOURNIER (MICROLIPOENXERTIA).(Photo 1) At that time we were using the procedure in all depressions and wrinkle of the face; nowadays we do not proceed this way and the purpose of this work is to bring up our conclusions and justifications about the election areas for the success of this method. As we said previously, some areas behaved in different way in relation to the profitting of the material although, technically, it has been used the same material and method. (Photo 2) In this case we have observed that areas with larger moving intensity absorbed with larger degree the grafted fat. Then, this has become the prime factor for the success of the treatment. Therefore, areas which we attained to immobilize for a seven days periodf(Photo 3) showed highly satisfavtory results. In this context we are now going to analyse the factors which refined our work and, as a consequence improved our results: Infiltrated Quantity - We think that by means of the "Washing" method the volume per area is in media of 20cc, this, a sufficient quantity to ger a satisfactory result. Aspiration and Injection Gauge - As we have already pointed out in our previous work, this gauge has to be always of same diameter. Granting Area - Preferably this should be the supra public and the inside face of the knee due to the great intensity of collagenous fibers existing in those resgions. Immobilization - For the sticking of the material it becomes necessary that the receiving area be motionless for seven days. Making use of all methodology described above we are now going to analyse the grafted areas as well as how they behaved as time passes by Grafted Areas Cheekbone, Glabellar, Genian, Mentonian, Periorbitals, Frontal, around the mouth (upper and lower labial)...