Autologous fat grafting and rhinoplasty

作者：Nguyen P S^*; Baptista C; Casanova D; Bardot J; Magalon G

来源：Annales de Chirurgie Plastique Esthetique, 2014, 59(6): 548-554.

DOI：10.1016/j.anplas.2014.05.006

• Rhinoplasty
• Lipofilling
• Micro-cannula
• Fat grafting
• Adipose tissue
• Revision rhinoplasty
• Lipostructure

Revision rhinoplasty can be very challenging especially in cases of thin skin. Autologous fat graft is utilized in numerous applications in plastic surgery; however, its use relative to the nasal region remains uncommon. Adipose tissue, by virtue of its volumetric qualities and its action on skin trophicity, can be considered to be a gold standard implant. From 2006 until 2012, we have treated patients by lipofilling in order to correct sequalae of rhinoplasty. The mean quantity of adipose tissue injected was 2.1 cm(3) depending on the importance of the deformity and the area of injection: irregularity of the nasal dorsum, visible lateral osteotomies, saddle nose. Following the course of our practice, we conceived microcannulas that allow a much greater accuracy in the placement of the graft and enable to perform interventions under local anesthesia. These non-traumatic micro-cannulas do not cause postoperative ecchymosis and swelling which shorten the recovery time for the patient. On patients who have undergone multiple operations, lipofilling can be a simple and reliable alternative to correct imperfections that may take place after a rhinoplasty.

• 出版日期2014-12