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Pignata et al. Plast Aesthet Res 2018;5:23 Plastic and
DOI: 10.20517/2347-9264.2018.28 Aesthetic Research

Review Open Access

Rejuvenation of the centre of the face: a new
paradigm. Endoscopic lifting with fat grafting

Gabriel Pignata , Alessandro Gennai , Francesco Bernardini 3
2
1
1 Ophthalmology Department, British Hospital, Montevideo 11600, Uruguay.
2 Gennai Chirurgia, Bologna 40122, Italy.
3 Oculoplastica Bernardini, Casa di Cura Villa Serena, Genova 16145, Italy.
Correspondence to: Dr. Gabriel Pignata, Ophthalmology Department, British Hospital, Av Italia 2420, Montevideo 11300, Uruguay.
E-mail: gabriel@oculoplastica.uy

How to cite this article: Pignata G, Gennai A, Bernardini F. Rejuvenation of the centre of the face: a new paradigm. Endoscopic lifting with
fat grafting. Plast Aesthet Res 2018;5:23. http://dx.doi.org/10.20517/2347-9264.2018.28

Received: 20 Apr 2018 First Decision: 12 Jun 2018 Revised: 28 Jun 2018 Accepted: 29 Jun 2018 Published: 20 Jul 2018

Science Editor: Raffaele Rauso, Raúl González-García Copy Editor: Jun-Yao Li Production Editor: Huan-Liang Wu

Abstract

The ageing process starts in the centre of the face in the periocular region and around the mouth, with a combination of
volume loss and tissue descent. It is a logical approach to assess all these problems at once. The combination of minimal
incisions vertical endoscopic lifting combined with superficial enhanced fluid fat injection can be an integral approach
to facial rejuvenation.

Keywords: Minimal incisions vertical endoscopic lifting, superficial enhanced fluid fat injection, endoscopic lifting, fat
grafting

INTRODUCTION
[1]
Scientific studies have proven the central role of the eyes in aesthetic facial rejuvenation. Nguyen et al. used
an eye-tracking system to demonstrate that age and fatigue judgments are related to preferential attention
toward the eye region. Consequently, aesthetic surgery to the eye region may be one of the most effective in-
[1]
terventions in enhancing the overall appearance of an individual . A recent prospective study on 72 female
patients with an average age of 48 years, showed that 74.6% of these patients felt that their first sign of ageing
[2]
occurred in the eyes, 26.7% in the neck and only 12.6% in the cheeks . Among this female group, 78.8% of
[2]
patients expressed interest in improving the appearance of their eyes, 28.8% the cheeks and lips only 15% .

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
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