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January 16, 1915


Author Affiliations

Surgeon to the Samaritan Hospital PHILADELPHIA

JAMA. 1915;LXIV(3):203-205. doi:10.1001/jama.1915.02570290015004

ALTERATIONS OF THE FACIAL CONTOUR BY THE IMPLANTATION OF FAT  The modifications that the facial contour undergoes in the adult are dependent chiefly on alterations in the amount of subcutaneous fat. In the operative modification of the facial contour no substance is as well adapted for the purpose as adipose tissue. Bits of free homoplastic fat when properly imbedded subcutaneously find ready attachment, do not provoke serious inflammatory reaction and retain, after vascularization, their storage capacity for hydrocarbons. Transplanted fat may under conditions of increased nutrition undergo a certain amount of hyperplasia, and may waste during starvation. The transplanted fat when vascularized remains fixed in position and, unlike paraffin, when imbedded under the skin shows little change in outline, does not produce hyperemia of the overlying skin or marked fibroconnective tissue formation. In 1907 I1

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