title: Facial volume restoration with the fat autograft muscle injection technique.
abstract: BACKGROUND
  Fat augmentation of the aging face has been a popular cosmetic procedure for decades. Many consider fat the ideal filler because it is natural, nonallergenic, and readily available. However, longevity and symmetry of the fat graft have been unpredictable. In addition, when large volumes are injected for panfacial correction, prolonged edema for months may result.
  
  
  OBJECTIVE
  Roger E. Amar has developed a new technique that is known as fat autograft muscle injection (F.A.M.I.) for fat augmentation. We present our experience in 100 patients who underwent this new method.
  
  
  METHODS
  One hundred patients underwent the F.A.M.I. procedure in which fat was injected within the muscles of facial expression. The fat was harvested in an atraumatic and sterile manner. Centrifuged fat was then injected with specific blunt-tipped cannulae for different muscle groups. The majority of patients underwent a partial- versus full-face procedure.
  
  
  RESULTS
  Patients were injected with volumes ranging from 3 to 63 cc of centrifuged fat in a single session. There were no complications, and downtime was 5 to 7 days. Patient satisfaction was high. Patients were followed postoperatively for 3 to 6 months.
  
  
  CONCLUSIONS
  Facial volume restoration with the F.A.M.I. technique is an artistic and systematic approach for facial volume restoration. It offers the potential for symmetric, long-term results.
authors.affiliation: Dermatology/Cosmetic Laser Associates of La Jolla, Inc., La Jolla, California, USA. info@dermassociates.com
authors.forename: Kimberly J
authors.initials: KJ
authors.lastname: Butterwick
authors.forename: Edward A
authors.initials: EA
authors.lastname: Lack
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D000368:Aged; D003357:Cosmetic Techniques; D005145:Face / Q000601:surgery*; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D015595:Skin Aging; D020858:Tissue and Organ Harvesting / Q000379:methods