Survey finds "fat grafts" for facelift growing in popularity among plastic surgeons
Fat grafting, the practice of transplanting fat by injecting abdominal or other fat to fill out cheeks, creases, and sags, has become more widely embraced by plastic surgeons, according to results of a survey by NYU Langone Medical Center researchers. The survey group was composed of 309 randomly selected members of the American Society of Plastic Surgeons, the largest plastic surgery specialty group worldwide.
Participants were asked about their methods of harvesting, processing, and injecting fat, the most commonly selected injection sites, and their opinions on the overall efficacy of grafting as a facelift procedure, as well as how often they use it.
According to the NYU Langone team's findings, 85 percent of the 309 facial aesthetic surgeons surveyed use the technique to enhance the results of facelift procedures designed to smooth wrinkles and creases, and eliminate sagging. Of this group, over 70 percent reported adopting the method within the past 10 years.
"Our survey results show that plastic surgeons across the country are quickly adopting fat grafting as the standard in facelift procedures," says lead study investigator Sammy Sinno, MD, a plastic surgeon at NYU Langone.
Researchers say the survey is believed to be the first of its kind to determine the frequency and extent of plastic surgeons' use of the injectable fat-grafting method for facelifts. The survey results are summarized in the July issue of the journal Plastic and Reconstructive Surgery.
As part of the survey, Sinno and his team also investigated the ways in which plastic surgeons practice fat grafting. The most popular sources of fat were from the patient's abdomen (over 80 percent of the respondents' cases) and from the hips (10 percent of cases). The amount of fat injected into the face to replace volume loss from aging ranged from 11 cubic centimeters to 25 cubic centimeters (about 3 to 5 teaspoons).
Sinno notes that surgeons typically add extra fat to compensate for the amount of fat likely to be reabsorbed by the body, about 40 percent of the initial injection. The rest remains indefinitely. By contrast, synthetic, commercial dermal fillers, an alternative to injected fat, last only nine months to a year and require repeated injections.