Aesthetic Durable Forehead Contouring in Asians With Fat Grafting and Botulinum Toxin

Gavin Chun Wui Kang, Yen Chang Hsiao, Jung Ju Huang, Jyh Ping Chen, Philip Kuo Ting Chen, Yu Ray Chen, Chun Shin Chang

研究成果: 雜誌貢獻文章

摘要

BACKGROUND: Augmentative forehead contouring to create a full rounded smooth forehead is increasingly popular worldwide especially in East Asia where a flat and/or concave irregular forehead is considered unaesthetic. We present our outcomes performing fat transfer to the forehead in combination with botulinum toxin (Botox) corrugator-frontalis injection where indicated in East Asians. METHODS: From 2013 to 2017, 62 consecutive patients with flat and/or concave irregular unaesthetic foreheads underwent forehead fat transfer using a microautologous fat transplantation gun. Concomitant Botox injection to minimize corrugator and frontalis contraction-mediated fat displacement was indicated in 23 patients (thin forehead skin and/or excessive forehead animation or rhytides) to prevent forehead vertical crease formation. Thirty-nine subjects with a mean follow-up of 16 months (range = 3-44 months) had their pregraft and postgraft forehead contours assessed on an aesthetic grading scale. Of these 39, 17 completed forehead fat graft volumetric analysis using preoperative and postoperative 3D photography. RESULTS: Aesthetic results were durable at latest follow-up, and all patients were satisfied with their final appearance. The mean amount of fat transferred was 7.72 mL (range = 1.5-33 mL). One subject required a repeat fat grafting (with Botox) because of vertical crease formation after the index procedure (without Botox). Another 12 needed a second fat-grafting session to optimize the contour. All who received Botox did not develop vertical creases. The mean ± SD forehead contour grade improved from 2.29 ± 0.77 to 3.24 ± 0.67 (P < 0.001). The percentage mean ± SD retention of grafted fat was 46.71% ± 5.77% with Botox versus 39.12% ± 5.24% without Botox (P = 0.006). CONCLUSIONS: Fat grafting to the forehead using our technique with selective Botox administration is an effective, simple, fast, inexpensive, and safe strategy for aesthetic forehead contouring especially for flat and/or concave foreheads. Forehead fat survival rate is objectively improved with simultaneous Botox injection. There is minimum downtime and long-lasting results with high patient satisfaction rates.

原文英語
頁(從 - 到)S59-S65
期刊Annals of Plastic Surgery
82
發行號1S Suppl 1
DOIs
出版狀態已發佈 - 一月 1 2019
對外發佈Yes

指紋

Forehead
Botulinum Toxins
Esthetics
Fats
Injections
Far East
Photography
Firearms
Patient Satisfaction

ASJC Scopus subject areas

  • Surgery

引用此文

Kang, G. C. W., Hsiao, Y. C., Huang, J. J., Chen, J. P., Chen, P. K. T., Chen, Y. R., & Chang, C. S. (2019). Aesthetic Durable Forehead Contouring in Asians With Fat Grafting and Botulinum Toxin. Annals of Plastic Surgery, 82(1S Suppl 1), S59-S65. https://doi.org/10.1097/SAP.0000000000001704

Aesthetic Durable Forehead Contouring in Asians With Fat Grafting and Botulinum Toxin. / Kang, Gavin Chun Wui; Hsiao, Yen Chang; Huang, Jung Ju; Chen, Jyh Ping; Chen, Philip Kuo Ting; Chen, Yu Ray; Chang, Chun Shin.

於: Annals of Plastic Surgery, 卷 82, 編號 1S Suppl 1, 01.01.2019, p. S59-S65.

研究成果: 雜誌貢獻文章

Kang, GCW, Hsiao, YC, Huang, JJ, Chen, JP, Chen, PKT, Chen, YR & Chang, CS 2019, 'Aesthetic Durable Forehead Contouring in Asians With Fat Grafting and Botulinum Toxin', Annals of Plastic Surgery, 卷 82, 編號 1S Suppl 1, 頁 S59-S65. https://doi.org/10.1097/SAP.0000000000001704
Kang, Gavin Chun Wui ; Hsiao, Yen Chang ; Huang, Jung Ju ; Chen, Jyh Ping ; Chen, Philip Kuo Ting ; Chen, Yu Ray ; Chang, Chun Shin. / Aesthetic Durable Forehead Contouring in Asians With Fat Grafting and Botulinum Toxin. 於: Annals of Plastic Surgery. 2019 ; 卷 82, 編號 1S Suppl 1. 頁 S59-S65.
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abstract = "BACKGROUND: Augmentative forehead contouring to create a full rounded smooth forehead is increasingly popular worldwide especially in East Asia where a flat and/or concave irregular forehead is considered unaesthetic. We present our outcomes performing fat transfer to the forehead in combination with botulinum toxin (Botox) corrugator-frontalis injection where indicated in East Asians. METHODS: From 2013 to 2017, 62 consecutive patients with flat and/or concave irregular unaesthetic foreheads underwent forehead fat transfer using a microautologous fat transplantation gun. Concomitant Botox injection to minimize corrugator and frontalis contraction-mediated fat displacement was indicated in 23 patients (thin forehead skin and/or excessive forehead animation or rhytides) to prevent forehead vertical crease formation. Thirty-nine subjects with a mean follow-up of 16 months (range = 3-44 months) had their pregraft and postgraft forehead contours assessed on an aesthetic grading scale. Of these 39, 17 completed forehead fat graft volumetric analysis using preoperative and postoperative 3D photography. RESULTS: Aesthetic results were durable at latest follow-up, and all patients were satisfied with their final appearance. The mean amount of fat transferred was 7.72 mL (range = 1.5-33 mL). One subject required a repeat fat grafting (with Botox) because of vertical crease formation after the index procedure (without Botox). Another 12 needed a second fat-grafting session to optimize the contour. All who received Botox did not develop vertical creases. The mean ± SD forehead contour grade improved from 2.29 ± 0.77 to 3.24 ± 0.67 (P < 0.001). The percentage mean ± SD retention of grafted fat was 46.71{\%} ± 5.77{\%} with Botox versus 39.12{\%} ± 5.24{\%} without Botox (P = 0.006). CONCLUSIONS: Fat grafting to the forehead using our technique with selective Botox administration is an effective, simple, fast, inexpensive, and safe strategy for aesthetic forehead contouring especially for flat and/or concave foreheads. Forehead fat survival rate is objectively improved with simultaneous Botox injection. There is minimum downtime and long-lasting results with high patient satisfaction rates.",
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N2 - BACKGROUND: Augmentative forehead contouring to create a full rounded smooth forehead is increasingly popular worldwide especially in East Asia where a flat and/or concave irregular forehead is considered unaesthetic. We present our outcomes performing fat transfer to the forehead in combination with botulinum toxin (Botox) corrugator-frontalis injection where indicated in East Asians. METHODS: From 2013 to 2017, 62 consecutive patients with flat and/or concave irregular unaesthetic foreheads underwent forehead fat transfer using a microautologous fat transplantation gun. Concomitant Botox injection to minimize corrugator and frontalis contraction-mediated fat displacement was indicated in 23 patients (thin forehead skin and/or excessive forehead animation or rhytides) to prevent forehead vertical crease formation. Thirty-nine subjects with a mean follow-up of 16 months (range = 3-44 months) had their pregraft and postgraft forehead contours assessed on an aesthetic grading scale. Of these 39, 17 completed forehead fat graft volumetric analysis using preoperative and postoperative 3D photography. RESULTS: Aesthetic results were durable at latest follow-up, and all patients were satisfied with their final appearance. The mean amount of fat transferred was 7.72 mL (range = 1.5-33 mL). One subject required a repeat fat grafting (with Botox) because of vertical crease formation after the index procedure (without Botox). Another 12 needed a second fat-grafting session to optimize the contour. All who received Botox did not develop vertical creases. The mean ± SD forehead contour grade improved from 2.29 ± 0.77 to 3.24 ± 0.67 (P < 0.001). The percentage mean ± SD retention of grafted fat was 46.71% ± 5.77% with Botox versus 39.12% ± 5.24% without Botox (P = 0.006). CONCLUSIONS: Fat grafting to the forehead using our technique with selective Botox administration is an effective, simple, fast, inexpensive, and safe strategy for aesthetic forehead contouring especially for flat and/or concave foreheads. Forehead fat survival rate is objectively improved with simultaneous Botox injection. There is minimum downtime and long-lasting results with high patient satisfaction rates.

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