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Surgical Approach to Full Soft Tissue Face Allograft Procurement for Vascularized Composite Allotransplantation
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Fat grafting of the midface
Christian L Stallworth1, Tom D Wang
1Department of Facial Plastics and Reconstructive Surgery, Oregon Health and Science University, Portland, Oregon 97239-3098, USA.
Abstract:
Autogenous fat injection of the midface is a viable and lasting remedy for midface soft tissue loss and has become a mainstay in facial rejuvenation. This serves as either a stand-alone technique or as an adjunct to other restorative lifting and repositioning techniques depending on patient needs. Although the use of fat grafting carries the inherent concern for resorption and a need for additional augmentation in the future, several tenets of fat transfer have emerged over the past century. Founded in these principles, the regimen set forth here has proved reliable and reproducible with little to no evidence of resorption over time.
