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The Facial Fat Compartments Revisited: Clinical Relevance to Subcutaneous Dissection and Facial Deflation in Face Lifting

Stuzin, James M. M.D.; Rohrich, Rod J. M.D.; Dayan, Erez M.D.

Plastic and Reconstructive Surgery: November 2019 - Volume 144 - Issue 5 - p 1070-1078
doi: 10.1097/PRS.0000000000006181
Cosmetic: Special Topic
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Summary: The facial fat compartments were described over a decade ago, but their clinical relevance to both deflation and techniques in facial rejuvenation is underappreciated. Although much of the literature following their description has focused on further anatomical elucidation of compartment anatomy, clinical relevance has focused on volumetric compartment augmentation. From the authors’ perspective, understanding compartmentalization of facial fat provides an anatomical roadmap of the facial subcutaneous plane and a patient-specific guide for the degree of skin flap dissection in facial rejuvenation. The compartmentalization of facial fat also explains the regional development of cheek deflation in aging. An individualized treatment plan to restore facial shape can be achieved with deep compartment volume augmentation and repositioning of superficial facial fat using the superficial musculoaponeurotic system.

Miami, Fla.; and Dallas, Texas

From the Institute of Aesthetic Medicine and the Dallas Plastic Surgery Institute.

Received for publication January 20, 2019; accepted June 3, 2019.

Disclosure:Dr. Stuzin has no financial interests to disclosure. Dr. Rohrich receives instrument royalties from Eriem Surgical, Inc., and book royalties from Thieme Medical Publishing; he is a clinical and research study expert for Allergan, Inc., Galderma, and MTF Biologics, and the owner of Medical Seminars of Texas, LLC. No funding was received for this article. Dr. Dayan is a consultant for InMode Aesthetic Solutions and an owner/developer of wikiPlasticSurgery.com.

Related digital media are available in the full-text version of the article on www.PRSJournal.com.

James M. Stuzin, M.D., 3225 Aviation Avenue, Suite 100, Coconut Grove, Fla. 33133, jms3225@bellsouth.net

Copyright © 2019 by the American Society of Plastic Surgeons