Institutional members access full text with Ovid®

Share this article on:

Prospective Controlled Study of Chin Augmentation by Means of Fat Grafting

Basile, Filipe V. M.D.; Basile, Antonio R. M.D.

Plastic and Reconstructive Surgery: December 2017 - Volume 140 - Issue 6 - p 1133–1141
doi: 10.1097/PRS.0000000000003895
Cosmetic: Original Articles
Video Discussion
Press Release

Background: Although fat grafting is a valuable tool for different areas of plastic surgery, its use in the chin area has never been evaluated. A variety of methods are available for adjusting suboptimal chin morphology, and they each present drawbacks.

Methods: A prospective controlled study was performed to evaluate whether fat grafting increases the chin volume and sagittal projection and to determine the magnitude and nature of the observed changes. Forty-two consecutive patients underwent chin augmentation by means of fat grafting between October of 2014 and January of 2016. All patient images were analyzed using a software program (Fiji package of ImageJ), which creates a three-dimensional version of the chin that is used to produce reliable estimates of the volume and gain in sagittal projection.

Results: All 42 patients showed an increase in the sagittal projection and total volume at 4 weeks and 6 months after surgery. The sagittal projection increased from 4 mm to 12 mm (average, 8.9 mm) and from 3 mm to 11 mm (average, 7 mm) after 4 weeks and 6 months, respectively. The total volume increase ranged from 3 to 11 ml (average, 8 ml) after 4 weeks and from 3 to 8 ml (average, 7.4 ml) after 6 months.

Conclusion: Fat grafting to the chin area is a reliable method for improving chin volumes (to a maximum of approximately 10 cc in our study) and sagittal projections (to a maximum of approximately 11 mm in our study).

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Supplemental Digital Content is available in the text.Video Discussion by Bernard Markowitz, M.D., is Available Online for this Article.

Ribeirao Preto, São Paulo, Brazil

From private practice.

Received for publication December 18, 2016; accepted June 23, 2017.

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

Supplemental digital content is available for this article. Direct URL citations appear in the text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s website (www.PRSJournal.com).

A Video Discussion by Bernard Markowitz, M.D., accompanies this article. Go to PRSJournal.com and click on “Video Discussions” in the “Digital Media” tab to watch.

Filipe V. Basile, M.D., Av Prof Joao Fiusa 2300, Ribeirao Preto, São Paulo, Brazil, fibasile@gmail.com

©2017American Society of Plastic Surgeons