Long face may be a part of craniofacial syndrome, which can be corrected by reduction osteotomies. However, nonsyndromic long face appearance or elongated face is a common compliant that usually results from loss of the facial fat foundation due to weight loss in some individuals or familial traits in others. In this study, lipofilling or structure fat grafting of the different aesthetic zones of the face was used to contour and create well-balanced facial dimensions. The study included 84 female patients with nonsyndromic long face deformity. Structure lipofilling was performed according to the standard technique of Coleman. The width of the face was measured at 3 transverse dimensions: transzygomatic, transtemporal, and transbuccal. With an average follow-up period of 1 year, there was an increase in the transverse facial dimensions, with increased width/height facial index. More than 91% of the patients were satisfied with the results. The study concluded that long face deformity due to volume deficiency after weight loss can be corrected by lipofilling, which restores the contour with balanced facial dimensions.
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