A New Paradigm for the Aging Face

In the 2010 article, Dr. Samuel M. Lam introduced a new approach to facial rejuvenation that prioritizes volume restoration through facial fat transfer, challenging the traditional focus on lifting and excisional surgery. He argued that aging is often due to volume depletion, especially in the midface and periorbital areas, and that this is particularly true for ethnic populations whose skin melanin content protects against solar aging but may not prevent volume loss. The article highlighted the technique's benefits and limitations, noting that fat grafting is effective for soft-tissue loss but not for bony deficiencies or lip augmentation. Dr. Lam compared the process to hair transplantation, requiring time for grafts to vascularize, with optimal results appearing around 2 years post-procedure. He also discussed the need for a nuanced approach to different facial zones and the potential for asymmetrical growth and the impact of weight changes on fat grafting results. The conclusion emphasized that when applied with skill and artistry, fat grafting can effectively address panfacial volume loss across all ethnicities and can serve as a complement or alternative to traditional facial rejuvenation methods.