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
Hauptverfasser: Molina-Burbano, Felipe, Smith, J Michael, Ingargiola, Michael J, Motakef, Saba, Sanati, Paymon, Lu, Jocelyn, Taub, Peter J, Hill, Michael E
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container_end_page 12
container_issue 1
container_start_page 1
container_title Aesthetic surgery journal
container_volume 41
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
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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 &amp; Biomedicine ; Nasolabial Fold ; Rejuvenation ; Rhytidoplasty ; Science &amp; 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 &amp; Biomedicine</subject><subject>Nasolabial Fold</subject><subject>Rejuvenation</subject><subject>Rhytidoplasty</subject><subject>Science &amp; 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 &amp; Biomedicine</topic><topic>Nasolabial Fold</topic><topic>Rejuvenation</topic><topic>Rhytidoplasty</topic><topic>Science &amp; 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. 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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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