Lipofilling of various areas of the face for optimal beautification and rejuvenation

Loss of bone and soft tissue volumes entails a decrease in projection, skin ptosis, the appearance of depressions, deepening of the nasolabial folds and furrows in the cheek area. Young contours are distorted, the face becomes visually more emaciated and aged.

You can restore attractive facial shapes with the help of lipofilling, that is, injections of your own fat. Aesthetic medicine specialists use various techniques (Coleman, 3M3L, Nanolipofilling) to obtain optimal results.

This article estet-portal.com presents the view of doctors Kai Kay ( Kai Kaye) and Gabriela Casabona >) for zonal facial rejuvenation with autologous fat. Temporal area lipofilling

• Lipofilling of the middle third of the face/malar area
• Lipofilling of the lower jaw and its angle
• Lipofilling of the periorbital zone/eyebrows
• Lipofilling of the perioral zone and lips
• Piriformis / nasolabial fold / deep cheek fat pads
• Collection and preparation of autologous fat for facial correction
• Safety of the lipofilling procedure for facial rejuvenation
• a Lipofilling of the temporal zone Deflation of the temporal zone due to the loss of volumes of fat compartments leads not only to drooping of the eyebrow and the lateral part of the face
, but also in some cases to skeletonization and deformity of the contour in the anterior part of the temples.

Our goal – not only to volumize deep fat pads to

contour

, but also to augment projection and support the lateral brow and cheeks.

Read also: Technical aspects and perspectives of the lipofilling technique

Nanofat. It provides rejuvenation of the dermis due to the effect of the stromal vascular fraction (SVF):

type of fat: micro or nano fat;

target layer:

microfat – deep in the back of the temple (behind the hairline), deep compartments in the anterior zone of the temple; nanofat – intramuscularly, as well as superficial fat packs;
• effect:
lifting and revolumization of the lateral part of the eyebrow, lifting of the lower lateral part of the temple, lateral orbital zone.

Lipofilling of the malar area / middle third of the face In the process of aging, deflation of the middle third of the face occurs quite early. Because volume loss and progressive loss of bony support in the lower orbital ridge quickly leads to lower eyelid support, even young patients often present to the doctor complaining of a tired appearance. Infraorbital fat revolutionization and restoration of lower eyelid support

– the main goals of face lipofilling in this area along with the correction of the contour of the zygomatic bone, which provides augmentation of the projection and lifting of the lateral part of the face:

fat type: microfat;

Target layers:Anterior and lateral deep cheek compartments, infraorbital fat;

• effect:improve the contour of the cheeks, a smooth transition between the cheeks and the lower part of the face, as well as between the lower
eyelid and the cheeks; as a result, more "rested" view.
• Lipofilling of the lower jaw and its angle
• The mandible not only determines the degree of masculinity of the face in men, but also provides support for the facial skin in patients of both sexes. The lack of such support leads to premature appearance of fleas.

Fig. 2:

perioral area (A) before and (B) after intradermal injection of SNIF

How to make the procedure of face lipofilling as effective as possible The angle of the mandible and the mental prominence begin to lose projection from the age of 25, therefore volume and angle restoration should be considered at a fairly young age (in both men and women) in order to delay the age-related changes described above:

fat type:

microfat; target layer: deep to SMAS/periosteal;

effect: improved jaw contour and definition; an increase in the posterior projection of the angle of the lower jaw and anterior

th projection of the chin protrusion; lifting of the anterior part of the neck.
• Eyebrow/periorbital lipofilling
• Progressive drooping of the brow, caused by sagging forehead skin combined with deflation of supraorbital fat, leads to heavier upper eyelids and a sad facial expression.
• Atrophy of the superficial part of the supraorbital fat under the crease of the eyelid leads to an increase in the visible height of the upper eyelid (doll-eye effect). Age-related atrophy of the infraorbital fat results in an increase in the apparent length of the lower eyelid and a deepening of the junction between the eyelid and the cheek. As a result, underlying structures such as fat compartments and canthal ligaments become visible, and
skeletalization of the infraorbital zone

.

Restoration of the fullness of the lateral eyebrow and the projection of its shape – key goals when working with this zone.

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Restoration of the fullness of the lateral eyebrow and the projection of its shape

– key goals in working with this area, along with reducing the height of the upper eyelid, eliminating the skeletonization of the lower eyelid and dark circles under the eyes:

fat type: micro and nanofat; target layer: eyebrows and forehead – microfat is injected periosteally; upper eyelid – microfat is injected into the supraorbital compartment and nanofat – superficially in the crease of the upper eyelid; lower eyelid – nanofat is injected into the circular muscle of the eye and nanofat – over this muscle;

effect:improve the contour of the eyebrow, restore fullness and lift of the lateral part of the eyebrow, eliminate the effect of skeletonization, correct the height of the eyelid and connect the eyelid and cheek, eliminate dark circles under the eyes

i.
• Lipofilling of the lips and perioral zone 
• At about age 25, the maxillary bone begins to lose projection. Over time, the deep axillary fat compartments also lose volume, resulting in insufficient support for the above anatomical structures. The attractive curves of the lips disappear or become less pronounced. In some cases, wrinkles appear above the upper lip.
• Restoring support and youthful lip shape – the main goal when working with this zone, which is complemented by volume restoration and correction of dermal wrinkles:

fat type:

microfat and nanofat;

target layers:

microfat – deep compartments in the perioral zone/filtrum area, intramuscularly in the lips; nanofat – white roller, superficial sublermal layers of the upper lip; Effect: improved lip contour and proportions, smoother skin and smoother wrinkles around the mouth.

Fig. 3:
• (A) before and (B) after face lipofilling: microfat – chin (7 ml), lower jaw – 8 ml, lower jaw angle – 6 ml, lower and upper lips – 2 ml each, filtrum/supraoral zone – 6 ml, painting area – 6 m

l, lateral part of the eyebrow – 2 ml, whiskey – 6 ml in each zone

Formation of the nasolabial fold and its deepening – the result of the loss of soft tissue volume and bone projection not only along the line itself, but also in adjacent areas. Therefore, they must also be corrected in combination. Expansion of the piriformis space due to maxillary resorption results in internal rotation and soft tissue depression on both sides of the nose, loss of upper lip/filtrum support, and nasal base support. Facial lipofilling with the help of combined injections of one's own micro- and nano-fat allows not only to restore the youthful shape of the face, but also to improve its proportions and restore youthful radiance to the skin. As a result, support for the deep lateral cheek fat pads is weakened, leading to deflation of the deep cheek fat compartments and their sagging, further deepening the fold.

Fat transplantation for facial rejuvenation

In this zone, the main goal of –

restoration of a smooth transition from the cheeks to the perioral zone:

fat type:

microfat; target layers: deep – piriform space, deep cheek fat compartments, anterior nasal spine/filtrum – periosteally; axillary under the orbicular muscle of the eye;

effect: soft transition from the perioral zone to the cheek with volumization of the area around the mouth, restoration of the projection and curves of the lips, correction of the gingival smile, improved support for the base of the nose.

Fig. 4:
• before (A) and after (B) correction of the entire face of a transgender with microfat: forehead – 7 ml, chin – 4 ml, lower jaw – 10 ml, lips – 2 ml each, filtrum/area above the mouth – 4 ml, painting area – 8 ml, infraorbital

I zone – 3 ml, lateral part of the eyebrow – 4 ml, whiskey – 8 ml each

The authors resort to

manual destruction of adipocytes through filters of decreasing diameter or through multiple passes through a gradually closing three-way valve.

Fig. 5:

before (A) and after (B) microfat correction: forehead – 10 ml, lower jaw – 5 ml, chin – 4 ml, lips – 2 ml each, filtrum/supraoral zone – 4 l, painting area – 6 ml, infraorbital zone – 3 ml, lateral part of the eyebrow – 2 ml, whiskey – 8ml each

d AG). Safety of the lipofilling procedure for facial rejuvenation  The success of fat grafting depends on a number of factors. Careful handling of the material and distribution of aliquots of the patient's own fat is essential.

Before proceeding with lipofilling of the entire face with large volumes of autologous fat, the doctor must learn how to work with individual zones and small amounts of graft.

Fig.6:

(A) before and (B) after microfat correction of the infraorbital zone (4 ml) and the lateral part of the eyebrow (3 ml)

To reduce the risk of vascular injury, the injection route should be perpendicular to, rather than parallel to, large vessels.

Lipomodeling – safe alternative to injectable implants

Facial lipofilling with the help of combined injections of one's own micro- and nano-fat allows not only to restore the youthful shape of the face, but also to improve its proportions and restore youthful radiance to the skin.

Based on

magazine Prime

.

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