Lipogems® Shows Promise for Better Jaw Surgery Recovery
M. Raffaini, C. Tremolada · CellR4 · 2014
Study Finds Less Swelling and Pain After Orthognathic Surgery
Orthognathic surgery corrects jaw misalignment and facial imbalances. While this procedure reshapes the bone structure, it doesn't address soft tissue volume. Researchers in Italy explored whether adding Lipogems® fat grafting could improve both healing and aesthetic results.
This case series followed 120 patients who received Lipogems® micro-fragmented fat tissue during their double jaw surgery. The medical team tracked results at one day, one week, and then at one, six, and twelve months after surgery.
All 120 Patients Achieved Good Results With No Complications
The results were encouraging. Every patient in the study achieved satisfactory outcomes at the twelve-month follow-up. No one experienced complications from the Lipogems® addition to their jaw surgery.
The researchers compared these patients to their previous experience with over 900 similar patients. Those earlier patients had received different fat grafting methods between 2001 and 2010. The comparison, while informal, suggested meaningful improvements with the newer Lipogems® approach.
Unexpected Benefits: Reduced Swelling and Less Pain
Perhaps the most surprising finding was how patients felt immediately after surgery. The medical team—including doctors and nurses—noticed that patients experienced:
Much less swelling than usual in the first day and week
Less postoperative pain than expected
Faster visible recovery
While the study did not measure these improvements with formal tools, the clinical observations were consistent across the patient group. The researchers believe this anti-inflammatory effect may come from natural healing substances released by cells within the micro-fragmented fat tissue.
Long-Term Results Showed Lasting Improvements
At the six and twelve-month checkpoints, patients showed additional benefits compared to earlier methods:
Minimal fat reabsorption: The transplanted tissue maintained its volume well over time
No irregularities: Patients avoided the bumpy or uneven texture sometimes seen with older techniques
No hardening: The grafted areas remained soft and natural-feeling
Enhanced skin texture: Both facial shape and skin quality improved
The percentage of patients rating themselves as "very satisfied" was higher than in previous patient groups, though researchers noted it was difficult to attribute this entirely to the Lipogems® technique.
Simpler Technique Produces More Consistent Outcomes
Traditional fat grafting can be challenging to perform well. Earlier methods sometimes caused fat lumps, unpredictable shrinkage, and minor asymmetries. These drawbacks limited how often surgeons used fat grafting—only about eight percent of patients received it between 2001 and 2008.
The Lipogems® system processes fat tissue into very small, uniform clusters. This micro-fragmented fat spreads evenly throughout the tissue, filling spaces smoothly without creating lumps. The closed, single-use device also standardizes the procedure, making results more predictable.
By 2011, this technique had become the research team's preferred approach for all orthognathic surgery patients.
What This Means for Your Treatment Decision
This study suggests that Lipogems® may offer real advantages for patients undergoing jaw surgery. The combination of improved aesthetics, reduced recovery discomfort, and zero complications is promising.
However, keep these points in mind:
This was a case series, not a controlled trial comparing treatments directly
Swelling and pain reductions were observed clinically but not measured with standardized tools
Results came from a single surgical center with experienced practitioners
Your individual results may vary based on your specific condition
If you're considering orthognathic surgery, ask your surgeon whether Lipogems® fat grafting might benefit your procedure. The technique uses your own body's fat tissue, processed to preserve its natural healing properties. This approach appears to support both better healing and improved long-term facial contours.
---
Source: Raffaini et al., CellR4, 2014.
Original Publication
Micro Fractured and Purified Adipose Tissue Graft (Lipogems®) Can Improve the Orthognathic Surgery Outcomes Both Aesthetically and in Postoperative Healing
M. Raffaini, C. Tremolada · CellR4 · 2014
Classical fat grafting techniques are relatively difficult to learn and sometimes complications (fat indurations and irregularities) arise as well as unpredictable reabsorption of the transplanted fat. This study examines an innovative micro fractured fat transplantation technique using a closed disposable device (Lipogems®) combined with orthognathic surgery. One hundred twenty patients undergoing double jaw orthognathic surgery were treated with Lipogems® micro fat grafting at the end of their orthognathic procedure. Follow-up occurred at 1 day, 1 week, and 1, 6, and 12 months postoperatively. Patient charts were reviewed and all patients re-examined at 12 months, with results scored by the senior surgeon. Patient satisfaction was also assessed and compared to a historical cohort of 903 patients from 2001-2010 who underwent similar procedures using different fat grafting techniques. The Lipogems technique yielded satisfactory results with no complications at 12-month follow-up in all 120 patients. Both facial morphology and skin texture were enhanced. Compared to previous techniques, patients experienced significantly less immediate postoperative swelling and pain at 1 day and 1 week, with minimal reabsorption and no irregularities or indurations at longer-term follow-up. The percentage of "very satisfied" patients was higher with this technique. The Lipogems fat grafting technique reduces immediate postoperative pain and swelling while improving aesthetic outcomes and patient satisfaction without complications when used as an adjunct to orthognathic surgery.