A SIMPLE AUTOLOGOUS MICRO FAT INJECTION TECHNIQUE FOR THE CORRECTION OF AESTHETIC FACIAL CONTOUR DEFORMITIES.

Dr.T.M.Balakrishnan; Dr.K.Raja; DR.J.Jaganmohan

Volume : VI, Issue : V, May - 2017

A SIMPLE AUTOLOGOUS MICRO FAT INJECTION TECHNIQUE FOR THE CORRECTION OF AESTHETIC FACIAL CONTOUR DEFORMITIES.

Dr. T. M. Balakrishnan, Dr. K. Raja, Dr. J. Jaganmohan

Abstract :

Introduction

After the introduction of liposuction by Illouz and Fournier in 1980s there was spurt of interest in autologous microfat grafting by fine cannulas. The Facial volume deficit contour deformities occur from a variety of causes like ageing,congenital,post traumatic, post surgical, post infective and others. To fill these volume deficit contour deformities, there are lot of filler materials available. Autologous Fat is an excellant filler which is easily available with least morbidity at donor area. This article reports on the simple technique utilizing easily available commodities in the operation theatre for microfat injection of facial contour deformities with long term volume retention effect.

Aim

To validate this simple technique of autologous micro fat injection for the correction of facial contour deformities.

Patients and methods

Coleman devised techniques for fat aspiration and injection by using specialised cannulas, and syringes, also sophisticated equipment like centrifuge is needed. In our clinical study, by using simple technique of harvesting,separating and refining the fat and subsequently using blunt 14 G needle with one ml syringes for injection, author corrected the facial deformities in an average 1.4 attempts in 36 cases to give predictable and lasting correction results. With out centrifugation and keeping the syringe erect on its end, allowed the fat layer to separate by its own density.The autologous microfat was refined before injection by decanting and saline washing. This technique also employs simple instruments readily available in operation theatre

Results

All had maintained good to excellent results except 2 patients with respect to correction of deformities in an average follow up of 24 month. Only 4 (three Romberg�s disease case and one case of idiopathic sub cutaneous fat atrophy) patients had two procedures separated on average by 3.5 months rest of them (32 cases) needed no secondary procedure. Two patients had purpura, 16 had mild to moderate postoperative edema, all resolved on conservative treatment. Neither at donor nor at recipient sites, any other complications noted in our series. Facial skin qualities improved in all cases. Skin pigmentation in the Romberg�s also improved well in all 3 cases.

Conclusion

This simple autologous micro fat injection is easily adoptable technique resulting in the good lasting and predictable aesthetic results. This can be carried out in any simple sterile environment utilizing easily available commodities in any operation theatre except for the syringe liposuction cannula.