By Jose Maria Serra-Renom, Jose Maria Serra-Mestre
This atlas offers a concise review of the main of fats grafting and its scientific purposes to regard getting older within the important components of the face in a minimally invasive demeanour. The authors begin with a brief description of the anatomical foundation of facial getting older and through providing present facial rejuvenation options. right here the emphasis is at the means of harvesting and getting ready macro-, micro-, intradermal and nano-fat for injection. because of the book’s various illustrations and brief descriptions, readers will locate worthy details on the place and the way to inject the fats mixed with the authors’ person innovations and refinements. getting older is a huge factor in today’s society. Facial rejuvenation methods search to reinforce the ultimate end result and sturdiness of surgical procedure and to lessen drawbacks. the present pattern is to take advantage of much less invasive equipment requiring fewer incisions, which produce extra natural-looking effects. This atlas indicates the authors’ own options to assist in achieving that goal.
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Extra resources for Atlas of Minimally Invasive Facelift: Facial Rejuvenation with Volumetric Lipofilling
Evidently, surgeons need to be aware of these situations in order to prevent them. Currently, the development of new forms of injection with small diameter cannulas or sharp needles has improved the results and made it possible to correct areas where until recently fat grafting could not be performed. Examples are in the eyelids and the tear trough, where the skin is very thin. In these areas in particular, great care is needed with regard to the selection of the correct volume of fat to be injected and the depth of injection, especially when using sharp needles, in order to prevent damage to vessels or other structures.
M. M. 1007/978-3-319-33018-1_5 21 22 5 During the intraoperative phase, it helps to divide the face into different compartments or areas and to count the amount of fat that is injected into each of the areas on both sides. The symmetry should also be assessed as the fat is injected. 5 Reabsorption Inevitably, some of the fat is reabsorbed. Although we believe that the degree of reabsorption depends on the technique and also the surgeon’s experience, changes in the weight of the patient may play an important role.
In necessary cases, although we favor the treatment of the excess skin of the lower eyelid very conservatively, we perform peeling with trichloroacetic acid or with a minimal resection of the skin without resecting the orbicular muscle, using the skin pinching technique; this allows us to leave the middle lamella intact and reduces the chance of scleral show or ectropion . After this correction, we assess the height of the eyelid, which may remain excessively long and may give an appearance of tiredness, even though the fat herniation has been addressed.