Effect of micro-autologous fat transplantation based on anatomical sub-unit principle of mid-face deep fat tissue_West China Medical Journal

Authors：

 ZENG Linghuan ¹ , CEN Ying ² , CHEN Junjie ² , LEI Lei ¹ , QIN Xiaohui ¹ , WANG Ya ¹ , ZENG Chuanxiu ¹

1. Department of Plastic Surgery, Sichuan Integrative Medicine Hospital, Chengdu, Sichuan 610041, P. R. China;
2. Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

ZENG Linghuan, Email: ageorgea@163.com

Keywords：

Mid-face deep fat; Anatomical sub-unit; Micro-autologous fat transplantation

DOI：

10.7507/1002-0179.201704083

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the therapeutic effect of micro-autologous fat transplantation (MAFT) based on anatomical sub-unit principle of mid-face deep fat tissue in mid-face volumetric augmentation operation. Methods From August 2014 to February 2016, 46 patients suffering volumetric defect of mid-face were divided into the research group and the control group with 23 in each. The MAFT method was used in the two groups. Patients in the research group underwent fat transplatation based on anatomical sub-unit principle of mid-face deep fat tissue, of whom 16 accepted fat transplantaion in suborbicularis oculi fat area, 23 in deep media cheek fat area and 13 in buccal fat area. Patients in the control group accept conventional fat transplantation method; the fat granule were uniformly transplanted to the deep and superficial mid-face fat tissue. The curative effiency and patients' satisfaction were compared between the two groups. Results The curative effiency and patients' satisfaction of the research group (91.3%, 82.6%) were better than those of the control group (60.9%, 43.5%), and there were significant differences (P<0.05). All patients were followed up for 6 months to 2 years, with an average of 1 year. No complication occurred in both groups. Conclusion The MAFT operation based on anatomical sub-unit principle of mid-face deep fat tissue could precisely perform mid-face volumetric augmentation and rejuvenation.

Citation： ZENG Linghuan, CEN Ying, CHEN Junjie, LEI Lei, QIN Xiaohui, WANG Ya, ZENG Chuanxiu. Effect of micro-autologous fat transplantation based on anatomical sub-unit principle of mid-face deep fat tissue. West China Medical Journal, 2017, 32(12): 1876-1881. doi: 10.7507/1002-0179.201704083 Copy

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7.	Wong CH, Mendelson B. Facial soft-tissue spaces and retaining ligaments of the midcheek: defining the premaxillaryspace. Plast Reconstr Surg, 2013, 132(1): 49-56.
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12.	刘萍, 刘毅, 陈黎明等. 颊部美学分区及其在精细化自体脂肪移植中的应用. 感染、炎症、修复, 2015, 16(2): 96-98.
13.	Glasgold M, Lam SM, Glasgold R. Volumetric rejuvenation of the periorbital region. Facial Plast Surg, 2010, 26(3): 252-259.
14.	Kao WP, Lin YN, Lin TY, et al. Microautologous fat transplantation for primary augmentation rhinoplasty: long-term monitoring of 198 Asian patients. Aesthet Surg J, 2016, 36(6): 648-656.
15.	曾令寰, 吴一, 李伟, 等. TDP 对移植脂肪微血管形成的影响. 中国美容医学, 2012, 21(2): 240-241.

1. Rohrich RJ, Pessa JE. The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg, 2007, 119(7): 2219-2227; discussion 2228-31.
2. Rohrich RJ, Pessa JE, Ristow B. The youthful cheek and the deep medial fat compartment. Plast Reconstr Surg, 2008, 121(6): 2107-2112.
3. Alghoul M, Codner MA. Retaining ligaments of the face: review of anatomy and clinical applications. Aesthet Surg J, 2013, 33(6): 769-782.
4. Gierloff M, Stoehring C, Buder T, et al. Aging changes of the midfacial fat compartments: a computed tomographic study. Plast Reconstr Surg, 2012, 129(1): 263-273.5.
5. Hwang SH, Hwang K, Jin S, et al. Location and Nature of retro-orbicularis oculus fat and sub-orbicularis oculi fat. J Craniofac Surg, 2007, 18(2): 387-390.
6. 曾令寰, 雷蕾, 秦小惠, 等. 注射填充术在面中部深层脂肪区域应用的方法和意义. 中国美容医学, 2015, 24(16): 1-4.
7. Wong CH, Mendelson B. Facial soft-tissue spaces and retaining ligaments of the midcheek: defining the premaxillaryspace. Plast Reconstr Surg, 2013, 132(1): 49-56.
8. Cotofana S, Schenck TL, Trevidic P, et al. Midface: clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg, 2015, 136(5 Suppl): 219S-234S.
9. 余文林, 曾东, 程飚. 颊脂垫部分切除的临床解剖及应用. 解剖学杂志, 2007, 44(4): 474-476.
10. 邵宏, 彭晓云. 颊脂垫吸除联合 A 型肉毒毒素咬肌多点注射瘦脸术. 中国美容医学, 2004, 13(5): 562-563.
11. 张伟, 隋永强. 颊脂垫切除在颊部美容手术的应用体会. 中国局解手术学杂志, 2003, 12(1): 57-58.
12. 刘萍, 刘毅, 陈黎明等. 颊部美学分区及其在精细化自体脂肪移植中的应用. 感染、炎症、修复, 2015, 16(2): 96-98.
13. Glasgold M, Lam SM, Glasgold R. Volumetric rejuvenation of the periorbital region. Facial Plast Surg, 2010, 26(3): 252-259.
14. Kao WP, Lin YN, Lin TY, et al. Microautologous fat transplantation for primary augmentation rhinoplasty: long-term monitoring of 198 Asian patients. Aesthet Surg J, 2016, 36(6): 648-656.
15. 曾令寰, 吴一, 李伟, 等. TDP 对移植脂肪微血管形成的影响. 中国美容医学, 2012, 21(2): 240-241.

West China Medical Journal

Effect of micro-autologous fat transplantation based on anatomical sub-unit principle of mid-face deep fat tissue

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