Autologous Granular Fat Grafting In Facial Rejuvenation

Objective: Long term follow up and evaluate the effect of autologous fat transplantation in the Facial Rejuvenation.Methods: 1. Anaesthesia:The recipients stay awake, only for Supply position of tumescent anesthesia, the configuration of swelling liquid: 500ml+2% saline epinephrine lidocaine 20ml+0.1% 0.5mg.2.Preparation of Granular Fat:The preferred inner thigh fat particles for extraction zone, followed by the lower abdomen, buttocks, upper arm and so on. Local anesthesia was performed at the point of the needle point, and the swelling liquid was injected through the injection point.After 10-20 min,Connecting the 20 ml syringe with 2.0mm diameter needle liposuction, manually pull pintle 2-3ml. The harvest of adipose tissue via the multiple tunnels, multi-level pumping in Subcutaneous fat layer.Droping the fat suspension into the filtering net, after the liquid is encapsulated into the 1m L syringe to reserve. 3.Injection method:The entry point away from 1 cm of the edge of the accepted area infiltrated Lidocaine for local anesthesia. The guiding needle poked a puncture hole with 16 sharp needles, according to the injection site choosing different diameter of fat transplantation.Liposuction needle under the skin down to the most distal sag, inject fat to accepted area from far to near according to principle of multiple points, micro, multi layer and multi tunnel.The injection amount of each point is controlled below 0.05 m L, the total injection volume can be more than 10% of the required filling amount or the affected area can be filled with full.Make the fat evenly distributed throughout the affected area, and with the surrounding tissue of natural integration, to improve the survival of fat particles volume.During the operation, the fat can be gently massage to make the fat particles evenly distributed.Results: Between January 2013 to February 2016. Application of transplantation of autologous fat granules with facial rejuvenation in 279 cases, Which also fill the frontotemporal, cheeks, eyes, orbital, cheek, nose, nasal lip ditch, chin or filling three or more parts in 148 cases,Frontaltemporal in 36 cases, filled cheek in 33 cases,filling the eyelids in 15 cases, filled nasolabial fold in 17 cases, chin in 23 cases,nose in 7 cases.Followed up for 3 months to 2 year, assisted surgery before and after photos, evaluats according to whether the smooth facial contour, regional filling is full, facial wrinkles, texture, colour and lustre is improved compared with the previous etc.counting degree of satisfaction from the surgeon,patient and third man.In this group of patients, 258 cases were operated by 1 times, and the results were satisfactory after surgery. 21 cases found obvious fat absorption,was satisfied after second times of fat transplantation with the effect of facial rejuvenation.Conclusion: A small amount of autologous granular fat grafting can effectively make facial rejuvenation and seem stable,acceptable and satisfactory.