Fat Transplantion: Different Clinical Applications to Achieve Symmetry in Face and Body Contouring

Introduction: Fat autograft was first described in 1893 by Neuber for cosmetic and congenital defects. Nowadays its use is becoming widespread for soft tissue augmentation to improve simmetry and contour in all areas of the face and body. The authors present their experience with face and body contouring by fat autograft in post-oncological, post-traumatic and cosmetic settings. Materials and Methods: Between 2005 and 2008 31 patients underwent fat autografting in the plastic surgery unit of the university of palermo. There were 10 cases of breast asimmetry after reduction mammaplasty, breast augmentation and breast recostruction; 3 cases of post-traumatic and 1 congenital deformities in the face; 20 cases of facial volume and shape restoration in the midface, lip and nasolabial fold. Results: Improvement of simmetry and contour restoration were obtained in all cases. 2 procedures were necessary on average. Probably due to the smaller amount of grafted fat, results are more reproducible in the face. Multiple stages were more frequently required in the breast. No relevant donor site morbity has been observed. The only complications were 2 cases of fat necrosis in the breast. Conclusion: Fat autografting is a useful tool to correct soft tissues asimmetries and to restore contour all over the body. Its efficacy is dependent on the amount of fat transferred and on the technique used in order to maximize take. The lesser the amount and the more accurate the placement, the better the take. however, multiple stages are frequently needed to optimize outcome.