Ma Xiaorong, Wu Liming, Ouyang Tianxiang, Ge Wenjia, Ke Jingwen
Department of Plastic and Reconstructive Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Kongjiang Road 1665, Shanghai, 200092, People's Republic of China.
Department of Endocrinology, Xuhui District Central Hospital, Middle Huaihai Road 966, Shanghai, 200031, People's Republic of China.
Aesthetic Plast Surg. 2018 Feb;42(1):151-158. doi: 10.1007/s00266-017-1000-2. Epub 2017 Dec 7.
Facial fat grafting under local anesthesia has been widely performed in outpatient departments and private settings in China. The present study aimed to evaluate the safety and efficacy of facial fat grafting under local anesthesia.
A retrospective study was conducted on 155 patients who underwent facial fat grafting. The clinical data were recorded. Preoperative and postoperative two-dimensional images were acquired to evaluate the effect of facial fat grafting on refining facial contouring, rejuvenation as well as deformity reconstruction. The complications were recorded to assess the safety of the approach.
All the facial fat grafting procedures were performed successfully under local anesthesia. A majority of the patients who underwent one or more sessions of facial fat grafting under local anesthesia were satisfied with the cosmetic results. No severe complications occurred in these patients.
In the present study, remarkable and natural improvements of facial contouring, rejuvenation as well as deformity reconstruction were achieved with facial fat grafting in most patients. Thus, the procedures performed under local anesthesia by experienced surgeons are safe.
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 .
局部麻醉下的面部脂肪移植在中国的门诊和私立机构中已广泛开展。本研究旨在评估局部麻醉下面部脂肪移植的安全性和有效性。
对155例行面部脂肪移植的患者进行回顾性研究。记录临床数据。采集术前和术后二维图像，以评估面部脂肪移植在改善面部轮廓、年轻化及畸形修复方面的效果。记录并发症以评估该方法的安全性。
所有面部脂肪移植手术均在局部麻醉下成功完成。大多数接受过一次或多次局部麻醉下面部脂肪移植的患者对美容效果满意。这些患者未发生严重并发症。
在本研究中，大多数患者通过面部脂肪移植在面部轮廓改善、年轻化及畸形修复方面取得了显著且自然的效果。因此，由经验丰富的外科医生在局部麻醉下进行的手术是安全的。
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，请参阅目录或在线作者指南www.springer.com/00266 。
