Anatomic Reference Points to Consider to Avoid Vessel and Nerve Injury During Facial Fat Grafting

  • Jose Maria Serra-Renom
  • Jose Maria Serra-Mestre


Before performing fat grafting, it is important to consider the possible risk areas [1, 2]. It is very useful to mark reference points for identifying areas where vessels and nerves are likely to be near the surface. This is done with an easily washable pen because vigorous washing at the end of the procedure would increase the risk of mobilizing the fat graft.


Facial danger zones Fat grafting Lipofilling Fat injection Filler complications Fat emboli Nerve injury Vessel injury 


  1. 1.
    Seckel BR. Facial danger zones: avoiding nerve injury in facial plastic surgery. 2nd ed. St. Louis: Quality Medical Publishing Inc; 2010.Google Scholar
  2. 2.
    Pessa JE, Rohrich RJ. Facial topography: clinical anatomy of the face. St. Louis: Quality Medical Publishing Inc; 2012.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Jose Maria Serra-Renom
    • 1
  • Jose Maria Serra-Mestre
    • 1
  1. 1.Department of Plastic, Reconstructive, and Aesthetic SurgeryUniversitat International de Catalunya Hospital Quirón BarcelonaBarcelonaSpain

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