The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Sharobaro V.I.

Sechenov First Moscow State Medical University (Sechenov University)

Nikolenko V.N.

Sechenov First Moscow State Medical University (Sechenov University)

Vinnik Yu.Yu.

Voino-Yasenetsky Krasnoyarsk State Medical University

Zharikov Yu.O.

Sechenov First Moscow State Medical University (Sechenov University)

Zemlyakova S.S.

Russian Medical Academy of Continuing Professional Education

Gavryushova L.V.

Razumovsky Saratov State Medical University

Zharova N.V.

Sechenov First Moscow State Medical University (Sechenov University)

Karpina S.S.

Sechenov First Moscow State Medical University (Sechenov University)

Zharikova T.S.

Sechenov First Moscow State Medical University (Sechenov University);
Lomonosov Moscow State University

Anatomical and topographic features of facial fat compartments and their role in correcting signs of aging of the middle third of the face

Authors:

Sharobaro V.I., Nikolenko V.N., Vinnik Yu.Yu., Zharikov Yu.O., Zemlyakova S.S., Gavryushova L.V., Zharova N.V., Karpina S.S., Zharikova T.S.

More about the authors

Read: 1593 times


To cite this article:

Sharobaro VI, Nikolenko VN, Vinnik YuYu, et al. . Anatomical and topographic features of facial fat compartments and their role in correcting signs of aging of the middle third of the face. Russian Journal of Operative Surgery and Clinical Anatomy. 2024;8(3):58‑65. (In Russ.)
https://doi.org/10.17116/operhirurg2024803158

Recommended articles:
Analysis of classifications of the facial «danger zones». Russian Journal of Operative Surgery and Clinical Anatomy. 2025;(2):57-62

References:

  1. Freytag L, Alfertshofer MG, Frank K, Moellhoff N, Helm S, Redaelli A, Voropai D, Hernandez CA, Green JB, Cotofana S. Understanding Facial Aging Through Facial Biomechanics: A Clinically Applicable Guide for Improved Outcomes. Facial Plast Surg Clin North Am. 2022;30(2):125-133.  https://doi.org/10.1016/j.fsc.2022.01.001
  2. Philipp-Dormston WG, Weinmann C, Frank K. Injection anatomy-a new discipline in aesthetic medicine. Dermatologie (Heidelb). 2023;74(8):621-631.  https://doi.org/10.1007/s00105-023-05185-8
  3. Mirontsev AV, Kolesova LYu, Vasil’ev YuL, Blinova EV, Zhandarov KA, Nelipa MV, Kytko OV. Buccal fat pad’ buccal flap anatomical variation. Russian Journal of Operative Surgery and Clinical Anatomy. 2023;7(3):28-37. (In Russ.). https://doi.org/10.17116/operhirurg2023703128
  4. Estler A, Grözinger G, Estler E, Hepp T, Feng YS, Daigeler A, Seabra Robalo Gomes Jorge AC, Santos Stahl A, Nikolaou K, Stahl S. Quantification of Facial Fat Compartment Variations: A Three-Dimensional Morphometric Analysis of the Cheek. Plast Reconstr Surg. 2023;152(4):617e-627e. https://doi.org/10.1097/PRS.0000000000010357
  5. Cassuto D, Cigni C, Bellia G, Schiraldi C. Restoring Adipose Tissue Homeostasis in Response to Aging: Initial Clinical Experience with Profhilo Structura®. Gels. 2023;9(8):614.  https://doi.org/10.3390/gels9080614
  6. Dixit R, Gupta A, Prakash A, Pradhan GS. Magnetic resonance imaging of rhino-orbito-cerebral mucormycosis: a pictorial review. Acta Radiol. 2023;64(4):1641-1649. https://doi.org/10.1177/02841851221132788
  7. Rohrich RJ, Avashia YJ, Savetsky IL. Prediction of Facial Aging Using the Facial Fat Compartments. Plast Reconstruct Surg. 2021:147(1S-2):38S-42S  https://doi.org/10.1097/PRS.0000000000007624
  8. Fitzgerald R, Carqueville J, Yang PT. An approach to structural facial rejuvenation with fillers in women. Int J Womens Dermatol. 2018;5(1):52-67.  https://doi.org/10.1016/j.ijwd.2018.08.011
  9. Cotofana S, Fratila A, Schenck T. The anatomy of the aging face: a review. Facial Plast Surg. 2016;32(3):253-260.  https://doi.org/10.1055/s-0036-1582234
  10. Cotofana S, Schenck TL, Trevidich P. Clinical anatomy and regional approaches with injectable fillers. Plast Reconst Surg. 2015;136:219S-234S. https://doi.org/10.1097/PRS.0000000000001837
  11. Pilsl U, Rosmarin W, Anderhuber F. The premaxillary space: a location for filler injection? Dermatol Surg. 2014;40:301-304.  https://doi.org/10.1111/dsu.12431
  12. Pessa JE, Rohrich RJ. Discussion: Aging changes of the midfacial fat compartments: a computed tomographic study. Plast Reconstr Surg. 2012;129:274-275.  https://doi.org/10.1097/PRS.0b013e3182362be2
  13. Rohrich RJ, Arbique GM, Wong C, Brown S. Pessa JE. The anatomy of suborbicularis fat: implications for periorbital rejuvenation. Plast Reconstr Surg. 2009;124:946-951.  https://doi.org/10.1097/PRS.0b013e3181b17b76
  14. Schenck TL, Koban KC, Schlattau A, Frank K, Sykes JM, Targosinski S, Erlbacher K, Cotofana S. The Functional Anatomy of the Superficial Fat Compartments of the Face: A Detailed Imaging Study. Plast Reconstr Surg. 2018;141(6):1351-1359. https://doi.org/10.1097/PRS.0000000000004364
  15. Li Z, Li J, Ma J. Panfacial fat injection approach in young Asian patients for facial contouring: A goal-oriented classification method based on the facial fat compartments theory. Plast Reconstr Surg. 2017;140:253-260.  https://doi.org/10.1097/PRS.0000000000003556
  16. Cotofana S, Mian A, Sykes JM. An update on the anatomy of the forehead compartments. Plast Reconst Surg. 2017;139(4):864e-872e. https://doi.org/10.1097/PRS.0000000000003174
  17. Mojallal A, Cotofana S. Anatomy of lower eyelid and eyelid-cheek junction. Ann Chir Plast Esthetique. 2017;62(5):365-374.  https://doi.org/10.1016/j.anplas.2017.09.007
  18. Majewska L. Practical application of the facial fat compartments and the line of ligaments concept in achieving the lifting effect in the lower face region in female patients. Int J Womens Dermatol. 2023 6;9(2):e080. https://doi.org/10.1097/JW9.0000000000000080
  19. Manturova NE, Stenko AG, Petinati Ya.A., Tchaikovsky EA, Bolgarina AA Injectable collagen in the correction of age-related skin changes: experimental and clinical parallels. Bulletin of the Russian State Medical University. 2019;1:78-84. (In Russ.). https://doi.org/10.24075/vrgmu.2019.010
  20. Kaya KS, Cakmak O. Facelift Techniques: An Overview. Facial Plast Surg. 2022;38(6):540-545.  https://doi.org/10.1055/a-1877-9371
  21. Arne Gerber P, Filler T. Static and Dynamic Anatomy of the Face, in Particular Eyebrows, Eyelids and Lips. Curr Probl Dermatol. 2022;56:306-312.  https://doi.org/10.1159/000521592
  22. Molina-Burbano F, Smith JM, Ingargiola MJ, Motakef S, Sanati P, Lu J, Taub PJ, Hill ME. Fat Grafting to Improve Results of Facelift: Systematic Review of Safety and Effectiveness of Current Treatment Paradigms. Aesthet Surg J. 2021;41(1):1-12.  https://doi.org/10.1093/asj/sjaa002
  23. Schultz KP, Raghuram A, Davis MJ, Abu-Ghname A, Chamata E, Rohrich RJ. Fat Grafting for Facial Rejuvenation. Semin Plast Surg. 2020;34(1):30-37.  https://doi.org/10.1055/s-0039-3402767
  24. Cotofana S, Lachman NJ. Anatomy of the Facial Fat Compartments and their Relevance in Aesthetic Surgery. Dtsch Dermatol Ges. 2019;17(4):399-413.  https://doi.org/10.1111/ddg.13737
  25. Frank Netter. Atlas of Human Anatomy: terminology in Russian, Latin and English = Atlas of Human Anatomy: Russian, Latin and English Terminology; translated from English. edited by V.N. Nikolenko. 7th ed. Moscow: GEOTAR-Media, 2022. ISBN 978-5-9704-6877-7 (Russ.) ISBN 978-0-323-39322-5 (Engl.). (In Russ.).
  26. Grey’s Anatomy for Students: Studies for medical students. Richard L Drake, A Wayne Vogel, Adam WM Mitchell. 3rd ed. Moscow: Medical Information Agency, 2020. ISBN 978-5-9986-0400-3. (In Russ.).
  27. Rohrich RJ, Pessa JE. The retaining system of the face: histologic evaluation of the septal boundaries of the subcutaneous fat compartments. Plast Reconstr Surg. 2008;121(5):1804-1809. https://doi.org/10.1097/PRS.0b013e31816c3c1a
  28. Alghoul M, Bitik O, McBride J, Zins JE. Relationship of the zygomatic facial nerve to the retaining ligaments of the face: The sub-SMAS danger zones. Plast Reconstr Surg. 2013;131 245e-252e. https://doi.org/10.1097/PRS.0b013e3182789c5c
  29. Schenck TL, Koban K., Schlattau A. The functional anatomy of the superficial fat compartments of the face: A detailed imaging study. Plast Reconstr Surg. 2018;141:1351-1359. https://doi.org/10.1097/PRS.0000000000004364
  30. Rohrich RJ, Pessa JE, Ristow B. The youthful cheek and the deep medial fat compartment. Plast Reconstr Surg. 2008;121(6):2107-2112. https://doi.org/10.1097/PRS.0b013e31817123c6
  31. Gierloff M, Stöhring C, Buder T, Gassling V, Açil Y, Wiltfang J. Aging changes of the midfacial fat compartments: A computed tomographic study. Plast Reconstr Surg. 2012;129:263-273.  https://doi.org/10.1097/PRS.0b013e3182362b96
  32. Lambros V. Observations of periorbital and midface aging. Plast Reconstr Surg. 2007;120:1367-1376; discussion 1377. https://doi.org/10.1097/01.prs.0000279348.09156.c3
  33. Stuzin JM, Rohrich RJ, Dayan E. The Facial Fat Compartments Revisited: Clinical Relevance to Subcutaneous Dissection and Facial Deflation in Face Lifting. Plast Reconstr Surg. 2019;144(5):1070-1078. https://doi.org/10.1097/PRS.0000000000006181
  34. Sinelnikov RD, Sinelnikov YaR, Sinelnikov AYa. Atlas of human anatomy: Textbook: In 3 volumes. Vol. 1. 8th ed., reprint. M.: RIA «New Wave»: Publisher Umerenkov, 2023. ISBN 978-5-7864-0362-7 (New wave) ISBN 978-5-94368-069-4 (Moderation Publishing house). (In Russ.).
  35. Human anatomy: textbook: 2 volumes. M.R. Sapin, D.B. Nikityuk, V.N. Nikolenko, S.V. Klochkova; in order. M.R. Sapina. T. II. M.: GEOTAR-media, 2022. ISBN 978-5-9704-2235-9 (common). (In Russ.)
  36. Atlas of Grey’s Anatomy: Textbook: [Russian, Latin, English]. Richard L. Drake, A. Wayne Fogle, Adam WM Mitchell. 2nd ed. Moscow: Medical Information Agency, 2020. ISBN 978-5-9986-0401-0. (In Russ.).
  37. Atlas of anatomy for dentists. In 2 volumes. M. Shunke, E. Schulte, W. Schumacher; edited by E.W. Baker; translated from English. edited by V.N. Nikolenko, I.M. Makeeva. Vol. 1: General anatomy. Head. M.: Practical Medicine, 2023. ISBN 978-1-623-085-9 (English) ISBN 978-5-98811-700-1 (Russian). (In Russ.).
  38. Vasiliev YuL, Zhidkov RA, Tsitsiashvili AM, Smilyk IM, Glinsky AV, Fakhrislamova LR. Assessment of changes in facial configuration during traction of the cheek fat pad. Pilot study. Russian Journal of Operative Surgery and Clinical Anatomy. 2023;7(4):25-32. (In Russ.). https://doi.org/10.17116/operhirurg2023704125
  39. Mirontsev AV, Kolesova LYu, Vasil’ev YuL, Blinova EV, Zhandarov KA, Nelipa MV, Kytko OV. Buccal fat pad’ buccal flap anatomical variation. Russian Journal of Operative Surgery and Clinical Anatomy. 2023;7(3):28-37. (In Russ.). https://doi.org/10.17116/operhirurg2023703128
  40. Tostevin PM, Ellis H. The buccal pad of fat: a review. Clin Anat. 1995;8(6):403-6.  https://doi.org/10.1002/ca.980080606
  41. Zhang H-M, Yan Y-P, Qi K-M, Wang J-Q, Liu Z-F. Anatomical structure of the buccal fat pad and its clinical adaptations. Plast Reconstr Surg. 2002;109(7):2509-2518; discussion 2519-20.  https://doi.org/10.1097/00006534-200206000-00052
  42. Alghoul MS, Vaca EE, Mioton LM, Zins JE. The Functional Anatomy of the Deep Facial Fat Compartments: A Detailed Imaging-Based Investigation. Plast Reconstr Surg. 2020;145(4):870e-871e. https://doi.org/10.1097/PRS.0000000000006706
  43. Strong AL, Rohrich RJ, Tonnard PL, Vargo JD, Cederna PS. Technical Precision with Autologous Fat Grafting for Facial Rejuvenation: A Review of the Evolving Science. Plast Reconstr Surg. 2024;153(2): 360-377.  https://doi.org/10.1097/PRS.0000000000010643
  44. Schelke L, Velthuis PJ, Lowry N, Rohrich RJ, Swift A, Gotkin RH, Moellhoff N, Frank K, Dumbrava M, Cotofana S. The mobility of the superficial and deep midfacial fat compartments: An ultrasound-based investigation. J Cosmet Dermatol. 2021;20(12):3849-3856. https://doi.org/10.1111/jocd.14374
  45. Trévidic P, Trévidic T, Imanilov A, Criollo-Lamilla G. Midface Multilayering Filler Injection Technique: Understanding of the Dynamic Facial Anatomy Through a «Smiling Cadavers» Anatomical Study. Plast Reconstr Surg. 2022;149(6):1326-1336. https://doi.org/10.1097/PRS.0000000000009158
  46. Azoury SC, Shakir S, Bucky LP, Percec I. Modern Fat Grafting Techniques to the Face and Neck. Plast Reconstr Surg. 2021;148(4):620e-633e. https://doi.org/10.1097/PRS.0000000000008405
  47. Mendelson B, Wong C-H. Commentary on: SMAS Fusion Zones Determine the Subfacial and Subcutaneous Anatomy of the Human Face: Fascial Spaces, Fat Compartments, and Models of Facial Aging. Aesthetic Surgery Journal. 2016;36(5):529–532.  https://doi.org/10.1093/asj/sjw038
  48. AboShaban MS, Ghareeb FM. Esthetic restoration of progressive hemifacial atrophy (Parry-Romberg disease) by free fat grafting using computerized-assisted mapping. Oral Maxillofac Surg. 2022; 28:195-203.  https://doi.org/10.1007/s10006-022-01115-5
  49. Kuruoglu D, Salinas CA, Kirk DS, Wong CH, Sharaf BA. Brow and Eyelid Rejuvenation: Trends from the 100 Most Cited Articles over 30 Years. Medicina (Kaunas). 2023;59(2):230.  https://doi.org/10.3390/medicina59020230
  50. Coban I, Derin O, Sirinturk S, Pinar Y, Govsa F. Anatomical Basis for the Lower Eyelid Rejuvenation. Aesthetic Plast Surg. 2023;47(3):1059-1066. https://doi.org/10.1007/s00266-023-03297-z
  51. Schreiber JE, Stern CS, Jelks EB, Jelks GW, Tepper OM. Three-Dimensional Topographic Surface Changes in Response to Volumization of the Lateral Suborbicularis Oculi Fat Compartment. Plast Reconstr Surg. 2020;145(3):653-659.  https://doi.org/10.1097/PRS.0000000000006592
  52. Blandford AD, Bachour SP, Chen R, Xu LT, Hwang CJ, Perry JD. Dimensions and Morphologic Variability of the Retro-Orbicularis Oculi and Frontalis Muscle Fat Pad. Ophthalmic Plast Reconstr Surg. 2019;35(5):447-450.  https://doi.org/10.1097/IOP.0000000000001314
  53. Sun X, Chen X, Zhang L, Zhang Y, Jin R, Mao X, Cheng L, Bian W, Zhang Y. Vertical V-Y Advancement Lifting Based on Fat Compartments: A New Approach for Lower Eyelid and Midcheek Rejuvenation. Plast Reconstr Surg. 2022;150(3):550-557.  https://doi.org/10.1097/PRS.0000000000009461
  54. Cotofana S, Gotkin RH. Reply: The Functional Anatomy of the Deep Facial Fat Compartments: A Detailed Imaging-Based Investigation. Plast Reconstr Surg. 2020;145(4):871e-872e. https://doi.org/10.1097/PRS.0000000000006707
  55. Kim SH, Choi BG, Chung KJ. Modified deep-plane facelift and lower midface lifting using deep fat compartment mobilization and zygomaticus major muscle plication. Plast Reconstr Surg. 2024;153(6):1084e-1091e. https://doi.org/10.1097/PRS.0000000000010642
  56. Ugradar S, Kim JS, Massry G. A Review of Midface Aging. Ophthalmic Plast Reconstr Surg. 2023;39(2):123-131.  https://doi.org/10.1097/IOP.0000000000002282
  57. Cotofana S, Gotkin RH, Frank K, Lachman N, Schenck TL. Anatomy Behind the Facial Overfilled Syndrome: The Transverse Facial Septum. Dermatol Surg. 2020;46(8):e16-e22.  https://doi.org/10.1097/DSS.0000000000002236
  58. Bagci B. A New Approach in the Correction of the Midcheek Groove: The Liquid Malar-lift Technique. Plast Reconstr Surg Glob Open. 2020;8(6):e2876. https://doi.org/10.1097/GOX.0000000000002876
  59. Ma X, Li F. Autologous fat grafting for perioral and lower face rejuvenation. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022;36(12):1542-1548. https://doi.org/10.7507/1002-1892.202207044

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.