Autologous fat grafting for cosmetic temporal augmentation: a systematic review.

IF 1.6 4区医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1410162

Sahra Nasim, Henna Nasim, Martin Kauke, Ali-Farid Safi

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Abstract

Background: Autologous fat grafting for temporal augmentation is increasingly popular in aesthetic surgery. However, its high absorption rate, unpredictable volume retention rate, and potential safety risks are significant drawbacks. Evaluation methods for the fat graft survival rate, especially volume retention in the temporal area, vary widely and tend to be more subjective than objective. Therefore, this systematic review aims to analyze the unpredictable volume retention rate, associated safety concerns, and the various assessment strategies following autologous fat grafting for cosmetic temporal augmentation.

Methods: We conducted a systematic review of manuscripts listed in the MEDLINE/PubMed database on autologous fat grafting for cosmetic temporal augmentation. Articles had to be available in full text and written in English. Studies not presenting human data or not discussing cosmetic indications were excluded. We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results: Eight articles were included. The average fat volume injected into each temporal region was 10.69 ml (range 6-17.5) on the right and 10.64 ml (range 5.9-17.4) on the left side. All included articles utilized photographic documentation before and after treatment, along with various questionnaires and scales (37.5% Likert Scale, 12.5% Hollowness Severity Rating Scale, 12.5% Visual Analogue Scale, 12.5% Allergan Temple Hollowing Scale). For objective assessment, one article (12.5%) used computed tomography, and another (12.5%) employed a three-dimensional scanning system to objectively evaluate fat graft survival.

Conclusion: Autologous fat grafting effectively addresses temporal hollowness, with high patient satisfaction and a favorable safety profile. However, the variability in fat retention rates highlights the need for more controlled studies to establish reliable, validated methods for evaluating fat graft survival in the temporal area, and to further assess the safety of this procedure.

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自体脂肪移植用于颞部美容整形：系统性综述。

背景：自体脂肪移植丰颞术在美容手术中越来越受欢迎。然而，自体脂肪的高吸收率、难以预测的容积保持率和潜在的安全风险是其明显的缺点。脂肪移植存活率的评估方法，尤其是颞部的容积保持率，差异很大，而且往往主观多于客观。因此，本系统性综述旨在分析自体脂肪移植用于颞部美容增大术后不可预测的容积保持率、相关的安全问题以及各种评估策略：我们对 MEDLINE/PubMed 数据库中列出的有关自体脂肪移植用于颞部整形的手稿进行了系统性回顾。文章必须为英文全文。未提供人体数据或未讨论美容适应症的研究被排除在外。我们遵循了系统综述和元分析首选报告项目（PRISMA）指南：结果：共纳入八篇文章。每侧颞部的平均脂肪注射量为右侧 10.69 毫升（范围 6-17.5），左侧 10.64 毫升（范围 5.9-17.4）。所有收录的文章都使用了治疗前后的照片记录，以及各种问卷和量表（37.5% 利克特量表、12.5% 下垂严重程度分级量表、12.5% 视觉模拟量表、12.5% Allergan 太阳穴凹陷量表）。在客观评估方面，一篇文章（12.5%）使用了计算机断层扫描，另一篇文章（12.5%）使用了三维扫描系统来客观评估脂肪移植的存活率：结论：自体脂肪移植能有效解决颞部凹陷问题，患者满意度高，安全性好。结论：自体脂肪移植可有效解决颞部凹陷问题，患者满意度高，安全性好。然而，脂肪保留率的差异突出表明，需要进行更多的对照研究，以建立可靠、有效的方法来评估颞部脂肪移植的存活率，并进一步评估该手术的安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.