Fat Grafting to Improve Results of Facelift: Systematic Review of Safety and Effectiveness of Current Treatment Paradigms
Abstract Background Autologous fat grafting is a helpful supplement to facelift surgery that helps to combat age-related volume loss of facial structures. Despite the widespread prevalence of combined facelift and fat-grafting, significant procedural variation exists between providers. Objectives Th...
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| Veröffentlicht in: | Aesthetic surgery journal 2021-01, Vol.41 (1), p.1-12 |
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| creator | Molina-Burbano, Felipe Smith, J Michael Ingargiola, Michael J Motakef, Saba Sanati, Paymon Lu, Jocelyn Taub, Peter J Hill, Michael E |
| description | Abstract
Background
Autologous fat grafting is a helpful supplement to facelift surgery that helps to combat age-related volume loss of facial structures. Despite the widespread prevalence of combined facelift and fat-grafting, significant procedural variation exists between providers.
Objectives
The primary purpose of this systematic review was to study the efficacy and complication rates of facelift with lipofilling compared with facelift alone.
Methods
A systematic review of the Cochrane Library and MEDLINE databases as completed was undertaken to identify all clinical reports of fat grafting combined with facelift surgery based on the following key terms: (“fat grafting” OR “lipotransfer” OR “lipofilling” OR “fat transfer”) AND (“facelift” OR “rhytidectomy” OR “SMASectomy” OR “facial rejuvenation”). Data on techniques, outcomes, complications, and patient satisfaction were collected.
Results
The systematic review was performed in April 2017. In total, 248 articles were identified for review. After application of exclusion criteria, 15 primary studies were included in this review. Various facelift techniques were reported, including deep-plane or sub–superficial musculoaponeurotic system (SMAS) facelift, SMAS facelift, modified minimal access cranial suspension lift, component facelift, midface lift, SMAS plication, SMAS-stacking/SMASectomy, and SMASectomy. The most common locations of fat graft injection included the nasolabial folds, tear troughs, temporal regions, midface/cheek/malar eminence, marionette groove, lips, and ear lobes. The addition of fat grafting to facelift surgery resulted in significant improvements in facial volume and aesthetic assessments.
Conclusions
Combined facelift and fat grafting is a safe and efficacious means to simultaneously address age-related ptosis and volume loss. Further research is required to validate and improve existing treatment modalities.
Level of Evidence: 3 |
| doi_str_mv | 10.1093/asj/sjaa002 |
| format | Article |
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Background
Autologous fat grafting is a helpful supplement to facelift surgery that helps to combat age-related volume loss of facial structures. Despite the widespread prevalence of combined facelift and fat-grafting, significant procedural variation exists between providers.
Objectives
The primary purpose of this systematic review was to study the efficacy and complication rates of facelift with lipofilling compared with facelift alone.
Methods
A systematic review of the Cochrane Library and MEDLINE databases as completed was undertaken to identify all clinical reports of fat grafting combined with facelift surgery based on the following key terms: (“fat grafting” OR “lipotransfer” OR “lipofilling” OR “fat transfer”) AND (“facelift” OR “rhytidectomy” OR “SMASectomy” OR “facial rejuvenation”). Data on techniques, outcomes, complications, and patient satisfaction were collected.
Results
The systematic review was performed in April 2017. In total, 248 articles were identified for review. After application of exclusion criteria, 15 primary studies were included in this review. Various facelift techniques were reported, including deep-plane or sub–superficial musculoaponeurotic system (SMAS) facelift, SMAS facelift, modified minimal access cranial suspension lift, component facelift, midface lift, SMAS plication, SMAS-stacking/SMASectomy, and SMASectomy. The most common locations of fat graft injection included the nasolabial folds, tear troughs, temporal regions, midface/cheek/malar eminence, marionette groove, lips, and ear lobes. The addition of fat grafting to facelift surgery resulted in significant improvements in facial volume and aesthetic assessments.
Conclusions
Combined facelift and fat grafting is a safe and efficacious means to simultaneously address age-related ptosis and volume loss. Further research is required to validate and improve existing treatment modalities.
Level of Evidence: 3</description><identifier>ISSN: 1090-820X</identifier><identifier>EISSN: 1527-330X</identifier><identifier>DOI: 10.1093/asj/sjaa002</identifier><identifier>PMID: 31907534</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adipose Tissue - surgery ; Humans ; Life Sciences & Biomedicine ; Nasolabial Fold ; Rejuvenation ; Rhytidoplasty ; Science & Technology ; Superficial Musculoaponeurotic System - surgery ; Surgery</subject><ispartof>Aesthetic surgery journal, 2021-01, Vol.41 (1), p.1-12</ispartof><rights>2020 The Aesthetic Society. Reprints and permission: journals.permissions@oup.com 2020</rights><rights>2020 The Aesthetic Society. Reprints and permission: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>23</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000608399200003</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c386t-f7b349d0e622e90dc34bbc4d5bd34be29e3d4d66636b3ade00572cf815b02e1a3</citedby><cites>FETCH-LOGICAL-c386t-f7b349d0e622e90dc34bbc4d5bd34be29e3d4d66636b3ade00572cf815b02e1a3</cites><orcidid>0000-0001-7305-2985</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,1586,27931,27932,39265</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31907534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Molina-Burbano, Felipe</creatorcontrib><creatorcontrib>Smith, J Michael</creatorcontrib><creatorcontrib>Ingargiola, Michael J</creatorcontrib><creatorcontrib>Motakef, Saba</creatorcontrib><creatorcontrib>Sanati, Paymon</creatorcontrib><creatorcontrib>Lu, Jocelyn</creatorcontrib><creatorcontrib>Taub, Peter J</creatorcontrib><creatorcontrib>Hill, Michael E</creatorcontrib><title>Fat Grafting to Improve Results of Facelift: Systematic Review of Safety and Effectiveness of Current Treatment Paradigms</title><title>Aesthetic surgery journal</title><addtitle>AESTHET SURG J</addtitle><addtitle>Aesthet Surg J</addtitle><description>Abstract
Background
Autologous fat grafting is a helpful supplement to facelift surgery that helps to combat age-related volume loss of facial structures. Despite the widespread prevalence of combined facelift and fat-grafting, significant procedural variation exists between providers.
Objectives
The primary purpose of this systematic review was to study the efficacy and complication rates of facelift with lipofilling compared with facelift alone.
Methods
A systematic review of the Cochrane Library and MEDLINE databases as completed was undertaken to identify all clinical reports of fat grafting combined with facelift surgery based on the following key terms: (“fat grafting” OR “lipotransfer” OR “lipofilling” OR “fat transfer”) AND (“facelift” OR “rhytidectomy” OR “SMASectomy” OR “facial rejuvenation”). Data on techniques, outcomes, complications, and patient satisfaction were collected.
Results
The systematic review was performed in April 2017. In total, 248 articles were identified for review. After application of exclusion criteria, 15 primary studies were included in this review. Various facelift techniques were reported, including deep-plane or sub–superficial musculoaponeurotic system (SMAS) facelift, SMAS facelift, modified minimal access cranial suspension lift, component facelift, midface lift, SMAS plication, SMAS-stacking/SMASectomy, and SMASectomy. The most common locations of fat graft injection included the nasolabial folds, tear troughs, temporal regions, midface/cheek/malar eminence, marionette groove, lips, and ear lobes. The addition of fat grafting to facelift surgery resulted in significant improvements in facial volume and aesthetic assessments.
Conclusions
Combined facelift and fat grafting is a safe and efficacious means to simultaneously address age-related ptosis and volume loss. Further research is required to validate and improve existing treatment modalities.
Level of Evidence: 3</description><subject>Adipose Tissue - surgery</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Nasolabial Fold</subject><subject>Rejuvenation</subject><subject>Rhytidoplasty</subject><subject>Science & Technology</subject><subject>Superficial Musculoaponeurotic System - surgery</subject><subject>Surgery</subject><issn>1090-820X</issn><issn>1527-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkUFr3DAQhUVJSdIkp96LTqFQ3Iwl22vnFkw2DQRamgRyM2NpFLSsra0kb9h_X213m95KTvNgvjfMvGHsYw5fc2jkBYbFRVggAoh37DgvxSyTEp4OkoYGslrA0xH7EMICIOFVcciOZN7ArJTFMdvMMfIbjyba8ZlHx2-HlXdr4j8pTMsYuDN8joqW1sRLfr8JkQaMVqX-2tLLtn2PhuKG46j5tTGkol3TSOGPtZ28pzHyB08Yh636gR61fR7CKXtvcBnobF9P2OP8-qH9lt19v7ltr-4yJesqZmbWy6LRQJUQ1IBWsuh7Veiy10mRaEjqQldVJateoiaAciaUqfOyB0E5yhP2eTc33fVrohC7wYZ00BJHclPohJSFKJOrSOiXHaq8C8GT6VbeDug3XQ7dNusuZd3ts070p_3gqR9Iv7J_w01AvQNeqHcmKEujolcsfaOCWjaNSApka2PK1Y2tm8b4b5O3WBN9vqPdtPrvyr8BFPOqrw</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Molina-Burbano, Felipe</creator><creator>Smith, J Michael</creator><creator>Ingargiola, Michael J</creator><creator>Motakef, Saba</creator><creator>Sanati, Paymon</creator><creator>Lu, Jocelyn</creator><creator>Taub, Peter J</creator><creator>Hill, Michael E</creator><general>Oxford University Press</general><general>Oxford Univ Press</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7305-2985</orcidid></search><sort><creationdate>20210101</creationdate><title>Fat Grafting to Improve Results of Facelift: Systematic Review of Safety and Effectiveness of Current Treatment Paradigms</title><author>Molina-Burbano, Felipe ; Smith, J Michael ; Ingargiola, Michael J ; Motakef, Saba ; Sanati, Paymon ; Lu, Jocelyn ; Taub, Peter J ; Hill, Michael E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-f7b349d0e622e90dc34bbc4d5bd34be29e3d4d66636b3ade00572cf815b02e1a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adipose Tissue - surgery</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Nasolabial Fold</topic><topic>Rejuvenation</topic><topic>Rhytidoplasty</topic><topic>Science & Technology</topic><topic>Superficial Musculoaponeurotic System - surgery</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Molina-Burbano, Felipe</creatorcontrib><creatorcontrib>Smith, J Michael</creatorcontrib><creatorcontrib>Ingargiola, Michael J</creatorcontrib><creatorcontrib>Motakef, Saba</creatorcontrib><creatorcontrib>Sanati, Paymon</creatorcontrib><creatorcontrib>Lu, Jocelyn</creatorcontrib><creatorcontrib>Taub, Peter J</creatorcontrib><creatorcontrib>Hill, Michael E</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic surgery journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Molina-Burbano, Felipe</au><au>Smith, J Michael</au><au>Ingargiola, Michael J</au><au>Motakef, Saba</au><au>Sanati, Paymon</au><au>Lu, Jocelyn</au><au>Taub, Peter J</au><au>Hill, Michael E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fat Grafting to Improve Results of Facelift: Systematic Review of Safety and Effectiveness of Current Treatment Paradigms</atitle><jtitle>Aesthetic surgery journal</jtitle><stitle>AESTHET SURG J</stitle><addtitle>Aesthet Surg J</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>41</volume><issue>1</issue><spage>1</spage><epage>12</epage><pages>1-12</pages><issn>1090-820X</issn><eissn>1527-330X</eissn><abstract>Abstract
Background
Autologous fat grafting is a helpful supplement to facelift surgery that helps to combat age-related volume loss of facial structures. Despite the widespread prevalence of combined facelift and fat-grafting, significant procedural variation exists between providers.
Objectives
The primary purpose of this systematic review was to study the efficacy and complication rates of facelift with lipofilling compared with facelift alone.
Methods
A systematic review of the Cochrane Library and MEDLINE databases as completed was undertaken to identify all clinical reports of fat grafting combined with facelift surgery based on the following key terms: (“fat grafting” OR “lipotransfer” OR “lipofilling” OR “fat transfer”) AND (“facelift” OR “rhytidectomy” OR “SMASectomy” OR “facial rejuvenation”). Data on techniques, outcomes, complications, and patient satisfaction were collected.
Results
The systematic review was performed in April 2017. In total, 248 articles were identified for review. After application of exclusion criteria, 15 primary studies were included in this review. Various facelift techniques were reported, including deep-plane or sub–superficial musculoaponeurotic system (SMAS) facelift, SMAS facelift, modified minimal access cranial suspension lift, component facelift, midface lift, SMAS plication, SMAS-stacking/SMASectomy, and SMASectomy. The most common locations of fat graft injection included the nasolabial folds, tear troughs, temporal regions, midface/cheek/malar eminence, marionette groove, lips, and ear lobes. The addition of fat grafting to facelift surgery resulted in significant improvements in facial volume and aesthetic assessments.
Conclusions
Combined facelift and fat grafting is a safe and efficacious means to simultaneously address age-related ptosis and volume loss. Further research is required to validate and improve existing treatment modalities.
Level of Evidence: 3</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>31907534</pmid><doi>10.1093/asj/sjaa002</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7305-2985</orcidid></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; Alma/SFX Local Collection |
| subjects | Adipose Tissue - surgery Humans Life Sciences & Biomedicine Nasolabial Fold Rejuvenation Rhytidoplasty Science & Technology Superficial Musculoaponeurotic System - surgery Surgery |
| title | Fat Grafting to Improve Results of Facelift: Systematic Review of Safety and Effectiveness of Current Treatment Paradigms |
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