Minimally invasive method for harmonizing insufficient chin projection using subplatysmal fat autografts

Borisenko AS, Sharobaro VI, Burkhonova NS, Avdeev AE, Anurov MV, Fisun AO, Lysenko NA. Minimally invasive method for harmonizing insufficient chin projection using subplatysmal fat autografts. Plastic Surgery and Aesthetic Medicine. 2025;(3):12‑21. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202503112

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

To evaluate the effectiveness of fat autografts for cervicomental rejuvenation procedures and chin augmentation.

MATERIAL AND METHODS

The study included 70 male and female patients aged 35-65 years with age-related changes in the lower third of the face, localized fat deposits in cervicomental area and insufficient chin projection between 2020 and 2024. All patients were divided into three groups: the 1st group (n=30) — medial platysmaplasty and chin augmentation with subplatysmal fat autograft; the 2nd group (n=15) — removal of Bichat’s fat and chin augmentation with fat autograft using Bichat’s fat pad; the 3rd group (n=25) — medial platysmaplasty and chin contouring with lipofilling.

RESULTS

Patients with various age-related changes in the lower third of the face and insufficient chin projection underwent cervicomental rejuvenation and chin augmentation. In case of chin augmentation with subplatysmal fat autograft, chin prominence increased by 0.6±0.2 cm after 3 months, 0.5±0.3 cm after 6 months and 0.4±0.2 cm after 12 months. In chin augmentation using Bichat’s fat pad autograft, chin projection increased by 0.5±0.2, 0.4±0.2 and 0.3±0.4 cm, respectively. In chin contouring with lipofilling, chin projection increased by 0.6±0.4, 0.4±0.2 and 0.2±0.1 cm, respectively. In the 1st group, 2 (3%) patients had uneven chin contours. There were no infectious-inflammatory complications.

CONCLUSION

Autologous fat injections (lipofilling and fat autografts) are preferable for chin augmentation. Augmentation with subplatysmal fat autografts is a minimally invasive, safe, predictable, and long-term method for chin augmentation.

Keywords:

medial platysmaplasty

rejuvenation of the lower third of the face

chin augmentation

subplatysmal fat autograft

genioplasty

Authors:

Borisenko A.S.

Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0000-0003-3679-7114

Sharobaro V.I.

Sechenov First Moscow State Medical University (Sechenov University);
Pirogov Russian National Research Medical University

ORCID: 0000-0002-1510-9047

Burkhonova N.S.

Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0000-0001-5118-7248

Avdeev A.E.

Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0000-0002-6943-5446

Anurov M.V.

Pirogov Russian National Research Medical University

ORCID: 0000-0001-7512-2641

Fisun A.O.

Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0009-0001-2683-3751

Lysenko N.A.

Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0009-0008-8414-1148

Received:

11.09.2024

Accepted:

07.11.2024

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