Autologous Free Fat Grafting for Management of the Facial Contour Asymmetry

The Journal of Craniofacial Surgery
Rafael DenadaiCassio Eduardo Raposo-Amaral

Abstract

The purposes of this study were to report autologous free fat grafting as the workhorse procedure to augment the facial soft-tissue envelope and restore facial contour symmetry of patients with asymmetric facial malformations; to detail the SOBRAPAR Hospital algorithm for soft-tissue reconstruction of patients with facial contour asymmetry; and to assess facial symmetry after fat grafting. A retrospective analysis of consecutive patients (n = 178) who underwent fat grafting to restore the facial contour symmetry according to the SOBRAPAR Hospital algorithm between 2009 and 2016 was conducted. Computerized photogrammetric quantitative and qualitative facial symmetry analyses were performed. There were significant (all P < 0.05) postoperative quantitative facial symmetry enhancement and an overall qualitative facial symmetry enhancement, with a mean fat graft procedures per patient of 1.6 ± 0.7, ranging of 1 to 3. A significant improvement of facial contour symmetry was obtained in a subset of patients using fat grafting according to the SOBRAPAR Hospital algorithm.

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Citations

Mar 7, 2019·The Journal of Craniofacial Surgery·Rafael DenadaiCassio Eduardo Raposo-Amaral
Oct 15, 2019·The Journal of Craniofacial Surgery·Rafael DenadaiCassio Eduardo Raposo-Amaral
Jan 3, 2020·The Journal of Craniofacial Surgery·Cassio Eduardo Raposo-AmaralCesar Augusto Raposo-Amaral
Apr 30, 2019·Plastic and Reconstructive Surgery·Rafael DenadaiCassio Eduardo Raposo-Amaral
Jun 11, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Rafael Denadai, Lun-Jou Lo
Feb 13, 2020·Annals of Plastic Surgery·Casey AndersonPetros Konofaos
Feb 23, 2021·Aesthetic Plastic Surgery·Chenzhi LaiXiaolei Jin

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