Skip to main content Skip to main navigation menu Skip to site footer
Review
Published: 29-08-2022

Major clinical evidence of cervicofacial liposculpture: a concise systematic review

Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil / ABO – Associação Brasileira de Odontologia/ Brazilian Dental Association, Araçatuba, São Paulo, Brazil / TENO – Instituto Educacional/ Educational Institute, Araçatuba, São Paulo, Brazil
Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
ABOMI – Academia Brasileira de Odontologia Militar / Brazilian Academy of Military Dentistry, Rio de Janeiro, Brazil / ATO – Academia Tiradentes de Odontologia / Tiradentes Academy of Dentistry, Sao Paulo, Brazil / Sandro Valente Institute, Rio de Janeiro, Brazil
Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
ulio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
Julio Garcia Institute Dentistry, Araçatuba, Sao Paulo, Brazil
Liposculpture Liposculpture facial Liposculpture cervical Aesthetic Clinical trials

Abstract

Introduction: Liposculpture (LS) can complement cervicofacial aging surgery. Modern trends in face sculpting are expanding and adipose tissue transfer can result in optimal esthetic effects with minimally invasive techniques. Facial LS focuses on repositioning adipose tissue and increasing facial transition zones. This is accomplished using internal suspension sutures as well as with autologous fat grafting. Objective: To carry out a concise systematic review of the main clinical considerations and advances in facial and cervical liposculpture as an important aesthetic tool for dental surgeons. Methods: The rules of the Systematic Review-PRISMA Platform were followed. The search was carried out from November 2021 to February 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: Fifty articles were found involving facial liposculpture. A total of 30 articles were fully evaluated and 16 were included and developed in the present study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 10 studies at high risk of bias and 4 studies that did not meet the GRADE. Most patients who were involved in the studies showed improvements in facial augmentation and contouring. In patients with loss of facial volume, high-density fat transfer with SVF-gel facial injection resulted in significantly higher improvement scores and better patient satisfaction, with an improved/much improved esthetic appearance being observed. As a follow-up analysis of the studies, at an average of six months after completion, most patients were satisfied with the results. All procedures were well tolerated. Conclusion: According to the main clinical studies selected in the present study, cervicofacial liposculpture proved to be advantageous, with safety and efficacy.

Metrics

Metrics Loading ...

References

  1. Charles-de-Sá L, Gontijo-de-Amorim NF, Coleman S, Rigotti G. Regen Fat Code: A Standardized Protocol for Facial Volumetry and Rejuvenation. Aesthet Surg J. 2021 Oct 15;41(11):NP1394-NP1404. doi: 10.1093/asj/sjab016. PMID: 33453100.
  2. Egro FM, Coleman SR. Facial Fat Grafting: The Past, Present, and Future. Clin Plast Surg. 2020 Jan;47(1):1-6. doi: 10.1016/j.cps.2019.08.004. Epub 2019 Oct 21. PMID: 31739886.
  3. Farkas JP, Pessa JE, Hubbard B, Rohrich RJ. The science and theory behind facial aging. Plast Reconstr Surg Global Open. Apr 2013;1(1).
  4. Habbema L. Liposculpture of the aging face and neck. J Cosmet Dermatol. 2005 Sep;4(3):198-203. doi: 10.1111/j.1473-2165.2005.00312.x. PMID: 17129267.
  5. Saad A, Altamirano-Arcos CA, Nahas Combina L, Saad M. Power-Assisted Liposculpture in Male Patients: A Spectrum of Definitions. Aesthet Surg J. 2021 May 18;41(6):NP447-NP455. doi: 10.1093/asj/sjaa435. PMID: 33400776.
  6. Haack J, Friedman O. Facial liposculpture. Facial Plast Surg FPS. May 2006;22(2):147e153.
  7. Yang WC, Shih PK, Wu DW. The benefits of liposculpture in cervicofacial rejuvenation: A review of 312 consecutive patients. Asian J Surg. 2019 Nov;42(11):974-975. doi: 10.1016/j.asjsur.2019.07.012. Epub 2019 Jul 23. PMID: 31345656.
  8. Karcenty B, Flageul G. Lipo-aspiration et liposculpture [Liposuction and liposculpture]. Ann Chir Plast Esthet. 2003 Oct;48(5):399-404. French. doi: 10.1016/j.anplas.2003.08.006. PMID: 14599920.
  9. H Balshem H, Grade guidelines: 3 ratng the quality of evidence. Journal of Clinical Epidemiology, Maryland Heights, 64 (4) (2011) 401-406.
  10. Higgins, S Green, Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 [updated March 2011]. The Cochrane Collaboration; 2011.
  11. Cao Z, Li H, Wang ZH, Liang XQ. High-Density Fat Grafting Assisted Stromal Vascular Fraction Gel in Facial Deformities. J Craniofac Surg. 2022 Jan-Feb 01;33(1):108-111. doi: 10.1097/SCS.0000000000008038. PMID: 34519702; PMCID: PMC8694257.
  12. Heller L, Menashe S, Plonski L, Ofek A, Pozner JN. 1470-nm Radial fiber-assisted liposuction for body contouring and facial fat grafting. J Cosmet Dermatol. 2022 Feb 2. doi: 10.1111/jocd.14767. Epub ahead of print. PMID: 35106886.
  13. Pallua N, Wolter T. The lipo-facelift: merging the face-lift and liposculpture: eight years experience and a preliminary observational study. Aesthetic Plast Surg. 2013 Dec;37(6):1107-13. doi: 10.1007/s00266-013-0218-x. Epub 2013 Oct 19. PMID: 24142113.
  14. Pacheco CMR, Ferreira PE, Saçaki CS, Tannous LA, Zotarelli-Filho IJ, Guarita-Souza LC, de Carvalho KAT. In vitro differentiation capacity of human breastmilk stem cells: A systematic review. World J Stem Cells. 2019 Nov 26;11(11):1005-1019. doi: 10.4252/wjsc.v11.i11.1005. PMID: 31768226; PMCID: PMC6851011.
  15. Coleman SR, Lam S, Cohen SR, Bohluli B, Nahai F. Fat Grafting: Challenges and Debates. Atlas Oral Maxillofac Surg Clin North Am. 2018 Mar;26(1):81-84. doi: 10.1016/j.cxom.2017.10.006. PMID: 29362076.
  16. Foyatier JL, Mojallal A, Voulliaume D, Comparin JP. Evaluation de la restauration volumétrique par Lipostructure en complément du lifting cervicofacial. A propos de 100 cas [Clinical evaluation of structural fat tissue graft (Lipostructure) in volumetric facial restoration with face-lift. About 100 cases]. Ann Chir Plast Esthet. 2004 Oct;49(5):437-55. French. doi: 10.1016/j.anplas.2004.08.006. PMID: 15518944.
  17. Danilla S, Babaitis RA, Jara RP, Quispe DA, Andrades PR, Erazo CA, Albornoz CR, Sepulveda SL. High-Definition Liposculpture: What are the Complications and How to Manage Them? Aesthetic Plast Surg. 2020 Apr;44(2):411-418. doi: 10.1007/s00266-019-01475-6. Epub 2019 Aug 20. PMID: 31432229.
  18. Goodstein WA. Superficial liposculpture of the face and neck. Plast Reconstr Surg. 1996 Nov;98(6):988-96; discussion 997-8. doi: 10.1097/00006534-199611000-00009. PMID: 8911468

How to Cite

Garcia, V. R. do P., Garcia, J. L. V., Valente, S. M. de M., Emerick, E., Freitas, S. K. de, Rosa, R. A. C., Santos, B. da S., Rosa, L. S., Moraes, L. P., Salatiel, F. D., Landmann, P. N., & Luppino, L. A. (2022). Major clinical evidence of cervicofacial liposculpture: a concise systematic review. MedNEXT Journal of Medical and Health Sciences, 3(3). https://doi.org/10.54448/mdnt22312