Facial Augmentation With Structural Fat Grafting

      One hundred years ago, surgeons used subcutaneous fillers extensively for altering facial and body proportions [
      • Miller J.J.
      • Popp J.C.
      Fat hypertrophy after autologous fat transfer.
      ,
      • Kolle F.S.
      Plastic and cosmetic surgery.
      ]. This practice continued until the 1920s when complications resulting from injected paraffin and other substances became obvious. Aesthetic surgeons, disillusioned with available fillers, generally abandoned the restoration of fullness as a means of rejuvenation after 1920 and began to focus almost entirely on surgical procedures to remove the signs of aging. Advances in autologous fat grafting in the past 2 decades, as well as safer synthetic fillers, give us a chance to reexamine rejuvenation by restoring the fullness of youth.
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