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Similarly, practitioners injected facial fillers in arbitrarily defined facial compartments [21].
In 1962 Oswaldo Suarez, an Argentinian surgeon, described the facial compartments in the neck and the facial envelope covering a selective group of lymph nodes.
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Knowledge of facial fat compartments may also help in understanding facial filler distribution and migration.
Open image in new window Fig. 2 Schematic illustration of the subcutaneous facial fat compartments.
Open image in new window Fig. 5 Commonly injected facial fat compartments and characteristic aspect of various fillers at MRI and CBCT.
In 2012, Girrloff et al. quantified various facial fat compartments on CT scans after injecting iodinated contrast in a cadaveric facial specimen [29].
Modified after Rohrich et al. and Alghoul et al. [23, 83] Open image in new window Fig. 3 Facial fat compartments as depicted by routine MRI. a – d.
The hydrophilic nature of HA and the diffusion permeability of the fibrous septae between the facial fat compartments are thought to be responsible for this finding [3].
This review provides a comprehensive approach to the anatomy of facial fat compartments and summarises key imaging features of commonly used fillers and filler-related complications.
For easier correlation with the schematic drawing shown in fig. 1, the same numbers were used for the superficial and deep facial fat compartments.
The purpose of this article is to acquaint the reader with the anatomy of facial fat compartments, as well as with the properties and imaging features of commonly used facial fillers, filler-related complications, interpretation pitfalls, and dermatologic conditions mimicking filler-related complications.
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