Calculating the Thickness of the Superficial Fatty Layer of the Body Using Age, Gender, and Body Mass Index

January 2020 | Volume 19 | Issue 1 | Original Article | 36 | Copyright © January 2020


Published online December 19, 2019

Sebastian Cotofana MD PhD,a,b Doris Hexsel MD,c Luiz E.T. Avelar MD,d Christine G. Munia MD,e Mariana Muniz MD,f Gabriela Casabona MD,g Thilo L. Schenck MD PhD,h Jeremy B. Green MD,i Nirusha Lachman PhD,j Konstantin Frank MDh

aDivision of Anatomy, Department of Medical Education, Albany Medical College, Albany, NY bDivision of Plastic Surgery, Department of Surgery, Albany Medical Center, Albany, NY cBrazilian Centre for Studies in Dermatology, Porto Alegre, Brazil dPrivate Practice, Belo Horizonte, Brazil ePrivate Practice, Sao Paolo, Brazil fPrivate Practice, Sao Paolo, Brazil gOcean Clinic, Marbella, Spain hDepartment for Hand, Plastic and Aesthetic Surgery, Ludwig – Ludwig Maximilians University of Munich, Germany iSkin Associates of South Florida, Coral Gables, FL jMayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN

in all investigated individuals: skin, superficial fat, superficial fascia, deep fat, and deep fascia. The thickness of the superficial fatty layer varied highly with smallest values for the lateral neck with 3.71mm ± 0.55 [range, 2.00–5.00mm] and greatest values for the gluteal region with 20.52mm ± 10.07 [range, 6.10–38.40mm]. Influence of BMI and age are presented region specific in Table 2.

Face: Buccal Region (Figures 1–4)
The mean thickness of the superficial fatty layer independent of age or BMI, was in males 4.75 mm ± 0.72 and in females 4.89mm ± 0.97 with P=0.164. In those with a BMI <24.9 kg/m2 the mean thickness was for males/females 4.24mm ± 0.61/4.46mm ± 1.16, whereas it was in those with a BMI of 25.0–29.9kg/m2 5.12mm ± 0.68/5.25 mm ± 0.80 and for those with a BMI >30.0 kg/m2 it was 4.90mm ± 0.58/4.96mm ± 0.73. Increasing BMI values correlated significantly with an increase in superficial fatty layer thickness (rp = 0.395, P<0.001) whereas increasing age correlated significantly with a decrease in its thickness (rp = -0.295, P<0.001). Multifactorial linear regression revealed the following formula to compute the thickness of the superficial fatty layer based on information of age and BMI:

Male: Thickness of superficial fatty layer in mm: 3.619+(0.072*BMI)-(0.018*Age)
Female: Thickness of superficial fatty layer in mm: 3.519+(0.079*BMI)-(0.017*Age)

Face: Premasseteric Region (Figures 1–4)
The mean thickness of the superficial fatty layer independent of age or BMI, was in males 4.34 mm ± 0.57 and in females 4.14mm ± 0.69 with P=0.009 In those with a BMI <24.9 kg/m2 the mean thickness was for males/females 4.13mm ± 0.64/3.54mm ± 0.56, whereas it was in those with a BMI of 25.0–29.9kg/m2 4.24mm ± 0.52/4.22 mm ± 0.50 and for those with a BMI >30.0kg/ m2 it was 4.64mm ± 0.39/4.68mm ± 0.45. Increasing BMI values correlated significantly with an increase in superficial fatty layer
thickness (rp = 0.590, P<0.001) whereas increasing age correlated significantly with a decrease in its thickness (rp = -0.426, P<0.001). Multifactorial linear regression revealed the following formula to compute the thickness of the superficial fatty layer based on information of age and BMI:
Male: Thickness of superficial fatty layer in mm: 3.901+(0.055*BMI)-(0.024*Age)
Female: Thickness of superficial fatty layer in mm: 1.683+(0.114*BMI)-(0.014*Age)

Lateral Neck (Figure 1 and 3)
The mean thickness of the superficial fatty layer independent of age or BMI, was in males 3.71 mm ± 0.55 and in females 3.71 mm ± 0.55 with P=0.925 In those with a BMI <24.9kg/m2 the mean thickness was for males/females 3.25mm ± 0.36/3.21 mm ± 0.38, whereas it was in those with a BMI of 25.0–29.9kg/m2 3.87mm ± 0.44/3.87 mm ± 0.46 and for those with a BMI >30.0 kg/m2 it was 4.01mm ± 0.53/4.05mm ± 0.40. Increasing BMI values correlated significantly with an increase in superficial fatty layer thickness (rp = 0.615, P<0.001) whereas increasing age correlated significantly with a decrease in its thickness (rp = -0.424, P<0.001). Multifactorial linear regression revealed the following formula to compute the thickness of the superficial fatty layer based on information of age and BMI:
Male: Thickness of superficial fatty layer in mm: 2.723+(0.068*BMI)-(0.019*Age)
Female: Thickness of superficial fatty layer in mm: 2.064+(0.083*BMI)-(0.014*Age)