Fat autograft muscle injection (FAMI): new technique for facial volume restoration.
BACKGROUND
Restoration of depleted facial volume is becoming increasingly recognized by cosmetic surgeons as a necessary component of facial rejuvenation. Autologous fat has been used for years, but asymmetry and transient duration have been problematic.


OBJECTIVE
To describe a new procedure called fat autograft muscle injection (FAMI), which is designed to maximize the survival of the adipocyte by placement within the muscles of facial expression.


METHODS
The technique involves gentle harvesting of fat and centrifugation for 3 minutes. Fat is transferred to 1 cc syringes and attached to one of nine different cannulas shaped to conform to musculoskeletal contours. The muscle is injected with 1 to 3 cc of fat in a retrograde fashion from the insertion to origin or vice versa. Each syringe is emptied in one to three passes. The full face or regions of the face may be treated.


RESULTS
FAMI offers soft, natural rejuvenation of depleted facial volume.
Butterwick
Kimberly J
KJ
Dermatology/Cosmetic Laser Associates of La Jolla, 7630 Fay Avenue, La Jolla, CA 92037, USA. kbutterwick@spa-md.com
D000273:Adipose Tissue / Q000637:transplantation*; D003357:Cosmetic Techniques; D005260:Female; D006801:Humans; D007267:Injections; D008875:Middle Aged; D018579:Patient Selection; D011183:Postoperative Complications; D015361:Rhytidoplasty / Q000379:methods*; D015595:Skin Aging; D013525:Surgical Instruments; D014182:Transplantation, Autologous; D016896:Treatment Outcome