A New Device for Autologous Small Volume Fat Grafting
Abstract Background Many techniques and devices have been developed to improve small volume fat grafting efficiency and consistency for use in the operating room and outpatient procedure room. These methods require cumbersome or messy processing to remove excess oil and fluid from adipose graft. Objectives The aim of this study was to compare fat processing efficiency of a novel hand-held device, the Push-to-Spin (P2S™) system, to other common processing techniques and validate tissue quality after lipoaspirate processing. Methods Human lipoaspirate samples were processed using one of three experimental methods, including cotton gauze (Telfa) rolling, centrifugation (Coleman technique), or using the P2S™ system. Efficiency of fat processing was evaluated by total processing time, fat harvest ratio, and fat processed ratio. Histological examination and immunohistochemical staining were used to compare tissue morphology and adipocyte viability, respectively. Experimental samples were compared to unprocessed lipoaspirate controls. Results Lipoaspirate processing was significantly faster using the P2S™ device compared with other techniques. All three methods achieved similar fat harvest and fat processing ratios. Additionally, the P2S™, Telfa, and Coleman techniques yielded grafts with similar cellularity, and perilipin and GPDH expression. Measured differences between experimental and control samples were statistically significant. Conclusions The P2S™ device is an easy, efficient, and potentially cost-effective handheld device that can be used for lipoaspirate harvest, processing, and grafting in any procedural setting. The resulting adipocytes have similar morphology, viability, and function to those yielded by techniques. This handheld technology decreases procedure time, thereby improving surgeon efficiency and patient experience.