Facial plast Surg 2012; 28(01): 21-33
DOI: 10.1055/s-0032-1305787
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Autologous Fat Grafting to the Lower One-Third of the Face

Stephen Metzinger
1  Department of Plastic Surgery, Aesthetic Surgical Associates, Metairie, Louisiana
James Parrish
2  Department of Surgery, Mid Louisiana Surgical Specialists, Alexandria, Louisiana
Aldo Guerra
3  Department of Plastic Surgery, AB Guerra Plastic Surgery Center, Scottsdale, Arizona
Rick Zeph
4  Department of Facial Plastic Surgery, Zeph Cosmetic Surgery, Carmel, Indiana
› Author Affiliations
Further Information

Publication History

Publication Date:
14 March 2012 (online)


Volume loss contributes as much to the aging appearance of the face as sagging and rhytids. This occurs in the nasolabial and labiomental creases, as well as the lips, mandibular ramus, and the prejowl sulcus. Treatment of these areas with autogenous fat has yielded results that are generally good, but often of brief duration. To obtain the best results, trauma to the transplanted adipocytes must be avoided through meticulous attention to the details of technique. Observed complications are usually minor. Despite variability in the duration of effect, the fact that autogenous fat is relatively inexpensive and readily available makes it a viable alternative for facial volume replacement.