“Dedicated to my academic advisor of medical school,
the late professor Byoung-Duek Jun,
who had guided me into becoming a human anatomist.”
As a cosmetic surgeon who majored in human anatomy, I am very delighted to share my method of SAFI(Sequential Autologous Fat Injection) which considers structure and function, aging process, and influence of gravity on all areas of the face. Various hypotheses and detailed method of SAFI technique are discussed in this book. It is expected to be helpful for doctors who try to perform fat graft for the first time and even for those who are currently practicing fat graft actively.
In addition, I hope that the principles of SAFI established from my personal experience in this book are also applicable to any aesthetic augmentation using various man-made fillers. My first Korean edition of SAFI book had already published in 2011(ISBN978-89-92000-93-4). I would like to introduce that this book is published in English, as an updated version of previous contents and results.
Lastly, the readers’advice and encouragement are always welcomed for further development of facial fat graft technique.
I wish you success in your career of facial fat grafting.
Kyoung-Jin (Safi) Kang
MD PhD & FKCCS
- 목차 -
CHAPTER 1. Anatomy for facial fat grafting
1. Facial aesthetic units and skin
2. Subcutaneous fat layer
3. Superficial musculoaponeurotic system (SMAS)
4. Ligamentous fixation
5. Muscle of face
6. Facial blood vessel
7. Facial nerve
8. Facial bone
CHAPTER 2. Facial aging
1. Causes of aging
2. Aging of facial skeleton
3. Aging of facial soft tissue
4. Anti-aging approach using lipoplasty
CHAPTER 3. Various parameters affecting survival of fat grafting
1. Adipocyte as endocrine gland
2. Adipose tissue
3. Hypotheses on fat graft survival
4. Parameters affecting adipocytes survival in fat grafting
CHAPTER 4. Concept of stem cell and adipose-derived stem cells
1. Stem cell
2. Adipose-derived stem cells(ADSCs)
CHAPTER 5. Counseling, informed consentand photographing
1. Consideration in counseling, and filling out the informed consent form
2. SAFI-specific charts of consultation, operation and anesthesia, and informed consent form
3. Photographing
CHAPTER 6. Practical preparations for fat grafting-Instrument, liposuction and purification
1. Instruments
2. Preparation of anesthetic tumescent solution
3. Liposuction for harvest
4. Fat purification
5. Practical guide for preparations
6. Postoperative care
CHAPTER 7. Anesthesia
1. Sedation anesthesia
2. Sensory nerve block
3. Anesthesia with tumescent solution
4. Oral sedation and preemptive analgesia
5. Requirements for recovery and discharge
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