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Orthognathic Surgery with Simultaneous Autologous Fat Transfer for Correction of Facial Asymmetry

Wang, Yu-Ching D.D.S., M.S.; Wallace, Christopher Glenn M.D., M.S.; Pai, Betty Chien-Jung D.D.S., M.S.; Chen, Hui-Ling D.D.S., M.S.; Lee, Yueh-Tse D.D.S., M.S.; Hsiao, Yen-Chang M.D.; Chang, Chun-Shin M.D., M.S.; Liao, Yu-Fang D.D.S., Ph.D.; Chen, Philip Kuo-Ting M.D.; Chen, Yu-Ray M.D.

Plastic and Reconstructive Surgery: March 2017 - Volume 139 - Issue 3 - p 693–700
doi: 10.1097/PRS.0000000000003113
Pediatric/Craniofacial: Original Articles

Background: Most patients treated with orthognathic surgery for facial asymmetry would value improvement in residual soft-tissue asymmetry. Autologous fat transfer is widely used to augment facial soft tissue. The authors assessed the effect of combining orthognathic surgery with autologous fat transfer for treating patients with facial asymmetry.

Methods: In this retrospective study, 15 consecutive adults underwent combined orthognathic surgery and autologous fat transfer between January of 2013 and December of 2015. Lower facial profile symmetry was assessed using postoperative standard frontal photographs.

Results: Lower facial symmetry was much improved by combining orthognathic surgery and autologous fat injection.

Conclusion: The combined use of orthognathic surgery and autologous fat transfer is a promising technique for improving facial symmetry in patients with facial asymmetry.


Taoyuan, Taiwan; and Exeter, United Kingdom

From the Division of Craniofacial Orthodontics, the Craniofacial Research Center, and the Departments of Medical Research, Plastic Surgery, and Craniofacial Orthodontics, Chang Gung Memorial Hospital; the Graduate Institute of Biochemical and Biomedical Engineering, College of Engineering, Chang Gung University; and the Department of Plastic Surgery, Royal Devon & Exeter Hospital.

Received for publication June 16, 2016; accepted September 9, 2016.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Chun-Shin Chang, M.D., Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, No. 123, Dinghu Road, Guishan District, Taoyuan City 33378, Taiwan,

©2017American Society of Plastic Surgeons