scholarly journals Evaluation of a new adipose tissue processing method for breast and buttock fat grafting procedures

2020 ◽  
Author(s):  
Eric Auclair ◽  
Massimo Gianfermi
Keyword(s):  
Patient Satisfaction ◽  
Processing Technique ◽  
Fat Grafting ◽  
Processing Method ◽  
Study Cohort ◽  
Level Of Evidence ◽  
Fat Transfer ◽  
Autologous Fat Transfer ◽  
Therapeutic Study ◽  
Fat Processing

Abstract Background There is still some debate about the best adipose processing method for autologous fat transfer procedures. This article reports a series of 66 fat grafting procedures using a novel fat processing technique that involves washing, “micronization,” and decantation. Methods We retrospectively reviewed the files of all patients operated on over a 2-year period by the two investigators. They underwent breast or buttock surgery that employed the novel fat processing technique for fat transfer. Complications and patient satisfaction were recorded, and fat resorption was qualitatively assessed based on clinical examination and photographs. Results Data were retrieved from a total of 66 procedures performed on 43 patients: 17 breast augmentations, 8 buttock augmentations, and 41 breast reconstructions. Five patients also underwent concomitant facial fat grafting. The complications were one case of transient liponecrotic cyst in the breast, one case of transient areolar sensitivity reduction, and two cases of infection. The infections were reported in patients from the breast reconstruction cohort who had a history of radiotherapy. There was no complication associated with facial fat grafting. Patient satisfaction was achieved in 82.4 to 92.5% of cases depending on the study cohort. Fat resorption was graded as minimal to moderate in 95% of all cases. Conclusions This retrospective study supports the safety and effectiveness of this novel fat processing method in breast and buttock surgeries. Further controlled studies are needed to compare its performance with that of other techniques. Level of evidence: Level III, therapeutic study

scholarly journals Breast Augmentation by Water-Jet Assisted Autologous Fat Grafting: A Report of 300 Operations

2016 ◽  
Vol 02 (02) ◽  
pp. e19-e30 ◽  
Author(s):  
Daniel Muench
Keyword(s):  
Breast Augmentation ◽  
Fat Grafting ◽  
Water Jet ◽  
Fat Cell ◽  
Volume Increase ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Fat Deposits ◽  
Moderate Volume

Background The BEAULI -method (Breast Augmentation by Lipotransfer) is available for extraction and processing of large transplantable fat quantities. The aim of this work is to describe the surgical technique precisely and reproducibly and to provide an overview of the autologous fat transfer based on surgical experience. Method The author performed 300 autologous fat transplantations on 254 women between September 3, 2010, and May 13, 2015. Patients desiring moderate volume increase, fuller and firmer breasts, as well as an optimization of the silhouette, ideally with the concurrent desire of the correction of unwanted fat deposits, were selected. The fat was extracted via water-jet assisted liposuction (Body-jet, Human Med AG, Schwerin, Germany), and the fat cells were subsequently separated with the Lipocollector® (Human Med AG, Schwerin, Germany). Results The results were assessed with a control exam and photo comparison and were based on the responses on a questionnaire. Overall, 35.9% of the patients defined the result as very good, 38.6% as good, 22.4% as satisfactory, and 3.1% as poor. Conclusion This study shows that the autologous fat cell transplantation into the female breast via water-jet assisted liposuction achieves a moderate and harmoniously appearing breast volume enlargement as well as contour improvement. Further studies with more cases and longer observation periods over several years could contribute to improving the method of the autologous fat transfer regarding the grow-in rate, efficiency, and safety.

scholarly journals Treatment of “En Coupe De Sabre “ Linear Scleroderma. Soft Tissue Augmentation and Regeneration by Autologous Fat Transfer

2021 ◽  
pp. 30
Author(s):  
◽  
Keyword(s):  
Stem Cells ◽  
Soft Tissue ◽  
Fat Grafting ◽  
Soft Tissue Augmentation ◽  
Congenital Deformity ◽  
Autologous Fat Grafting ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Linear Scleroderma

Aim: Frontal linear scleroderma, also known as ‘‘en coup de sabre,’’ is a congenital deformity characterized by atrophy and furrowing of the skin of the front parietal area above the level of the eyebrows. In most cases it occurs as a single paramedian line that may be associated with hypoplasia of underlying structures and facial hemiatrophy. In case of a wide lesion many reconstructive strategies have been proposed. The modern approach is aimed at augmentation of the tissue deficiency by using lipostructure and tissue regeneration. Autologous fat transfer (AFT) seems to be an effective strategy to restore the normal volume and contour of the face while providing a source of adipose-derived stem cells (ADSCs) with a multilineage differentiation potential. Methods: In this report, we present a rare case of linear scleroderma en coupe de sabre which was successfully managed with three stages of autologous fat grafting. Conclusion: The proposed uses for ADSCs in tissue repair and regeneration are quite impressive. Recent works on ADSCs would suggest that adult cells may prove to be an equally powerful regenerative tool in treating congenital and acquired maxillofacial disorders. More importantly, physicians, researchers and international associations need to cooperate in informing clinicians about what practices are based on evidence and to encourage support of additional research. There is increasing interest in a possible therapeutic effect of ADSCs from processed lipoaspirate for a wide spectrum of clinical applications in the facial and craniofacial area. AFT can be used in any facial area where soft tissue is lacking or where there is scarring, producing natural and long-lasting results. Mesenchymal stem cells represent a great tool in regenerative medicine. However, more definitive studies are needed to answer specific questions regarding the best technique to be used and the role of ADSCs. Autologous fat grafting provides a safe and easy approach for the treatment of linear scleroderma en coup de sabre, long-term clinically satisfactory results can be obtained.

Assessment of Different Modalities in Gluteoplasty

2018 ◽  
Vol 36 (2) ◽  
pp. 57-70
Author(s):  
Youssif Khachaba ◽  
Tarek Ashour ◽  
Laila Aboul Nasr ◽  
Sherif Zamer
Keyword(s):  
Patient Satisfaction ◽  
Silicone Implants ◽  
Aesthetic Outcome ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Aesthetic Result ◽  
Autologous Fat Transfer ◽  
Patients Satisfaction ◽  
Number Of Patients ◽  
Average Patient

The form and size of the female gluteal region have always symbolized beauty and sexuality. There is a remarkable increase in the number of patients seeking gluteoplasty worldwide. Gluteoplasty may be achieved by silicone implant insertion or autologous fat transfer, in addition to other ancillary procedures including liposuction. Careful patient selection and evaluation are needed to assure good results. The aim of the study was to evaluate the use of silicone implants, autologous fat transfer, and liposuction in gluteoplasty. A total of 22 patients underwent gluteoplasty. Intramuscular gluteal implant insertion was employed in 8 patients, whereas autologous fat transfer was employed in 14 patients. The average patient satisfaction (on a scale from 1 to 5) following implant gluteoplasty was 4.25 for the overall aesthetic outcome, whereas the average patient satisfaction following autologous fat transfer gluteoplasty was 4.79 for the overall aesthetic outcome. Both gluteoplasties with silicone implants or fat transfer achieved favorable results, with very good to excellent patients’ satisfaction after both procedures, with slightly better satisfaction following autologous fat transfer. Our results are comparable with before published results, with favorable outcomes regarding complications. Liposuction is an important addition that positively affects the aesthetic result. Gluteoplasty using silicone implants or fat transfer, in addition to ancillary liposuction, achieved favorable results, with very good to excellent patients’ satisfaction. However, a larger scale study is needed to statistically approve or disapprove to this trend.

A Comparison of Cell-Enriched Fat Transfer to Conventional Fat Grafting after Aesthetic Procedures Using a Patient Satisfaction Survey

2013 ◽  
Vol 70 (4) ◽  
pp. 410-415 ◽  
Author(s):  
Brian Mailey ◽  
Salim Saba ◽  
Jennifer Baker ◽  
Christopher Tokin ◽  
Sean Hickey ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Fat Grafting ◽  
Satisfaction Survey ◽  
Fat Transfer ◽  
Patient Satisfaction Survey ◽  
Aesthetic Procedures

scholarly journals Translational Medicine and Autologous Fat Transfer: From bench to bedside. Regenerative and proliferative potential of adipose tissue

2021 ◽  
pp. 33
Author(s):  
◽  
Keyword(s):  
Translational Medicine ◽  
Fat Grafting ◽  
Proliferative Potential ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Facial Esthetics ◽  
Tissue Healing ◽  
The Many ◽  
The 19Th Century

Aim: Autologous fat transfer (AFT) for the correction of maxillofacial defects was first reported at the end of the 19th century. AFT was introduced as a way of improving facial esthetics and in the last few years has expanded into applications in craniomaxillofacial reconstructive surgery and regenerative therapy. This protocol is part of translational medicine. The aim of translational medicine, or translational science, is to combine disciplines, resources, expertise, and techniques based on three main pillars: bench, bedside, and community. The primary goals to coalesce assets of various natures to significantly improve the global healthcare system. AFT is thus part of translational medicine in tissue healing, regeneration and augmentation. Methods: Several techniques have been suggested for harvesting and grafting the fat. The Authors follow Coleman’s technique with centrifugation and infiltration using different types and sizes of cannulas. Conclusion: This review provides a fairly comprehensive summary of the many exciting possibilities that exist in the field of facial fat grafting. Five clinical cases are presented and discussed. Translational medicine is the basis of this new reconstructive and regenerative field of science and research.

Safety Profiles of Fat Processing Techniques in Autologous Fat Transfer for Breast Reconstruction

2019 ◽  
Vol 143 (4) ◽  
pp. 985-991 ◽  
Author(s):  
Qing Zhao Ruan ◽  
Jacob R. Rinkinen ◽  
Andres F. Doval ◽  
Benjamin B. Scott ◽  
Adam M. Tobias ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Processing Techniques ◽  
Fat Processing

Anatomy of Facial Recipient Sites for Autologous Fat Transfer

2003 ◽  
Vol 20 (1) ◽  
pp. 17-25 ◽  
Author(s):  
John G. Rose ◽  
Bradley N. Lemke ◽  
Mark J. Lucarelli ◽  
Cynthia A. Boxrud ◽  
Kathryn L. Dortzbach ◽  
...  
Keyword(s):  
Facial Expression ◽  
Fat Grafting ◽  
Measurement Tool ◽  
Digital Measurement ◽  
Digital Radio ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Facial Muscles ◽  
Digital Radiographs

Introduction: Autologous fat transfer is an increasingly popular treatment for the aging face. Recently, studies have suggested increased duration of effect with the injection of fat into or adjacent to muscles. Subcutaneous depths of facial muscles have been demonstrated using cadaver dissections, but to our knowledge this is the first study to use radiologic measurements in living subjects in order to quantify muscle depths in the face. Materials and Methods: Forty computed tomography (CT) scans were reviewed retrospectively using digital radio imaging software with a calibrated digital measurement tool that was used to measure the depths of the muscles of facial expression corresponding to fat-grafting sites. Correlation was made to formalin-preserved cadaver dissections. Results: Subcutaneous depths of facial muscles are listed as measured radio graphically and on cadaver sections. Discussion: The depths of the muscles of facial expression are more accurately measured using digital radiographs; these depths are important landmarks for facial cosmetic surgeons performing an autologous fat transfer. To our knowledge, this is the first study to characterize the anatomic depth of the facial muscles in the living human.

scholarly journals Bulb Cannula Safety for Breast Fat Grafting

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Marcos Sforza ◽  
Nicole Martinez ◽  
Nathalia Araujo ◽  
Roberto de Mezerville ◽  
Jose Andrés Castro
Keyword(s):  
Variable Thickness ◽  
Breast Implant ◽  
Fat Grafting ◽  
Fat Tissue ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Implant Rupture ◽  
Tensile Tester ◽  
Common Technique

Abstract Autologous fat transfer is a common technique to refine the contour of the breast after prosthetic augmentation or reconstruction, correcting remaining asymmetries by injecting previously harvested fat tissue with a cannula. Current procedures are often performed without visualization of the cannula at the delivery site and may require subsequent verification of the implant’s integrity. The present paper aims to evaluate the safety of a new bulb tip cannula to be used during breast implant procedures for injecting fat adjacent to a breast implant that reduce the risk of damaging the implant. Two conventional cannulae and 3 bulb cannulae, which have an atraumatic distal tip, were tested in a simulated implant-puncture setting in 3 positions (at 0°, 45°, and 90° of incidence). A Tensile Tester (Instron, High Wycombe, UK) was used to apply force with each cannula device and record the amount of force applied in the attempt to penetrate the implants used, with shell layers having a variable thickness. No implant rupture was observed with the bulb tip cannulae regardless of size or the position in which the cannulae were pressed against the implants. The cannula opening was not impeded and tended to bend instead; 27% of the cases with the conventional lipo-cannulae caused an implant rupture. The bulb tip cannula could enhance the safety of the fat transfer procedure by ensuring no iatrogenic implant disruption and optimal delivery of the fat tissue.

scholarly journals Fat Processing Techniques

2020 ◽  
Vol 34 (01) ◽  
pp. 011-016 ◽  
Author(s):  
Erica Y. Xue ◽  
Luciana Narvaez ◽  
Carrie K. Chu ◽  
Summer E. Hanson
Keyword(s):  
Soft Tissues ◽  
Fat Grafting ◽  
Processing Method ◽  
Fat Graft ◽  
Reconstructive Procedure ◽  
Autologous Fat Grafting ◽  
Soft Tissue Filler ◽  
Processing Techniques ◽  
Fat Processing ◽  
The Ideal

AbstractAutologous fat grafting is an aesthetic and reconstructive procedure in which an individual's own fat is harvested and injected into the soft tissues to correct contour and other abnormalities. Fat graft is considered the ideal soft tissue filler for its biocompatibility, lack of immunogenicity, and availability. The entire procedure of harvesting, processing, and transfer of fat graft affects fat graft take and effectiveness of fat grafting. This article will focus on the most common methods of fat graft processing, including centrifugation, cotton gauze rolling, sedimentation, and filtration/washing. The fragility of the harvested adipocytes makes the technique of fat graft processing of utmost importance, as blood and other unnecessary cellular fragments are removed. Each fat graft processing method has its own merits and shortcomings; however, due to a lack of well-defined prospective studies, there is no evidence to support one processing method as superior to another.

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