Regenerative Facial Surgery

Book excerpt: "New techniques in regenerative facial surgery are among the hottest topics in the world of aesthetics. Yet the terminology has been confusing, and no standards of treatment have been introduced into the field. Nanofat, injectable tissue replacement and regeneration, stromal vascular fraction, exosomes, platelet-rich plasma, and mechanical devices that minimally manipulate fat and blood to retrieve certain cells and cell-matrix aggregates are used in the management of facial aging. What all regenerative treatments have in common is the creation to some degree of neoangiogenesis, collagen and elastin remodeling, and immune modulation of inflammation. Regenerative facial surgery aims to restore and reconstruct youth by anatomic repositioning to address laxity, facial fat grafting to target volume losses, and a variety of newer, regenerative strategies to reverse sun damage and skin aging. The rapidly rising use of these promising techniques in facial surgery requires knowledge of how the facial anatomy changes during the aging process, how to diagnose the precise areas of fat and bone loss, and how to combine these exciting new regenerative approaches alone and in combination with skin care, lasers, energy-based devices, and surgery to not only aesthetically benefit the patient, but also to regenerate tissues, slow, and possibly even reverse some of the components of facial aging. This unique book brings readers the essentials of the clinical practice of regenerative facial surgery by some of the field's earliest pioneers"--