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Early Fat Grafting for Augmentation in Craniofacial Microsomia
Yoshiaki Sakamoto1, Eric Arnaud2
1Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Japan.
The Journal of Craniofacial Surgery
|March 3, 2021
Summary
Early fat grafting in infants with craniofacial microsomia effectively camouflages facial asymmetry. This approach offers acceptable outcomes without overcorrection, providing a valuable option for managing soft tissue defects in young patients.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Regenerative Medicine
Background:
- Craniofacial microsomia presents complex hard and soft tissue defects.
- Microvascular free tissue transfers are standard for soft tissue reconstruction post-puberty.
- Early intervention strategies for facial contouring are needed.
Purpose of the Study:
- To evaluate the efficacy of early fat grafting for camouflaging facial asymmetry in infants with craniofacial microsomia.
- To assess the safety and outcomes of fat grafting in this pediatric population.
Main Methods:
- Retrospective case series of five infants with craniofacial microsomia.
- Performed early fat grafting at approximately six months of age.
- Monitored for outcomes related to facial contour symmetry and overcorrection.
Main Results:
- Acceptable aesthetic outcomes were achieved in all five patients.
- No instances of overcorrection were observed.
- Early fat grafting successfully camouflaged facial asymmetry.
Conclusions:
- Early fat grafting is a viable and effective method for improving facial symmetry in infants with craniofacial microsomia.
- This technique offers a safe alternative for soft tissue management before puberty.
- The findings support the use of early fat grafting to address contour deformities in craniofacial microsomia.

