Micro fractured and purified adipose tissue graft (Lipogems®) can improve the orthognathic surgery outcomes both aesthetically and in postoperative healing

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Objectives: The aim of this study was to show how micro fractured fat transplantation obtained with a new closed disposable device (Lipogems®) applied in combination with orthognatic surgery can obtain very nice surgical outcomes with no complications and minimal postoperative swelling.

Methods: 120 patients undergoing double jaw or-thognatic surgery were treated at the end of orthognatic procedure with Lipogems® micro fat grafting technique. Follow up was at 1 day, 1 week, 1, 6 and 12 months. The charts of the patients were reviewed and all the patients re-examined at 12 months by the senior surgeon (MR) who scored the quality of results of these series based on his expert opinion. Also a very simple subjective scoring of the patient’s satisfaction of this series was proposed and compared to the past. Concerning the comparison to the past a series of 903 patients from 2001 to 2010 was considered with very similar distribution of main deformity and in which the fat grafting technique was progressively modified and improved. Only the patient subjective assessment of the result is available for these past series and the exact placement and quantity of fat grafting is not always available making meaningful objective comparison difficult.

Results: The management of the soft tissue vol-umes with lipogems micro fat grafting technique allowed satisfactory results with no complications at 12 months follow-up in all 120 patients. Both facial morphology and skin texture were enhanced short and long term by the adjunct of lipogems grafting. More notably, comparing with our previous experience in a similar and larger series of patients using different …


M Raffaini, C Tremolada