Lipotransfer in the upper third of the face

PURPOSE OF REVIEW: The purpose of this article is to review the latest developments and techniques in lipotransfer to the upper third of the face. RECENT FINDINGS: Volume loss is becoming increasingly recognized as a significant contributor to upper facial aging. Lipotransfer has been used more extensively because fat exhibits many qualities of an ideal filler, able to restore volume to deflated tissues. Whereas certain nuances and differences in techniques exist, all authors agree that transfer of conservative volumes of fat in key regions of the upper face restores a natural youthful look. SUMMARY: Volume loss in the upper third of the face contributes significantly to aging. The use of lipotransfer in this area is an important adjunct to traditional surgical techniques. It can also be used as a primary rejuvenation procedure in select patients. More studies are needed to elucidate the optimal method of fat harvest, processing, and injection as well as longevity of transplanted grafts.