The Effect of Autologous Fat Grafting on Edema and Ecchymoses in Primary Open Rhinoplasty

2019 ◽  
Author(s):  
Kyle Gabrick ◽  
Marc Walker ◽  
Andrew Timberlake ◽  
Fouad Chouairi ◽  
Ean Saberski ◽  
...  
Keyword(s):  
Immune Modulation ◽  
Statistical Significance ◽  
Three Dimensional ◽  
Fat Grafting ◽  
Area Measurement ◽  
Open Rhinoplasty ◽  
Autologous Fat Grafting ◽  
Level Of Evidence ◽  
Autologous Fat ◽  
Soft Tissue Filler

AbstractBackgroundAutologous fat is a safe and effective soft tissue filler. Recent evidence also suggests improved wound healing and immune modulation with fat grafting.ObjectivesThe aim of this study was to describe a novel technique utilizing fat grafting during primary open rhinoplasty. We hypothesize a more rapid resolution of bruising and edema.MethodsPatients who underwent rhinoplasty were reviewed and compared by presence or absence of concurrent fat grafting. Three-dimensional images were analyzed employing Mirror (Vectra, Canfield Scientific, NJ). Ecchymoses were outlined utilizing a magnetic lasso followed by an area measurement. Volumetric edema measurements were also taken and assessed. Edema and ecchymosis were measured at 2 and 6 weeks postoperatively. Statistical significance was defined as P < 0.05.ResultsSixty-two patients were included. Thirty-three patients (53.2%) received autologous fat grafting and 29 (46.8%) did not. Age, gender, surgical approach, and osteotomy distribution were similar between the groups. The fat grafted group showed 7.29 cm2 fewer ecchymoses (P < 0.001) and 0.73 cc less edema (P = 0.68) in the early postoperative interval. Six weeks postoperatively, the fat grafted group showed 1 cc less edema (P = 0.36) with negligible differences in bruising.ConclusionsAutologous fat grafting is a useful adjunct to rhinoplasty and is associated with significantly fewer ecchymoses in the acute postoperative period.Level of Evidence: 4

Corrigendum to: The Effect of Autologous Fat Grafting on Edema and Ecchymoses in Primary Open Rhinoplasty

2019 ◽  
Author(s):  
Kyle Gabrick ◽  
Marc Walker ◽  
Andrew Timberlake ◽  
Fouad Chouairi ◽  
Ean Saberski ◽  
...  
Keyword(s):  
Fat Grafting ◽  
Open Rhinoplasty ◽  
Autologous Fat Grafting ◽  
Autologous Fat

Lower Blepharoplasty Three-Dimensional Volume Assessment after Fat Pad Transposition and Concomitant Fat Grafting

2020 ◽  
Vol 36 (04) ◽  
pp. 478-483
Author(s):  
Robert T. Cristel ◽  
Benjamin P. Caughlin
Keyword(s):  
Three Dimensional ◽  
Fat Grafting ◽  
3D Analysis ◽  
Fat Pad ◽  
Volume Changes ◽  
Autologous Fat Grafting ◽  
Autologous Fat ◽  
Lower Blepharoplasty ◽  
Periorbital Region ◽  
Volume Assessment

AbstractLower blepharoplasty is a commonly performed procedure to improve the aesthetic of the lower eyelid and upper midface. Combined fat pad transposition and fat grafting has not been previously studied using three-dimensional (3D) analysis. The aim of the study is to demonstrate the benefits of fat pad transposition with concomitant autologous fat grafting in lower blepharoplasty and to determine quantitative volumetric effects on the tear trough and lower periorbital region using VectraXT 3D imaging and analysis. A retrospective review was performed to identify patients undergoing primary lower blepharoplasty with combined fat pad transposition and fat grafting. The study time period was from September 2017 to March 2019 with a mean 6.5-month postoperative follow-up. This study was performed in a private practice institution (Kovac Cosmetic Center, Oakbrook Terrace, IL). Nine subjects were enrolled in the study with four males and five females. All subjects underwent lower blepharoplasty with combined fat pad transposition and fat grafting without any additional procedures. Preoperative and postoperative photographs were taken with the VectraXT 3D camera system and software. 3D photographs were then compared to assess the volume changes in the periorbital region. The volume in the lower periorbital region was assessed using 3D analysis. All subjects were found to have an increase in volume in the periorbital region. There was a mean volume gain of 2.84 mL on the right and 2.87 mL on the left. There was no statistical difference among volume gains between sides (p = 0.95). Combined fat pad transposition and autologous fat grafting is an effective procedure for improving the tear trough deformity and periorbital area. The use of 3D volume assessment is able to accurately measure and quantify the volume changes of the postoperative results.

scholarly journals Surgical Decision Making in Autologous Fat Grafting: An Evidence-Based Review of Techniques to Maximize Fat Survival

2021 ◽  
Vol 41 (Supplement_1) ◽  
pp. S3-S15
Author(s):  
Stephanie Nemir ◽  
Summer E Hanson ◽  
Carrie K Chu
Keyword(s):  
Decision Making ◽  
Cell Damage ◽  
Donor Site ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Level Of Evidence ◽  
Recipient Site ◽  
Surgical Decision ◽  
Autologous Fat ◽  
Surgical Decision Making

Abstract Autologous fat grafting is an important tool in plastic surgery and is widely used for a variety of applications, both aesthetic and reconstructive. Despite an ever-increasing list of indications and extensive research over many years into improving outcomes, fat grafting remains plagued by incomplete and often unpredictable graft survival. Decisions made at each stage of surgery can potentially contribute to ultimate success, including donor site selection and preparation, fat harvest, processing, and purification of lipoaspirate, recipient site preparation, and delivery of harvested fat to the recipient site. In this review, we examine the evidence for and against proposed techniques at each stage of fat grafting. Areas of consensus identified include use of larger harvesting and grafting cannulas and slow injection speeds to limit cell damage due to shearing forces, grafting techniques emphasizing dispersion of fat throughout the tissue with avoidance of graft pooling, and minimizing exposure of the lipoaspirate to the environment during processing. Safety considerations include use of blunt-tipped needles or cannulas to avoid inadvertent intravascular injection as well as awareness of cannula position and avoidance of danger zones such as the subgluteal venous plexus. We believe that using the evidence to guide surgical decision-making is the key to maximizing fat grafting success. Level of Evidence: 4

scholarly journals Assessing Clinical Outcomes in Autologous Fat Grafting: A Current Literature Review

2021 ◽  
Vol 41 (Supplement_1) ◽  
pp. S50-S60
Author(s):  
Teri N Moak ◽  
Trina G Ebersole ◽  
Damini Tandon ◽  
Marissa Tenenbaum
Keyword(s):  
Standard Of Care ◽  
Fat Grafting ◽  
The Body ◽  
Autologous Fat Grafting ◽  
Level Of Evidence ◽  
Autologous Fat ◽  
Aesthetic Appearance ◽  
Radiologic Imaging ◽  
The Face ◽  
Surgeon Satisfaction

Abstract Autologous fat grafting, first described in the 1890s, has since undergone many modifications to optimize safety and efficacy. These changes have resulted in the technique that we now consider standard of care, one that is applied to reconstruction and cosmetic enhancement of the breast and the face both independently and in conjunction with surgical treatment. There is a growing body of evidence that this application has positive outcomes for patient satisfaction, surgeon satisfaction, and overall aesthetic appearance. This article summarizes the body of literature regarding these outcomes, reviews complications of fat grafting in the face and breast, and discusses controversies including radiologic imaging changes and longevity of grafting. Level of Evidence: 4

Safety Considerations of Fat Grafting in Buttock Augmentation

2021 ◽  
Vol 41 (Supplement_1) ◽  
pp. S25-S30
Author(s):  
Rebecca C O’Neill ◽  
Summer E Hanson ◽  
Edward Reece ◽  
Sebastian Winocour
Keyword(s):  
Mortality Rate ◽  
Plastic Surgery ◽  
Fat Embolism ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Level Of Evidence ◽  
Autologous Fat ◽  
The Past ◽  
Safety Considerations ◽  
A Current

Abstract Autologous fat grafting for buttock augmentation is one of the fastest growing plastic surgery procedures, but has also received significant publicity for the relatively high mortality rate secondary to fat emboli. The literature has grown exponentially in the past 5 years on this subject, helping to clarify our knowledge and providing recommendations to minimize risks, including avoiding intramuscular injections, placing the patient in the jackknife position, and utilizing larger-bore cannulas. Since the application of these recommendations, the rate of pulmonary fat embolism has decreased from 0.097% to 0.04%, with a current mortality of 1 in 14,921, making it statistically safer than abdominoplasty. Despite the evolution in our knowledge, techniques, and outcomes, it remains of utmost importance to properly select and educate patients about the safety of fat grafting for buttock augmentation. Level of Evidence: 4

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