The Scientific World Journal Volume 2012, Article ID 262989, 4 pages doi:10.1100/2012/262989 The cientificWorldJOURNAL Clinical Study Simple Technique for Augmentation of the Facial Soft Tissue Francesco Inchingolo, 1, 2 Marco Tatullo, 2, 3 Fabio M. Abenavoli, 4 Massimo Marrelli, 2 Alessio D. Inchingolo, 1 Roberto Corelli, 5 Raffaella Mingrone, 2 Angelo M. Inchingolo, 6 and Gianna Dipalma 2 1 Department of Dental Sciences and Surgery, University of Bari, 70121 Bari, Italy 2 Department of Maxillofacial Surgery, Calabrodental, 88900 Crotone, Italy 3 Department of Basic Medical Sciences, University of Bari, 70121 Bari, Italy 4 Department of “Head and Neck Diseases”, Hospital “Fatebenefratelli”, 00186 Rome, Italy 5 Department of Maxillofacial Surgery, University of Bari, 70121 Bari, Italy 6 Department of Surgical, Reconstructive and Diagnostic Sciences, University of Milano, 20122 Milano, Italy Correspondence should be addressed to Francesco Inchingolo, f.inchingolo@doc.uniba.it Received 12 October 2011; Accepted 30 November 2011 Academic Editors: T. E. Pesavento, J. N. Pozner, and R. P. Silverman Copyright © 2012 Francesco Inchingolo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Due to the request of numerous patients to improve the aspect of the perioral area in combination with other types of cosmetic and reconstructive surgery, we started to use autologous fillers. In fact, there are numerous potential fillers that can be utilized during various operations executed in many bodily areas, such as the breast, abdomen, and face. The muscular fascia as well as the dense connective tissue which the surgeon encounters in various bodily areas during some stages of the operation, in fact, can be removed and replaced both by themselves or superimposed in order to increase their thickness. The insertion of the grafts is carried out by using a needle, but other methods can also be used with the same success. The consistency of the area treated, after a few days of edema, is very similar to the host area, and the volume obtained remains uniform in time (our followup is after 24 months). The time utilized for the removal and the insertion in the chosen area was only a few minutes. The result was extremely satisfactory in all the 30 patients treated, and there was no complication or side effects. 1. Introduction The use of fillers to improve the aesthetic aspect of the face is now a frequently used methodology. Numerous products have been proposed and utilized with variable success. Generally, what is required of these products is their bio- compatibility, stability, naturalness, and reproducibility of the result obtained. Another important factor is that the consistency of the area treated with these fillers is such that at the end of the filling there are no differences of consistency between the surrounding areas. Certainly, the fact that these products are easily available, utilizable, and having a minimum of side effects is also very important. However, since there is a good deal of research for new products going on, this seems to be indicative of the fact that the objectives proposed have not yet been reached. Two of the most interesting areas for the application of various products are those of the nasal-labial folds and the lips. In fact, in these areas, the passing of time as well as in many cases the bad habit of smoking, dental prosthesis that are not perfect and other elements directly harm their aesthetic aspect. In any case, the presence of well- defined turgid lips is the guarantee of aesthetic attractiveness regardless of one’s age. This desire, therefore, explains why there are so many requests to correct these areas, both as a single procedure or in association with other plastic surgery operations. The tissue utilized must guarantee an adequate consis- tency, so that it can be easily shaped and inserted in the area. Tissues which certainly have these characteristics are that of the muscular fascia so as the most compact tissue that is found, in varying amounts, in the subcutaneous thickness of