Fat Grafting in Orthognathic Surgery

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Regenerative Medicine

Background:

• Fat grafting is a common procedure in craniofacial surgery.
• Orthognathic surgery aims to correct jaw and facial bone irregularities.
• Combining these procedures can potentially improve outcomes.

Purpose of the Study:

• To evaluate the safety and efficacy of fat grafting in patients undergoing orthognathic surgery.
• To detail the fat grafting technique used.
• To review postoperative outcomes and complications.

Main Methods:

• Retrospective review of 53 consecutive patients who underwent orthognathic surgery with fat grafting by the senior author in 2015.
• Analysis of patient demographics, surgical procedures, fat harvest and injection sites, and complications.
• Review of literature on fat grafting in craniofacial surgery.

Main Results:

• No donor site complications were recorded.
• The average fat injected was 13.1 cc.
• Over half of patients (52.8%) required a second fat grafting procedure, often during rhinoplasty.

Conclusions:

• Fat grafting is a safe and effective technique for improving wound healing and aesthetic results in orthognathic surgery.
• The Telfa processing and Coleman system ensure atraumatic fat delivery.
• The study supports the benefits of fat grafting, including wound healing, enhanced aesthetics, and anti-inflammatory effects.