title: Autologous fat transplantation for the temporalis muscle flap donor site: our experience with 45 cases.
abstract: BACKGROUND
  Temporal depression after temporalis muscle flap transposition is characterized by a concavity of the soft tissue and associated with the relief of the orbital rim and zygomatic arch. The purpose of this study was to describe the use of autologous fat grafting for the treatment of postsurgical temporal contour deformities.
  
  
  METHODS
  Between March 2008 and April 2011, 45 patients were treated with lipofilling. A virtual 3-dimensional preoperative assessment was used to objectively quantify the loss of volume of the affected side. Two different methods were used to evaluate the surgical outcomes.
  
  
  RESULTS
  A noticeable soft tissue augmentation of the temporal region was noted in all cases. In 35 patients, a second procedure was required and in 1 patient, a third procedure was required. The final result was assessed as fully satisfactory by 39 patients (86.6%), as satisfactory by 5 patients (11.1%), and as unsatisfactory by 1 patient (2.2%).
  
  
  CONCLUSIONS
  We believe that structural fat grafting at the temporalis muscle flap donor site is an effective technique that provides a high satisfaction rate and only a few complications.
authors: Department of Plastic and Reconstructive Surgery, Catholic University of Sacred Heart, Rome, Italy.
authors: Daniele
authors: D
authors: Cervelli
authors: Giulio
authors: G
authors: Gasparini
authors: Francesca
authors: F
authors: Grussu
authors: Alessandro
authors: A
authors: Moro
authors: Tito
authors: T
authors: Matteo Marianetti
authors: Enrico
authors: E
authors: Foresta
authors: Camillo
authors: C
authors: Azzuni
authors: Sandro
authors: S
authors: Pelo
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005153:Facial Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012086:Reoperation; D013524:Surgical Flaps / Q000009:adverse effects*; D013703:Temporal Muscle; D060053:Transplant Donor Site / Q000033:anatomy & histology / Q000601:surgery*; D014182:Transplantation, Autologous; D016896:Treatment Outcome
keywords: autologous fat transplantation; lipofilling; temporal donor site; temporalis muscle flap; virtual preoperative planning