[Facial aesthetic lipostructure]

Coleman's lipostructrure, based on the use of specific material and on a strict methodology has reconciled the surgeons with adipocyte transfer. The quality of the lipostructure results depends significantly on: The topography of the graft locations (the best results being obtained in the malar, chin and cheek units), the candidates (better results in young women, less than 60 years). The quality of the lipostructure results has influenced our surgical strategy: Lipostructure can be used alone, or frequently associated with a face lift. We adopted a regional operatoring strategy: A more limited zone of face lift undermining enabling us to target lower cheeks and neck, adjunction of lipostructure in adjacent anterior locations. In our experience the association face lift-lipostructure gives good and natural results. Lipostructure is currently the best way to restore facial volumes.