Gold Skin Care Center, Nashville, TN, USA.
Tennessee Clinical Research Center, Nashville, TN, USA.
J Cosmet Dermatol. 2020 Oct;19(10):2476-2483. doi: 10.1111/jocd.13680. Epub 2020 Sep 4.
Synthetic soft tissue fillers frequently used to restore facial volume do not provide a regenerative framework, limiting their sustained efficacy. Autologous fat transfer for facial rejuvenation supports tissue regeneration but has unpredictable outcomes depending on the quality of harvesting, processing, and implantation.
Exploration of the pros and cons of available tissue fillers and the role of an injectable Allograft Adipose Matrix (AAM) for facial rejuvenation.
The results of a literature review conducted by two clinicians with extensive experience in this field were discussed by a panel of dermatologists and surgeons who regularly treat patients with signs and symptoms of facial aging. A manuscript was prepared and reviewed by the panel taking into account the evidence and their clinical experience treating patients for facial rejuvenation.
Facial rejuvenation needs to address the volume deficiency and repositioning of ptotic soft tissues. Frequently used synthetic fillers are suitable candidates for improving the facial appearance of fine lines and for molding. A better understanding of facial volume loss has allowed the use of adipose fat cells for facial rejuvenation. The injectable AAM is readily available and provides a regenerative framework for sustainable results. Prospective clinical and randomized studies support the effective and safe use of AAM for facial rejuvenation.
AAM may offer an alternative to synthetic fillers and autologous fat implantation in the face without the cumbersome process of fat harvesting and processing. More robust studies are to confirm the positive results obtained in smaller studies using the soft tissue bio stimulatory injectable.
常用于恢复面部体积的合成软组织填充剂不能提供再生框架,限制了其持续效果。用于面部年轻化的自体脂肪移植支持组织再生,但由于采集、处理和植入的质量不可预测,其结果也不可预测。
探讨现有的组织填充剂的优缺点,以及可注射同种异体脂肪基质 (AAM) 在面部年轻化中的作用。
两位在该领域拥有丰富经验的临床医生对文献进行了回顾,然后由经常治疗有面部老化迹象和症状的患者的皮肤科医生和外科医生小组对结果进行了讨论。小组根据证据和他们治疗患者进行面部年轻化的临床经验,准备并审查了一份手稿。
面部年轻化需要解决体积不足和下垂软组织的重新定位问题。常用的合成填充物是改善细纹和塑形面部外观的合适候选物。对面部体积丧失的更好理解使得脂肪细胞可用于面部年轻化。可注射的 AAM 易于获得,并为可持续效果提供了再生框架。前瞻性临床和随机研究支持 AAM 对面部年轻化的有效和安全使用。
AAM 可以替代面部的合成填充物和自体脂肪移植,而无需繁琐的脂肪采集和处理过程。需要更有力的研究来证实使用软组织生物刺激可注射物在较小研究中获得的积极结果。