{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T16:48:39Z","timestamp":1773161319419,"version":"3.50.1"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Men have distinct facial anatomy and facial patterns. Autologous fat grafting techniques can be tailored to maintain masculine features.<\/jats:p>\n                  <jats:p>Interest in male facial rejuvenation has grown in recent decades. Autologous fat grafting is favored for its natural, durable results and regenerative benefits.<\/jats:p>\n                  <jats:p>Men have angular facial structures with prominent brows, wider jaws, and thinner fat layers. Aging leads to forehead rhytids, midface hollowing, nasal lengthening, jawline blunting, and a more rectangular profile due to bone loss and skin laxity.<\/jats:p>\n                  <jats:p>Thorough preoperative evaluation and facial analysis are important for successful planning and outcomes.<\/jats:p>\n                  <jats:p>There are various commercially available tools for fat harvesting and processing. The Tulip cannula and PureGraft systems are described in this article. Microfat (1,000\u20131,500 microns) is preferred in facial grafting for its balance of volume restoration and low nodularity risk. The brow, infraorbital region, midface, jawline, and chin can be targeted to restore a youthful, masculine contour.<\/jats:p>\n                  <jats:p>Research on male-specific outcomes, including hormonal and weight effects on graft longevity and patient-reported outcomes, is limited and is an area ripe for future investigation.<\/jats:p>\n                  <jats:p>As interest in male aesthetics increases, tailoring facial rejuvenation techniques to their anatomy and aging is essential for successful outcomes.<\/jats:p>","DOI":"10.1055\/a-2705-3478","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T23:05:05Z","timestamp":1758323105000},"page":"213-218","source":"Crossref","is-referenced-by-count":0,"title":["Autologous Fat Grafting of the Face in Men"],"prefix":"10.1055","volume":"42","author":[{"given":"Lavanya","family":"Nagappan","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Head & Neck Surgery, Department of Surgery, Cooper University Health Care, Camden, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Liao","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic & Reconstructive Surgery, Department of Otorhinolaryngology, Head & Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason D.","family":"Bloom","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic & Reconstructive Surgery, Department of Otorhinolaryngology, Head & Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania"},{"name":"Bloom Facial Plastic Surgery, Bryn Mawr, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"ref1","first-page":"215","volume-title":"Chapter 23 Dermal fillers and facial fat grafting in males","author":"S R Cohen","year":"2024"},{"key":"ref2","first-page":"1","article-title":"Aesthetic Plastic Surgery National Databank Statistics 2023","volume":"44","year":"2024","journal-title":"Aesthet Surg J"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"S24","DOI":"10.1089\/fpsam.2021.0301","article-title":"Sex differences in adult facial three-dimensional morphology: application to gender-affirming facial surgery","volume":"24","author":"J J Bannister","year":"2022","journal-title":"Facial Plast Surg Aesthet Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"519.e1","DOI":"10.1016\/j.forsciint.2015.09.008","article-title":"Sexual dimorphism of facial appearance in ageing human adults: a cross-sectional study","volume":"257","author":"M Mydlov\u00e1","year":"2015","journal-title":"Forensic Sci Int"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1007\/s00266-012-9904-3","article-title":"Changes in the facial skeleton with aging: implications and clinical applications in facial rejuvenation","volume":"36","author":"B Mendelson","year":"2012","journal-title":"Aesthetic Plast Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"40S","DOI":"10.1097\/PRS.0000000000001729","article-title":"Ethnic and gender considerations in the use of facial injectables: male patients","volume":"136","author":"M de Maio","year":"2015","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.cps.2021.12.004","article-title":"Improving male chin and mandible eesthetics","volume":"49","author":"D M Straughan","year":"2022","journal-title":"Clin Plast Surg"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1055\/s-0039-3402767","article-title":"Fat grafting for facial rejuvenation","volume":"34","author":"K P Schultz","year":"2020","journal-title":"Semin Plast Surg"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1097\/PRS.0b013e31817d5476","article-title":"Sources of processed lipoaspirate cells: influence of donor site on cell concentration","volume":"122","author":"A V Padoin","year":"2008","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1097\/PRS.0000000000010643","article-title":"Technical precision with autologous fat grafting for facial rejuvenation: a review of the evolving science","volume":"153","author":"A L Strong","year":"2024","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1097\/SCS.0000000000002589","article-title":"Comparison of cellular alterations in fat cells harvested with laser-assisted liposuction and suction-assisted liposuction","volume":"27","author":"K Yildiz","year":"2016","journal-title":"J Craniofac Surg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1097\/PRS.0b013e3181ea44a9","article-title":"Fine tuning lipoaspirate viability for fat grafting","volume":"126","author":"J L Crawford","year":"2010","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1055\/s-0040-1721098","article-title":"Autologous fat grafting in facial cosmetic surgery: a national survey","volume":"37","author":"B L Scott","year":"2021","journal-title":"Facial Plast Surg"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"e3987","DOI":"10.1097\/GOX.0000000000003987","article-title":"Fat grafting: basic science, techniques, and patient management","volume":"10","author":"O Shauly","year":"2022","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"10","key":"ref15","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1093\/asj\/sjw106","article-title":"The effects of fat harvesting and preparation, air exposure, obesity, and stem cell enrichment on adipocyte viability prior to graft transplantation","volume":"36","author":"R Cucchiani","year":"2016","journal-title":"Aesthet Surg J"},{"issue":"05","key":"ref16","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/j.bjps.2012.12.033","article-title":"Effect of centrifugation and washing on adipose graft viability: a new method to improve graft efficiency","volume":"66","author":"L Hoareau","year":"2013","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"08","key":"ref17","doi-asserted-by":"crossref","first-page":"e3010","DOI":"10.1097\/GOX.0000000000003010","article-title":"Physical, biochemical, and biologic properties of fat graft processed via different methods","volume":"8","author":"C Fang","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1080\/2000656X.2020.1781138","article-title":"Mechanical emulsification of lipoaspirate by different Luer-Lok connector changes the viability of adipose derived stem cells in Nanofat","volume":"54","author":"X Chen","year":"2020","journal-title":"J Plast Surg Hand Surg"},{"issue":"05","key":"ref19","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1055\/s-0041-1725201","article-title":"Differences in temporal volume between males and females and the influence of age and BMI: a cross-sectional CT-imaging study","volume":"37","author":"A Nikolis","year":"2021","journal-title":"Facial Plast Surg"},{"issue":"03","key":"ref20","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.fsc.2024.03.003","article-title":"Fat grafting the male face","volume":"32","author":"E C Deane","year":"2024","journal-title":"Facial Plast Surg Clin North Am"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.fsc.2023.03.002","article-title":"Facial analysis for gender affirmation\/gender-related facial analysis","volume":"31","author":"M Somenek","year":"2023","journal-title":"Facial Plast Surg Clin North Am"},{"key":"ref22","first-page":"143","volume-title":"Chapter 14 Facial Fat Grafting in Men","author":"S R Coleman","year":"2021"},{"issue":"02","key":"ref23","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1055\/s-0038-1636922","article-title":"Fat grafting volume restoration to the brow and temporal regions","volume":"34","author":"T L Tzikas","year":"2018","journal-title":"Facial Plast Surg"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1097\/SAP.0000000000003616","article-title":"Real face analysis of masculinity-femininity, facial ratios, and attractiveness","volume":"91","author":"D F Villavisanis","year":"2023","journal-title":"Ann Plast Surg"},{"issue":"05","key":"ref25","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1001\/jamafacial.2017.0743","article-title":"Patterns of change in facial skeletal aging","volume":"19","author":"B Paskhover","year":"2017","journal-title":"JAMA Facial Plast Surg"},{"issue":"01","key":"ref26","doi-asserted-by":"crossref","first-page":"139e","DOI":"10.1097\/PRS.0000000000002849","article-title":"Evidence-based medicine: a graded approach to lower lid blepharoplasty","volume":"139","author":"A M Hashem","year":"2017","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref27","first-page":"112","article-title":"Three-dimensional structure of the orbicularis retaining ligament: a micro-computed tomography and histologic study","volume":"51","author":"O Jehoon","year":"2018","journal-title":"Anat Cell Biol"},{"issue":"05","key":"ref28","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1097\/01.prs.0000279348.09156.c3","article-title":"Observations on periorbital and midface aging","volume":"120","author":"V Lambros","year":"2007","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref29","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1097\/PRS.0000000000006592","article-title":"Three-dimensional topographic surface changes in response to volumization of the lateral suborbicularis oculi fat compartment","volume":"145","author":"J E Schreiber","year":"2020","journal-title":"Plast Reconstr Surg"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"2428","DOI":"10.3389\/fpsyg.2018.02428","article-title":"The relative contribution of jawbone and cheekbone prominence, eyebrow thickness, eye size, and face length to evaluations of facial masculinity and attractiveness: a conjoint data-driven approach","volume":"9","author":"J K Mogilski","year":"2018","journal-title":"Front Psychol"},{"issue":"08","key":"ref31","doi-asserted-by":"crossref","first-page":"1940","DOI":"10.1111\/jocd.13277","article-title":"Nonsurgical jawline rejuvenation using injectable fillers","volume":"19","author":"A Vazirnia","year":"2020","journal-title":"J Cosmet Dermatol"},{"issue":"06","key":"ref32","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1055\/s-0042-1757757","article-title":"High SMAS facelift: combined single flap lifting of the midface, cheek, and jawline","volume":"38","author":"T Marten","year":"2022","journal-title":"Facial Plast Surg"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2705-3478.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:05:53Z","timestamp":1773101153000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2705-3478"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,19]]},"references-count":32,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,3,9]]},"published-print":{"date-parts":[[2026,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2705-3478","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,9,19]]},"published":{"date-parts":[[2025,9,19]]}}}