Discussion: Aging Changes of the Midfacial Fat Compartments: A Computed Tomographic Study DISCUSSION

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9132, USA.
Plastic and Reconstructive Surgery (Impact Factor: 2.99). 01/2012; 129(1):274-5. DOI: 10.1097/PRS.0b013e3182362be2
Source: PubMed
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    • "The inferior orbital rim becomes visible, and a centromedial cheek hollow below the tear-trough termed the “V” deformity results.3 As such, fat injection in the DLC and medial SOOF has been performed to improve this “V” deformity.10,17,30 Augmentation of the DLC has also been used to improve anterior cheek projection and to smooth the transition between the anterior and lateral cheek.7,30 "
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    ABSTRACT: The recent identification of the facial fat compartments has greatly affected our understanding of midfacial aging. This article chronicles the discovery of these fat compartments including the shift of attention from a purely gravitational to a volumetric approach to facial aging and the series of methodologies attempted to ultimately define the anatomy of these compartments. The revived interest in volumetric facial rejuvenation including compartment-guided augmentation techniques is discussed. Lastly, the article discusses interesting distributional patterns noted in these fat compartments likely related to the different mechanical and biologic environments of the deep and superficial facial fat pads.
    12/2013; 1(9):e92. DOI:10.1097/GOX.0000000000000035
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    ABSTRACT: Eine effiziente und zufriedenstellende ästhetische Behandlung des Gesichts kann nur durch eine ausgewogene Kombination der Bereiche Wissenschaft und Ästhetik/Kunst zielführend sein. Vor der Behandlung muss zunächst eine saubere Analyse der Alterserscheinungen des Gesichts erfolgen. Mithilfe eines Fillers auf Basis von Calciumhydroxylapatit (CaHa), der durch eine hohe Viskosität und Elastizität gekennzeichnet ist, ist es möglich, einen sofortigen und lang anhaltenden Volumeneffekt zu erzielen. Ziel dieses Verfahrens ist es, möglichst minimal-invasiv, mit Volumenapplikation, eine Gesichtsverjüngung erzielen. Der Anspruch nach hoher Sicherheit und Effizienz wurde zuvor in einer Vielzahl von Studienverläufen nachgewiesen.
    Journal für Ästhetische Chirurgie 04/2013; 6(2). DOI:10.1007/s12631-012-0213-0
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    ABSTRACT: Understanding the anatomy and distribution of facial fat and the alterations that occur during the aging process is essential to effectively and precisely achieve facial rejuvenation. Over the past several years, through cadaveric dissections and computed tomographic studies, much has been discovered concerning the adipose tissue of the face and how it influences the dynamic process of aging. Site-specific augmentation with fillers can now be used to refine facial shape and topography in a more predictable and precise fashion. The purpose of this article is to provide an introduction to facial fat compartmentalization along with clinical examples to illustrate how the knowledge of underlying anatomy influences site-specific augmentation.
    Dermatologic clinics 01/2014; 32(1):37-50. DOI:10.1016/j.det.2013.09.007 · 1.69 Impact Factor
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