Volumetric estimation of autologous fat for augmentation of contour defects of face

Shilpi Bhadani, Sujata Sarabahi, Savita Arora, Vinay Kumar Tiwari, Anmol Chugh


Autologous fat transfer for correcting contour defects of face has gained wide popularity in aesthetic surgery. However, quantification of fat requirement and its survival is still a fertile area for research to improve the predictability of volume retention of injected fat. There have been no detailed studies of the calculation for the amount of fat to be injected and percentage of fat retained. The objective of this study was to quantify the amount of fat required for correcting a facial deformity and amount retained postoperatively over a period of 6 months. Thirty patients were recruited in a prospective study where in, the fat requirement for augmenting the soft tissue defect was assessed using USG preoperatively and followed up at 1, 3 and 6 months by the same technique. It was found that USG is a simple, objective, reliable, cost-effective method of assessing the fat requirement and retention in autologous fat transfer.


fat transfer; augmentation; volumetry

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Neuber G. u¨ber dieWiederanheilung vollsta¨ndig vom Ko¨rper getrennter, die ganze Fettschicht enthaltender Hautstu¨cke [in German]. About the re-healing completely separated from the body, the whole fat layer containing skin pieces. Zbl f Chirurgie 1893; 30: 16.

Czerny V. Plastischer Ersatz der Brustdru¨ se durch ein Lipom [in German]. Plastic replacement of breast dysfunction by a lipoma. Arch f klin Chirurgie 1895; 50: 544–550.

Lexer E. Die freien Transplantationen. Stuttgart: Enke, 1919–1924: 264–547

Peer LA. Transplantation of tissues. Baltimore: Williams & Wilkins, 1955: 396Y–398

Illouz YG. The fat cell ‘‘graft’’: A new technique to fill depressions. Plast Reconstr Surg 1986; 78: 122–123.

Coleman SR. Facial recontouring with lipostructure. Clin Plast Surg 1997; 24: 347–367

Har-Shai Y, Lindenbaum ES, Gamliel-Lazarovich A, Beach D, Hirshowitz B. An integrated approach for increasing the survival of autologous fat grafts in the treatment of contour defects. Plast Reconstr Surg 1999; 104(4): 945–954. doi: 10.1097/00006534-199909040-00008.

Eremia S, Newman N. Long-term follow-up after autologous fat grafting: Analysis of results from 116 patients followed at least 12 months after receiving the last of a minimum of two treatments. Dermatol Surg 2000; 26: 1150–1158. doi: 10.1046/j.1524-4725.2000.00277.x.

Rubin A, Hoefflin SM. Fat purification: Survival of the fittest. Plast Reconstr Surg 2002; 109(4): 1463–1464. doi: 10.1097/00006534-200204010-00049.

Ersek RA. Transplantation of purified autologous fat: A 3-year follow-up is disappointing. Plast Reconstr Surg 1991; 87(2): 219–227.

Niechajev I, Sevcuk O. Long-term results of fat trans­plantation: clinical and histologic studies. Plast Reconstr Surg 1994; 94(3): 496–506

Nicareta B, Pereira LH, Sterodimas A, Illouz YG. Auto­logous gluteal lipograft. Aesthetic Plast Surg 2011; 35(2): 216–224. doi: 10.1007/s00266-010-9590-y.

Coleman SR. Long-term survival of fat transplants: Controlled demonstrations. Aesthetic Plast Surg 1995; 19(5): 421–425. doi: 10.1007/BF00453875.

Pereira LH, Radwanski HN. Fat grafting of the buttocks and lower limbs. Aesthetic Plast Surg 1996; 20(5): 409–416. doi: 10.1007/s002669900056.

Scarborough DA, Schuen W, Bisaccia E. Fat transfer for aging skin: technique for rhytids. J Dermatol Surg Oncol 1990; 16(7): 651–655. doi: 10.1111/j.1524-4725.1990.tb00095.x.

Gormley DE, Eremia S. Quantitative assessment of augmentation therapy. J Dermatol Surg Oncol 1990; 16(12): 1147–1151. doi: 10.1111/j.1524-4725.1990.tb00027.x.

Slack GC, Tabit CJ, Allam KA, Kawamoto HK, Bradley JP. Parry-romberg reconstruction: Beneficial results despite poorer fat take. Ann Plast Surg 2013; EPUB [ahead of print]

Choi M, Small K, Levovitz C, Lee C, Fadl A, et al. The volumetric analysis of fat graft survival in breast reconstruction. Plast Reconstr Surg 2013; 131(2): 185–191. doi: 10.1097/PRS.0b013e31829fe2c0.

Fontdevila J, Serra-Renom JM, Raigosa M, Berenguer J, Guisantes E, et al. Assessing the long-term viability of facial fat grafts: An objective measure using computed tomography. Aesthet Surg J 2008; 28(4): 380–386. doi: 10.1016/j.asj.2008.05.002.

Pierrefeu-Lagrange AC, Delay E, Guerin N, Chekaroua K, Delaporte T. Radiological evaluation of breasts re­constructed with lipomodeling. Ann Chir Plast Esthet 2006; 51(1): 18–28. doi: 10.1016/j.anplas.2005.10.001.

Hörl HW, Feller AM, Biemer E. Technique for liposuction fat reimplantation and long-term volume evaluation by magnetic resonance imaging. Ann Plast Surg 1991; 26(3): 248–258

Kaufman MR, Miller TA, Huang C, Roostaeian J, Wasson KL, et al. Autologous fat transfer for facial recontouring: Is there science behind the art? Plast Reconstr Surg 2007; 119(7): 2287–2296. doi: 10.1097/01.prs.0000260712.44089.e7.

Peer L. Loss of weight and volume in human fat grafts with postulation of a cell survival theory. Plast Reconstr Surg 1950; 5(3): 217–230

Chajchir A. Fat injection: Long-term follow-up. Aesthetic Plast Surg 1996; 20(4): 291–296. doi: 10.1007/BF00228458.

Kurita M, Matsumoto D, Shigeura T, Sato K, Gonda K, et al. Influences of centrifugation on cells and tissues in liposuction aspirates: Optimized centrifugation for lipotransfer and cell isolation. Plast Reconstr Surg 2008; 121(3): 1033–1041. doi: 10.1097/01.prs.0000299384.53131.87.

Rohrich RJ, Sorokin ES, Brown SA. In search of improved fat transfer viability: A quantitative analysis of the role of centrifugation and harvest site. Plast Reconstr Surg 2004; 113(1): 391–395. doi: 10.1097/01.PRS.0000097293.56504.00.

Ullmann Y, Shoshani O, Fodor A, Ramon Y, Carmi N, et al. Searching for the favorable donor site for fat injection: In vivo study using the nude mice model. Dermatol Surg 2005; 31: 1304–1307. doi: 10.1111/j.1524-4725.2005.31207.

DOI: https://doi.org/10.18282/jsd.v7.i1.168


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