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An analysis of the experiences of 62 patients with moderate complications after full-face fat injection for augmentation

Authors
 Kim, Sung Min  ;  Kim, Young Seok  ;  Hong, Jong Won  ;  Roh, Tai Suk  ;  Rah, Dong Kyun 
Citation
 PLASTIC AND RECONSTRUCTIVE SURGERY, Vol.129(6) : 1359-1368, 2012 
Journal Title
 PLASTIC AND RECONSTRUCTIVE SURGERY 
ISSN
 0032-1052 
Issue Date
2012
MeSH
Adipose Tissue/transplantation* ; Adult ; Age Distribution ; Aged ; Face/surgery* ; Female ; Follow-Up Studies ; Humans ; Incidence ; Injections ; Male ; Middle Aged ; Postoperative Complications/diagnosis ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology* ; Republic of Korea/epidemiology ; Retrospective Studies ; Rhytidoplasty/adverse effects* ; Rhytidoplasty/methods ; Risk Factors ; Sex Distribution ; Transplantation, Autologous ; Young Adult
Keywords
Adipose Tissue/transplantation* ; Adult ; Age Distribution ; Aged ; Face/surgery* ; Female ; Follow-Up Studies ; Humans ; Incidence ; Injections ; Male ; Middle Aged ; Postoperative Complications/diagnosis ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology* ; Republic of Korea/epidemiology ; Retrospective Studies ; Rhytidoplasty/adverse effects* ; Rhytidoplasty/methods ; Risk Factors ; Sex Distribution ; Transplantation, Autologous ; Young Adult
Abstract
BACKGROUND: Recently, fat injection has been performed across the globe and has several advantages. However, there have not been many studies regarding the relationship between complications and contributing factors. The authors analyzed factors present when complications occurred during fat injections into the face. METHODS: A retrospective chart review was performed for 62 patients who had moderate complications among the 1261 persons who had received full-face fat injection between April of 2004 and July of 2008. Complications included chronic edema, calcification, fibrosis, acne, headache, dysesthesia, drooping, and irregularity. RESULTS: There were no differences among the first, second, and third injection groups regarding age, body weight, height, or body mass index. However, there were statistically significant differences in injection amount and complication occurrence time (p < 0.0001). There were statistically significant differences in injection amount and complication occurrence time between the fresh and frozen fat (p < 0.0001). There were statistically significant differences regarding age, injection amount, and complication occurrence time according to the complication groups (p < 0.0001). There was also a difference between timing of the injection and the complication frequency (Fisher's exact test, p < 0.0001) and between fat status and the complication frequency (Fisher's exact test, p = 0.005). CONCLUSIONS: Chronic edema, calcification, fibrosis, acne, headache, dysesthesia, drooping, and irregularity after full-face fat injection were observed as moderate complications. Although further study will be needed for the effective analysis of complications according to the number of injection or fat status, the authors found significant differences in age, complication occurrence time, and injection amount between some complication groups. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006534-201206000-00024&LSLINK=80&D=ovft
DOI
22634652
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Seok(김영석) ORCID logo https://orcid.org/0000-0002-0981-2107
Rah, Dong Kyun(나동균)
Roh, Tai Suk(노태석) ORCID logo https://orcid.org/0000-0001-8681-159X
Hong, Jong Won(홍종원) ORCID logo https://orcid.org/0000-0002-7762-0940
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91669
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