Kim Jeong Tae, Sasidaran Ramesh
Department of Plastic and Reconstruction Surgery, Hanyang University School of Medicine, Seoul, Korea.
Plastic and Reconstructive Surgery Unit, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia.
Aesthetic Plast Surg. 2017 Dec;41(6):1362-1374. doi: 10.1007/s00266-017-0962-4. Epub 2017 Aug 28.
Autogenous grafting with lipoaspirate and dermo-fat grafting are popular techniques employed by plastic surgeons for correcting small volume facial defects and contour deformities. These techniques however present certain disadvantages. In this article, we present the use of the buccal fat pad graft as an alternative method of correcting such facial deformities.
Free buccal fat pad grafting was carried out in 15 patients in our institution. All were harvested using an intraoral approach. The buccal fat pad graft was used to correct periorbital contour depressions, nasal tip deformities, as a camouflage graft over exposed silicon nasal implants and as a filler in the depression deformity after mass excision.
All 15 patients demonstrated good contour deformity correction without a significant graft resorption up to 3 years of follow-up. There were no donor site complications. The amount used ranged from 1 to 5 cc in volume as a spacer or barrier for the moderate-sized volume defect or depression, even though more than 5 cc of fat graft could be harvested if required.
In conclusion, the buccal fat pad graft represents an easy, expedient and exceptional tool for the correction of contour deformities, volume replacement or for aesthetic augmentation.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
自体脂肪抽吸移植术和真皮脂肪移植术是整形外科医生用于矫正小面积面部缺损和轮廓畸形的常用技术。然而，这些技术存在一定的缺点。在本文中，我们介绍使用颊脂垫移植作为矫正此类面部畸形的替代方法。
我们机构对15例患者进行了游离颊脂垫移植。所有移植均采用口内入路获取。颊脂垫移植用于矫正眶周轮廓凹陷、鼻尖畸形，作为外露硅胶鼻假体的掩饰性移植以及作为肿块切除后凹陷畸形的填充材料。
所有15例患者在长达3年的随访中均显示出良好的轮廓畸形矫正效果，且移植组织无明显吸收。未出现供区并发症。作为中等大小体积缺损或凹陷的间隔物或屏障，使用量为1至5立方厘米，尽管如有需要可获取超过5立方厘米的脂肪移植组织。
总之，颊脂垫移植是一种用于矫正轮廓畸形、进行体积替代或美容性增大的简便、实用且出色的工具。
证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
