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Invited Commentary
March 29, 2018

The Potential of Autologous Fat Transfer as a Valuable Tool for Cosmetic and Reconstructive PurposesAcknowledged Risks, Limitations, and Benefits

Author Affiliations
  • 1Lam Facial Plastics, Plano, Texas
JAMA Facial Plast Surg. Published online March 29, 2018. doi:10.1001/jamafacial.2018.0126

In this issue of JAMA Facial Plastic Surgery, Krastev et al1 have presented a much needed systematic review and meta-analysis of 52 autologous fat transfer (AFT) studies for facial reconstructive surgery consisting of 1568 patients with the conclusion that there was very-high patient satisfaction (91%) and surgeon satisfaction (89%) only after 1.5 sessions with volume retention of 50% to 60% at 1 year.1 The use of AFT for reconstructive purposes has not been well documented, and this meta-analysis1 evaluates all of the indications for AFT for facial reconstruction including human immunodeficiency virus (HIV)-associated lipodystrophy (the most common indication), followed by congenital disorders, and then a heterogeneous mixture of trauma, cancer, scars, etc.

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