Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 5 Issue 1

The Challenges of an Unpredictable Fat Romance: A Proposal to Turn the Face-clock Back with Total Aesthetic Recall of the Aging-face, Following an Anticlimax of Gaga Euphoria

Lotha Bona1 and Mohammed Zeinalddin2*

1Craniofacial Cleft Surgeon, Yemen Global Smiles, Sanaa, Yemen
2Craniofacial Orthodontist, Mohammad Orthodontic Center - Senior Lecturer, Oman Dental College, Muscat, Sultanate of Oman

*Corresponding Author: Mohammed Zeinalddin, Craniofacial Orthodontist, Mohammad Orthodontic Center - Senior Lecturer, Oman Dental College, Muscat, Sultanate of Oman, Oman.

Received: November 11, 2020; Published: December 14, 2020



  Fat grafting for facial rejuvenation is often followed by significant and unpredictable resorption within the first few months. No one has been able to validate the best technique to ensure long term volumetric retention of fat transfer and results continue to be unpredictable. Fat alone as a filler for facial rejuvenation may not be the best option, and other modalities should be considered in addition for treating the aging face. A combination of well standardized, and evidence-based invasive and non-invasive procedures can effectively reduce the effects of aging.

Keywords: Facial Rejuvenation; Facelift; Fat Grafting; Aesthetic Medicine; Skincare; Lasers; Fillers; Face Q; AI



  1. Nadia Benmoussa MD., et al. “Use of Fat Grafts in Facial Reconstruction on the Wounded Soldiers From the First World War (WWI) by Hippolyte Morestin 1869-1919”. Annals of Plastic Surgery 79 (2017): 5.
  2. Melvin A Shiffman., et al. “Fat transfer to the face: technique and new concepts”. Facial Plastic Surgery Clinics of North America 10 (2002): 191-198.
  3. , et al. “Historical review of fat grafting”. PRS 83 (1989): 2.
  4. R Coleman. “Facial Augmentation With Structural Fat Grafting Sydney”. Clinical Plastic Surgery 33 (2006): 567-577.
  5. R Coleman. “Structural Fat Grafting: More Than a Permanent Filler Sydney”. Plastic and Reconstructive Surgery 118 (2006).
  6. Lin Tsai-Ming., et al. “Micro-autologous fat transplantation for rejuvenation of the dorsal surface of the aging hand”. JPRAS 171 (2018): 573-584.
  7. Niechajev I and Sevcuk O. “Long-term results of fat transplantation: clinical and histologic studies”. Plastic and Reconstructive Surgery 94 (1994): 496-506.
  8. Lee L Q Pu. “The Viability of Fatty Tissues Within Adipose Aspirates After Conventional Liposuction A Comprehensive Study”. Annals of Plastic Surgery3 (2005).
  9. R Coleman. “Fat Grafting for Facial Filling and Regeneration Sydney”. Clinical Plastic Surgery 42 (2015): 289-300.
  10. Mark J Landau. “Review: Proposed Methods to Improve the Survival of Adipose Tissue in Autologous Fat Grafting”. Plastic and Reconstructive Surgery – Global Open 6 (2018): e1870.
  11. Matthew R Kaufman. “Autologous Fat Transfer for Facial Recontouring: Is There Science Behind the Art?”. Plastic and Reconstructive Surgery 119 (2009): 2287.
  12. Samuel M Lam. “The Potential of Autologous Fat Transfer as a Valuable Tool for Cosmetic and Reconstructive Purposes Acknowledged Risks, Limitations, and Benefits”. JAMA Facial Plastic Surgery (2018).
  13. Jeremy A Brauer., et al. “Laser Skin Resurfacing, Chemical Peels, and Other Cutaneous Treatments of the Brow and Upper Lid”. Clinical Plastic Surgery 40 (2013): 91-99.
  14. Wendy E. Roberts. “Skin Type Class Systems Old and New”. Dermatologic Clinics 27 (2009): 529-533.
  15. Barry M Jones. “Volumetric short scar rhytidectomy -indications, technique, and outcomes”. Journal of Plastic, Reconstructive and Aesthetic Surgery 61 (2008): 736e743.
  16. David A Sieber. “Noninvasive Methods for Lower Facial Rejuvenation”. Clinical Plastic Surgery 45 (2018): 571-584.
  17. EVAN R RANSOM . “Concurrent structural fat grafting and carbon dioxide laser resurfacing for perioral and lower face rejuvenation”. Journal of Cosmetic and Laser Therapy 13 (2011): 6-12.
  18. Murad Alam., et al. “Injection techniques in neurotoxins and fillers : planning and basic technique”. Journal of American Academy of Dermatology 79 (2018): 407-419.
  19. David Sarver. “The Aesthetic Dentofacial Analysis”. Clinical Plastic Surgery 34 (2007) 369-394.
  20. Andrew A Jacono. “An Algorithmic Approach to Multimodality Midfacial Rejuvenation Using a New Classification System for Midfacial Aging”. Clinical Plastic Surgery 42 (2015): 17-32.
  21. V Ilankovan. “Anatomy of aging face”. British Journal of Oral and Maxillofacial Surgery 52 (2014): 195-202.
  22. R Khoury., et al. “Current clinical applications of fat grafting”. Plastic and Reconstructive Surgery 140 (2017): 466-486.
  23. Giovanni Botti MD. “A Clinical Trial in Facial Fat Grafting: Filtered and Washed versus Centrifuged Fat”. Plastic and Reconstructive Surgery 127 (2001): 2464-2473.
  24. Shirley Shue., et al. “Fat Injection: A Systematic Review of Injection Volumes by Facial Subunit”. Aesthetic Plastic Surgery5 (2017): 1261-1270.
  25. D Dasiou-Plakida. “Fat injections for facial rejuvenation”. Journal of Cosmetic Dermatology (2004): 119-125.
  26. Tsai Ming Lin., et al. “Micro autologous Fat Transplantation for Primary Augmentation Rhinoplasty: Long-Term Monitoring of 198 Asian Patients”. Aesthetic Surgery Journal6 (2016): 648-656.
  27. Timothy J Martin MD., et al. “Fat grafting in facial rejuvenation”. Clinical Plastic Surgery 42 (2015): 219-252.
  28. Luigi Clauser MD. “Autologous Fat Transfer for Facial Augmentation: Surgery and Regeneration”. Journal of Craniofacial Surgery 30 (2019): 682-685.
  29. Robert S Flowers., et al. “Mag-5: a Magnificent Approach to Upper and Midfacial ‘‘Magic’’”. Clinical Plastic Surgery 35 (2008): 489-515.
  30. You J Kim., et al. “Implementing precision medicine and artificial intelligence in plastic surgery: concepts and future prospects”. Plastic and Reconstructive Surgery – Global Open 7 (2019): e2113.
  31. , et al. “Development and Psychometric Evaluation of the FACE-Q Satisfaction with Appearance Scale: A New Patient-Reported Outcome Instrument for Facial Aesthetics Patients”. Clinical Plastic Surgery 40 (2013): 249-260.


Citation: Lotha Bona and Mohammed Zeinalddin. “The Challenges of an Unpredictable Fat Romance: A Proposal to Turn the Face-clock Back with Total Aesthetic Recall of the Aging-face, Following an Anticlimax of Gaga Euphoria". Acta Scientific Medical Sciences 5.1 (2021): 44-50.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US