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Lipotransfer in the upper third of the face

Chen, Henry H.a,b; Williams, Edwin F.a,b

Current Opinion in Otolaryngology & Head and Neck Surgery: August 2011 - Volume 19 - Issue 4 - p 289–294
doi: 10.1097/MOO.0b013e32834896a0
Facial plastic surgery: Edited by Julian M. Rowe-Jones

Purpose of review The purpose of this article is to review the latest developments and techniques in lipotransfer to the upper third of the face.

Recent findings Volume loss is becoming increasingly recognized as a significant contributor to upper facial aging. Lipotransfer has been used more extensively because fat exhibits many qualities of an ideal filler, able to restore volume to deflated tissues. Whereas certain nuances and differences in techniques exist, all authors agree that transfer of conservative volumes of fat in key regions of the upper face restores a natural youthful look.

Summary Volume loss in the upper third of the face contributes significantly to aging. The use of lipotransfer in this area is an important adjunct to traditional surgical techniques. It can also be used as a primary rejuvenation procedure in select patients. More studies are needed to elucidate the optimal method of fat harvest, processing, and injection as well as longevity of transplanted grafts.

aDepartment of Facial Plastic and Reconstructive Surgery, Williams Center Plastic Surgery Specialists, Latham

bDepartments of Facial Plastic and Reconstructive Surgery and Surgery, Division of Otolaryngology-Head and Neck Surgery, Albany Medical Center, Albany, New York, USA

Correspondence to Edwin F. Williams, III, MD, FACS, Williams Plastic Surgery Specialists, 1072 Troy Schenectady Road, Latham, NY 12110, USATel: +1 518 786 7000; fax: +1 518 786 1160; e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.