%0 Journal Article
%T Lipoenxertia aut¨®loga periorbit¨¢ria no rejuvenescimento facial: an¨¢lise retrospectiva da efic¨¢cia e da seguran a em 31 casos Autologous periorbital fat grafting in facial rejuvenation: a retrospective analysis of efficacy and safety in 31 cases
%A Chang Yung Chia
%A Diego Antonio Rovaris
%J Revista Brasileira de Cirurgia Pl¨¢stica
%D 2012
%I Sociedade Brasileira de Cirurgia Pl¨¢stica
%X INTRODU  O: Os sulcos periorbit¨¢rios e zigom¨¢tico e o malar fl¨¢cido est o entre as caracter¨ªsticas mais marcantes de envelhecimento ou de desarmonia facial. A reposi  o do volume ¨¦ um m¨¦todo simples e eficiente, e o lipoenxerto pode ser o melhor material. O presente trabalho traz uma an¨¢lise de 31 pacientes submetidos a autolipoenxertia, com ¨ºnfase na efic¨¢cia e na seguran a da t¨¦cnica. M¨¦TODO: An¨¢lise retrospectiva de 31 pacientes consecutivos, submetidos a lipoenxertias periorbit¨¢ria e malar, concomitantemente ou n o a outros procedimentos est¨¦ticos. A avalia  o foi feita por meio de compara  o entre fotografias pr¨¦ e p¨®s-operat¨®ria, bem como pelo grau de satisfa  o dos pacientes. RESULTADOS: Dos 31 pacientes, 26 (83,9%) classificaram o resultado p¨®s-operat¨®rio como ¨®timo, 3 (9,7%), bom, e 2 (6,4%), regular. Na avalia  o dos autores, 24 (77,5%) pacientes apresentaram resultado ¨®timo, 5 (16,1%), bom, e 2 (6,4%), regular. Houve necessidade de retoque de lipoenxertia em apenas 4 pacientes, por sugest o do cirurgi o. As complica  es foram m¨ªnimas e passageiras. CONCLUS ES: A lipoenxertia facial ¨¦ f¨¢cil e eficaz, e as complica  es s o m¨ªnimas quando realizada por cirurgi es qualificados. BACKGROUND: Periorbital and zygomatic hollows as well as flaccid cheeks are among the most evident characteristics of aging or facial disharmony. Volume replacement is a simple and efficient procedure, and fat grafting is considered as the best treatment for these characteristics. This study evaluates 31 patients who underwent autologous fat grafting and emphasizes the safety and efficacy of this procedure. METHODS: A retrospective analysis of 31 consecutive patients who underwent periorbital and zygomatic fat grafting, alone or in combination with other cosmetic procedures, was carried out. Final evaluation was performed by assessing pre- and postoperative photographs as well as the degree of patient satisfaction. RESULTS: Of 31 patients, 26 (83.9%) reported excellent postoperative outcomes; 3 (9.7%), satisfactory outcomes; and 2 (6.4%), poor outcomes. According to the authors' evaluation, 24 (77.5%) patients had excellent outcomes, 5 (16.1%) had satisfactory outcomes, and 2 (6.4%) had poor outcomes. Retouching of the fat graft was recommended for only 4 patients. The complications observed were minimal and transient. CONCLUSIONS: Facial fat grafting is a simple and effective procedure that presents minimal complications when performed by skilled surgeons.
%K Transplante aut¨®logo
%K Lipectomia
%K ¨®rbita
%K Face
%K Rejuvenescimento
%K Transplantation
%K autologous
%K Lipectomy
%K Orbit
%K Face
%K Rejuvenation
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-51752012000300013