Autologous Fat Transfer for Esthetic Contouring of Face in Posttraumatic Nonfunctional Maxillofacial Deformities

The transfer of autologous fat has been performed since the 1890s; however, its popularity has increased owing to better understanding of fat harvesting and processing techniques. In this article, fat grafting procedure has been used to correct posttraumatic facial deformities in 25 cases. As healing of grafted fat is unpredictable, we have used longer follow-up of 2 years. Evaluation was performed using facial photographs and MRI scans. Scientific literature describes an absorption rate ranging from 20 to 90%. High fat graft resorption rates have been attributed to traumatic handling of the graft during harvest, processing, and injection. Various processing techniques have been suggested. The goal of these techniques is to obtain greater adipocyte cell survival and, consequently, more reliable clinical results. In our study, we have used syringe aspiration and low-speed centrifuge for processing of fat which has resulted in good clinical outcomes.

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Autologous Fat Grafting for the Refractory Patulous Eustachian Tube

Otolaryngology ◽

10.1067/mhn.2003.34 ◽

2003 ◽

Vol 128 (1) ◽

pp. 88-91 ◽

Cited By ~ 51

Author(s):

Joni K. Doherty ◽

William H. Slattery

Keyword(s):

Eustachian Tube ◽

Fat Grafting ◽

Tube Placement ◽

Fat Graft ◽

Management Problem ◽

Autologous Fat ◽

Autologous Fat Graft ◽

Invasive Method ◽

Patulous Eustachian Tube

The patulous eustachian tube (pET) presents a challenging management problem. Patients with the pET disorder are disturbed to the point of mental illness by their symptoms of aural fullness and autophony, especially the echo of their own voice. Thus far, described treatment methods are often temporary or ineffective. Here, we describe a minimally invasive method for the treatment of pET that involves cauterization with autologous fat graft plugging of the ET at its nasopharyngeal orifice, in conjunction with myringotomy and ventilation tube placement. This procedure has been successful for the treatment of refractory pET in 2 patients at the House Ear Clinic with at least 1-year follow-up and we propose that it may accomplish relief of symptoms by permanent stenosis of the ET.

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A novel and innovative technique of using a disposable syringe and mesh for harvesting fat for structural fat grafting

Indian Journal of Plastic Surgery ◽

10.4103/0970-0358.155275 ◽

2015 ◽

Vol 48 (01) ◽

pp. 079-080

Author(s):

B. C. Ashok ◽

Pradeep Kumar Nagaraj ◽

Y. N. Ananteshwar ◽

V. Srikanth

Keyword(s):

Clinical Results ◽

Structure And Function ◽

Fat Grafting ◽

Fat Graft ◽

Review Of Literature ◽

Suction Pump ◽

Fat Grafts ◽

Adipocyte Cell ◽

And Function ◽

Preparation Techniques

ABSTRACT Background: Successful restoration of structure and function using autologous free fat grafts has remained elusive. Review of literature shows that various harvesting and preparation techniques have been suggested. The goal of these techniques is to obtain greater adipocyte cell survival and consequently more reliable clinical results. Materials and Methods: In our technique, a piece of mesh is kept at one end of the lipoaspiration syringe, which is then connected to the Suction pump. As one syringe fills, it is replaced by another one until the required amount of fat is obtained. Results: By using a polypropylene mesh in our technique, we can separate the transfusate from the harvested fat graft during harvesting itself. The fat graft thus obtained is dense and concentrated, with fewer impurities. Conclusion: Hence, we recommend our technique as a reliable method for extracting sterile emulsified fat in an economical way.

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Principles and Applications of Fat Grafting in Plastic Surgery

Seminars in Plastic Surgery ◽

10.1055/s-0039-1693438 ◽

2019 ◽

Vol 33 (03) ◽

pp. 147-154 ◽

Cited By ~ 2

Author(s):

Amjed Abu-Ghname ◽

Aurelia Trisliana Perdanasari ◽

Edward M. Reece

Keyword(s):

Plastic Surgery ◽

Clinical Applications ◽

Fat Grafting ◽

Soft Tissue Augmentation ◽

Fat Transplantation ◽

Basic Principles ◽

Autologous Fat ◽

Autologous Fat Transfer ◽

Autologous Fat Transplantation ◽

Injection Techniques

AbstractAutologous fat transplantation has become increasingly popular in recent years. Its biocompatable properties and availability made it a widely used treatment modality for soft tissue augmentation and volume replacement in both reconstructive and aesthetic plastic surgery. Multiple protocols and clinical applications have been described in the literature, with wide variations in the harvesting, processing, and injection techniques. In this review, the authors will discuss the basic principles and clinical applications of fat grafting in plastic and reconstructive surgery. The article will then conclude with a discussion of fat grafting limitations as well as potential future applications, giving the reader a well-rounded understanding of autologous fat transfer.

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PMD58 - A PROSPECTIVE, RANDOMIZED TIME-AND-MOTION STUDY COMPARING RATE OF PROCESSING TECHNIQUES IN AUTOLOGOUS FAT GRAFTING: AN ECONOMIC ANALYSIS

Value in Health ◽

10.1016/j.jval.2018.09.1507 ◽

2018 ◽

Vol 21 ◽

pp. S252

Author(s):

M. Parekh ◽

S.E. Hanson ◽

P.B. Garvey ◽

E.I. Chang ◽

G. Reece ◽

...

Keyword(s):

Economic Analysis ◽

Fat Grafting ◽

Autologous Fat Grafting ◽

Autologous Fat ◽

Time And Motion Study ◽

Time And Motion ◽

Motion Study ◽

Processing Techniques

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Clinical Results and MRI Evaluation of Patellar Osteochondral Fracture Fixation following Patellar Dislocation

BioMed Research International ◽

10.1155/2019/7943636 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Krzysztof Małecki ◽

Kornelia Pruchnik–Witosławska ◽

Dominika Gwizdała ◽

Piotr Grzelak ◽

Paweł Flont ◽

...

Keyword(s):

Fracture Fixation ◽

Patellar Dislocation ◽

Articular Surface ◽

Clinical Results ◽

Suture Technique ◽

Osteochondral Fracture ◽

Mri Scans ◽

The Mean ◽

Reconstructed Surface

Aim. The aim of the study was to analyze the clinical results and MRI scans after transpatellar osteochondral fracture fixation following patellar dislocation. Methods. Our study group comprised 17 patients with patellar dislocation followed by osteochondral fracture of the articular surface of the patella. All patients underwent surgery where the fractured osteochondral fragments of the patella were attached using the transpatellar suture technique. The mean age at the time of surgery was 14.1 years, and the mean follow-up period was 7.5 years. Results. The results of the patellar compression test and the apprehension test were negative in all patients. The mean Lysholm and Kujala scores were 89.2 and 89.6, respectively. The MRI scan revealed healing of the fixed fragment and restoration of the articular surface in all patients. In 16 cases, subchondral bone of the fixed fragment area was described as irregular: its articular cartilage was narrowed and not homogenous. Progressive degenerative changes were observed in the patellofemoral joint at follow-up in three patients. Conclusions. By fixing osteochondral fragments, the patellar articular surface can be restored. The MRI scans show that the cartilage in the reconstructed surface is narrowed after a mean 7.5-year follow-up.

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

The Surgery Journal ◽

10.1055/s-0036-1584165 ◽

2016 ◽

Vol 02 (02) ◽

pp. e19-e30 ◽

Cited By ~ 5

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.

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Arthroscopic Synovectomy Combined with Autologous Fat Grafting in Early Stages of CMC Osteoarthritis of the Thumb

Journal of Wrist Surgery ◽

10.1055/s-0037-1604045 ◽

2017 ◽

Vol 07 (02) ◽

pp. 165-171 ◽

Cited By ~ 3

Author(s):

Robert Kemper ◽

Johanna Wirth ◽

Eva-Maria Baur

Keyword(s):

Early Stage ◽

Donor Site ◽

Fat Grafting ◽

Fat Graft ◽

Pinch Strength ◽

Arthroscopic Synovectomy ◽

No Donor ◽

Autologous Fat ◽

Autologous Fat Graft ◽

Cmc Joint

Background Minimal invasive treatments such as arthroscopic techniques may be adequate to restore the anatomy and functional integrity of the thumb CMC (carpometacarpal) joint. In this paper, we reported the interposition of autologous fat tissue in combination with arthroscopic synovectomy/debridement for early stage of the thumb CMC joint osteoarthritis. Patients and Methods Twelve patients with a mean age of 46 years with early radiological stages of thumb CMC joint osteoarthritis were included. Evaluation of outcome was measured prior and 3, 12, and 24 months after surgery including, Visual Analog Scale (VAS), QuickDASH, grip and pinch strength, range of motion (ROM), and patient satisfaction. Results Pain at rest (or with load) was reduced from preoperative 4,7 (8,7) to 2 (5,9) at 3 to 6 months; 1,4 (4,3) at 12 months; and 0,75 (2,7) at 2 years after the surgery. Initial preoperative QuickDASH value of 52 points reduced to 33 (17–65) at 6 months, 23 (2–70) at 12 months, and 20 (11–29) at 24 months after the surgery. Grip strength and thumb pinch with respect to the contralateral untreated thumb was reduced in the first 12 months but recovered subsequently. ROM was equal to the contralateral thumb. Three patients suffered from tendinitis and required surgical treatment. One patient indicated prolonged pain symptoms. No infections were noted and no donor-site morbidity or side effects were detected. Conclusion Arthroscopic synovectomy combined with autologous fat graft is a reliable surgical option for early thumb CMC joint osteoarthritis and that effect continues for more than 24 months.

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

American Journal of Surgical Research and Reviews ◽

10.28933/ajsrr-2021-07-0103 ◽

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.

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