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Dermofat Graft in Deep Nasolabial Fold and Facial Rhytidectomy

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Abstract

Fat and dermis or the combined tissues are used commonly in augmentation of the nasolabial fold. Guyuron obtained the dermofat graft from either the suprapubic or the groin region. The thickness of the preauricular skin was measured in seven Korean cadavers, five male and two female. We used the dermofat graft out of the preauricular skin remnant after facial rhytidectomy to augment the deep nasolabial fold in a patient. The average thickness of the epidermis was 56 ± 12 µm, the dermis was 1820 ± 265 µm thick, and the subcutaneous tissue was 4783 ± 137 µm. More dense connective tissues, such as SMAS, are seen in the preauricular skin. The dermofat graft was easily obtained and prepared from the leftover preauricular skin after dissection of the lax skin in face lifting. This technique could be employed effectively and successfully to alleviate a deep nasolabial fold and concomitant facial rhytidectomy in an Asian with a thick preauricular skin.

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Acknowledgements

We thank Dr. Robert S. Chung, M.D. FACS, for reviewing this manuscript. We are grateful to Kwan Hyun Yoon, M.A., medical artist, for his illustrations. This study was supported by a grant from Inha University (INHA - Research grant 2003).

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Authors and Affiliations

  1. Inha University, Inchon, Korea

    Kun Hwang M.D., Ph.D., Jin Yi Han M.D., M.S. &  Dae Joong Kim Ph.D

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  1. Kun Hwang M.D., Ph.D.
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  2. Jin Yi Han M.D., M.S.
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  3. Dae Joong Kim Ph.D
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Correspondence to Kun Hwang M.D., Ph.D..

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Hwang, K., Yi Han, J. & Joong Kim, . Dermofat Graft in Deep Nasolabial Fold and Facial Rhytidectomy . Aesth. Plast. Surg. 27, 254–257 (2003). https://doi.org/10.1007/s00266-003-3026-x

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  • DOI: https://doi.org/10.1007/s00266-003-3026-x

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