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Facial Fat Grafting: The Past, Present, and Future
Francesco M Egro1, Sydney R Coleman1
1Department of Plastic Surgery, University of Pittsburgh Medical Center, 3550 Terrace Street, 6B Scaife Hall, Pittsburgh, Pennsylvania 15261, USA.
Clinics in Plastic Surgery
|November 20, 2019
Summary
Fat grafting, a minimally invasive technique, offers safe solutions for aging and deformities. Future advancements promise enhanced regenerative therapies for facial reconstruction.
Area of Science:
- Plastic Surgery
- Regenerative Medicine
- Tissue Engineering
Background:
- Fat grafting has a long history, evolving over two centuries.
- It is a key technique in aesthetic and reconstructive surgery.
- The Coleman technique offers a reliable method for fat harvesting and processing.
Observation:
- Fat grafting effectively addresses signs of aging and sun damage.
- It corrects congenital and acquired craniofacial deformities.
- Current understanding of fat grafting biology, survival, and regeneration requires further investigation.
Findings:
- The Coleman technique provides consistent results in fat grafting procedures.
- Fat grafting is a safe and minimally invasive option for various facial concerns.
- Unanswered questions persist regarding the biological mechanisms underlying fat graft survival and efficacy.
Implications:
- Future fat grafting may integrate cell-based therapies for improved outcomes.
- Extracellular matrix-based scaffolds show potential in enhancing fat graft regeneration.
- Facial fat grafting continues to be a revolutionary procedure with promising future developments.

