American Association of Plastic Surgeons

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Autologous Fat Grafting in Teens: A Simple and Effective Way to Achieve Facial Balance
Frederick Lukash, MD, FACS, FAAP1, Munique Maia, MD2.
1Long Island Plastic Surgical Group, Garden City, NY, USA, 2Beth Israel Deaconess Medical Center- Harvard Medical School, Boston, MA, USA.

PURPOSE:
Rhinoplasty is the most common procedure seen in the teenage population. Many of these patients have facial imbalance both recognized and unrecognized by the individual and family. Most often it involves chin or midface deficiency.
Autologous fat transfer is a useful adjunct to achieve facial balance in chin and cheek in this population. More recently, we have been utilizing this technique to correct facial disharmony in rhinoplasty patients.
METHODS:
Fat grafting was performed in 22 rhinoplasty patients (age 15-19). Presurgical planning involved cephalometric and computer enhanced photographic analysis of the face. Midface retrusion and underprojected mentum were treated. Deficient sites were treated with small aliquots of fat, which were injected into the supraperiosteal plane. The average amounts of fat grafting injected per region were 2-3 cc for the malar region and 8-10 cc for the chin and geniomandibular borders.
RESULTS:
Twenty-two patients underwent augmentation of soft tissue and skeletal deficiencies. Analysis of postoperative results showed excellent outcomes with enhancement of facial profile and proportions. The mean follow up was 3 years. The majority of patients reported high degree of satisfaction. No complications were observed.
CONCLUSION:
The combination of rhinoplasty and fat grafting offers satisfactory aesthetic outcomes and improvement of facial balance with minimal added time, cost, and risk.
17-year-old patient underwent fat grafting to her chin and cheeks after rhinoplasty


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