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2025, Number 3

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Cir Plast 2025; 35 (3)

Safety and efficacy of autologous facial fat grafting in rejuvenation

Sánchez-García XA, Sánchez-Knupflemacher D
Full text How to cite this article 10.35366/121737

DOI

DOI: 10.35366/121737
URL: https://dx.doi.org/10.35366/121737

Language: Spanish
References: 10
Page: 134-139
PDF size: 364.66 Kb.


Key words:

facial fat transfer, facial rejuvenation, complications, volume retention, patient satisfaction, cosmetic surgery.

ABSTRACT

Autologous facial fat transfer has gained popularity as a rejuvenation technique for its ability to restore volume and improve skin quality naturally. However, variability persists in the literature regarding graft duration, complication rate, and degree of patient satisfaction. The objective of this work was to evaluate the safety and efficacy of autologous facial fat transfer in rejuvenation through a systematic review focused on volumetric retention, adverse events, and reported satisfaction levels. A systematic review was carried out in PubMed, Scopus, and Web of Science, covering the period from January 2015 to July 2024. Clinical studies in humans reporting functional or aesthetic results after facial lipoinjection were taken into account. Methodological quality was assessed through validated tools and the PRISMA 2020 statement was used to guide the process. Ten studies comprising a total of 1,245 patients were included. Volumetric retention ranged between 50% and 75% at 6-12 months. Complications were infrequent, the most common being partial resorption and contour irregularities. Patient satisfaction levels exceeded 90% in most studies. We concluded that autologous facial fat transfer is a safe and effective technique in facial rejuvenation, with high volume retention, few complications, and high patient satisfaction.


REFERENCES

  1. Groen JW, Krastev TK, Hommes J, Wilschut JA, Ritt MJPF, van der Hulst R. Autologous fat transfer for facial rejuvenation: a systematic review on technique, efficacy, and satisfaction. Plast Reconstr Surg Glob Open 2017; 5 (12): e1606.

  2. Gornitsky J, Viezel Mathieu A, Alnaif N, Azzi AJ, Gilardino MS. A systematic review of the effectiveness and complications of fat grafting in the facial region. JPRAS Open 2019; 19: 87-97.

  3. Krastev TK, Beugels J, Hommes J, Piatkowski A, van der Hulst R. Efficacy and safety of autologous fat transfer in facial reconstructive surgery: a systematic review and meta-analysis. JAMA Facial Plast Surg 2018; 20 (6): 442-450.

  4. Han Y, Liu C, Wu G. Cerebral complications following facial autologous fat graft injection: a systematic review and meta-analysis. Aesthet Surg J 2024; 48 (22): 4675-4686.

  5. Tuin AJ, Schepers RH, Spijkervet FKL, Vissink A, Jansma J. Volumetric effect and patient satisfaction after facial fat grafting: a 5-year follow-up. JPRASurg 2025 [Epub ahead of print].

  6. Azoury SC, Shakir S, Bucky LP, Percec I. Modern fat grafting techniques to the face and neck. Aesthetic Surg J 2021; 41 (Suppl 1): S50-S61.

  7. Schiraldi L, Sapino G, Meuli J, Maruccia M, Cherubino M, Raffoul W et al. Facial fat grafting (FFG): worth the risk? A systematic review of complications and critical appraisal. J Clin Med 2022; 11 (16): 4708.

  8. Vermeersch N, De Fré M, Verhoeven V, Hunter JE, Tondu T, Thiessen FEF. Autologous fat transfer for hand rejuvenation: A systematic review on technique and outcome. JPRAS Open 2022; 32: 182-194.

  9. Nasim S, Nasim H, Kauke M, Safi AF. Autologous fat grafting for cosmetic temporal augmentation: a systematic review. Front Surg 2024; 11: 1410162.

  10. Ma X, Huang J, Long X, Wang X. Quantifying outcomes of autologous fat transplantation in different facial deformities: A systemic review and meta-analysis. J Plast Reconstr Aesthet Surg 2023; 87: 117-130. doi: 10.1016/j.bjps.2023.09.007.




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Cir Plast. 2025;35