Fatal Fat Embolism After Penis Enlargement by Autologous Fat Transfer: A Case Report and Review of the Literature

Gluteal fat grafting (or autologous fat transfer to the buttocks) is one of the fastest growing procedures in plastic surgery. However, as the popularity of the procedure has grown, so has the number of fatalities and complications. Fatalities are mainly linked to fat embolism, which can occur when fat is injected into the gluteal muscles, instead of subcutaneously. The use of wireless ultrasound imaging during the procedure can help reduce the chances of intramuscular fat injection and improve patient safety. Here, we present a 36-year-old female underwent circumferential liposuction with autologous fat transfer to the bilateral buttocks. From liposuction, 3500 mL of fat was harvested and 1000 mL of fat was injected into each buttock with wireless ultrasound guidance. We identified the subcutaneous plane where fat was to be injected, avoided penetrating the muscular fascia, and observed (in real-time) fat being introduced into the subcutaneous tissue. Wireless ultrasound-guided gluteal fat grafting is an effective and reliable method of visualizing the anatomy of the gluteal region and preventing intramuscular injection of fat. The technology is readily available, very user-friendly and serves as a great learning tool. Based on our positive experience using ultrasound guidance, larger comparative studies should be conducted to confirm its value.

Download Full-text

Autologous fat transfer – a review of the literature with a focus on breast cancer surgery

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2008.08.006 ◽

2008 ◽

Vol 61 (12) ◽

pp. 1438-1448 ◽

Cited By ~ 111

Author(s):

C.W. Chan ◽

S.J. McCulley ◽

R.D. Macmillan

Keyword(s):

Breast Cancer ◽

Cancer Surgery ◽

Breast Cancer Surgery ◽

Review Of The Literature ◽

Fat Transfer ◽

Autologous Fat ◽

Autologous Fat Transfer

Download Full-text

Autologous Fat Transfer and Cell-Based Strategies for Soft Tissue Reconstruction

Current Tissue Engineering ◽

10.2174/2211542002999140109150722 ◽

2014 ◽

Vol 3 (1) ◽

pp. 62-69

Author(s):

Kshemendra Senarath-Yapa ◽

Rebecca Garza ◽

Adrian McArdle ◽

Graham Walmsley ◽

Michael Hu ◽

...

Keyword(s):

Soft Tissue ◽

Soft Tissue Reconstruction ◽

Fat Transfer ◽

Autologous Fat ◽

Autologous Fat Transfer ◽

Tissue Reconstruction

Download Full-text

First experiences with a new surgical approach in adult full-thickness burns: single step reconstruction of epidermal, dermal and subcutaneous defects by use of split-thickness skin grafting, a dermal collagen matrix and autologous fat-transfer

European Surgery ◽

10.1007/s10353-013-0211-2 ◽

2013 ◽

Vol 45 (5) ◽

pp. 263-269 ◽

Cited By ~ 5

Author(s):

M. Keck ◽

H. F . Selig ◽

J. Kober ◽

D. B . Lumenta ◽

H. Schachner ◽

...

Keyword(s):

Skin Grafting ◽

Collagen Matrix ◽

Single Step ◽

Full Thickness ◽

Fat Transfer ◽

Autologous Fat ◽

Autologous Fat Transfer ◽

Thickness Skin ◽

Split Thickness Skin Grafting ◽

Dermal Collagen

Download Full-text

Ocular Complications Following Autologous Fat Injections into Facial Area: Case Report of a Recovery from Visual Loss After Ophthalmic Artery Occlusion and a Review of the Literature

Aesthetic Plastic Surgery ◽

10.1007/s00266-017-0805-3 ◽

2017 ◽

Vol 41 (3) ◽

pp. 580-584 ◽

Cited By ~ 16

Author(s):

Aleksandra Szantyr ◽

Michał Orski ◽

Ida Marchewka ◽

Mariusz Szuta ◽

Małgorzata Orska ◽

...

Keyword(s):

Case Report ◽

Visual Loss ◽

Ophthalmic Artery ◽

Artery Occlusion ◽

Review Of The Literature ◽

Ocular Complications ◽

Autologous Fat ◽

Facial Area

Download Full-text

Surgical Principles and Breast Imaging and Monitoring after Autologous Fat Transfer

Imaging for Plastic Surgery ◽

10.1201/b17799-26 ◽

2014 ◽

pp. 431-448

Author(s):

Paolo Persichetti ◽

Barbara Cagli ◽

Tiziano Pallara ◽

Donata Vaccaro ◽

Carlo Mallio ◽

...

Keyword(s):

Breast Imaging ◽

Fat Transfer ◽

Autologous Fat ◽

Autologous Fat Transfer

Download Full-text

ID: 1026 Reconstruction of the major defects of the tissue scalp

Biomedical Research and Therapy ◽

10.15419/bmrat.v4is.302 ◽

2017 ◽

Vol 4 (S) ◽

pp. 100

Author(s):

M.I. Muradov ◽

K.B. Mukhamedkerim ◽

A. ABaiguzeva ◽

K.E. Kazantaev ◽

D.Zh. Koshkarbaev

Keyword(s):

Donor Site ◽

Silicone Implants ◽

Fat Transfer ◽

Autologous Fat ◽

Autologous Fat Transfer ◽

Definitive Evidence ◽

Face Region ◽

The Face ◽

Volume Measurements ◽

The Mean

Background: To provide quantitative objective data demonstrating the longevity and amount of volume augmentation in the fatty dystrophy of the facial tissue obtained with autologous lipofilling. Methods: In our clinic had been operated 8 patients for last 2 years with fatty dystrophy of the facial tissue. A prospective analysis of all patients who underwent at our private practice and were followed up for at least 1,5 year. Surgery was performed under general anesthesia it is necessary for clear results tissue correction. We based on the literature has seen numerous clinical reports highlighting the benefits of autologous fat transfer for face from that areas, fat was collected from the abdomen (most frequently used donor site), hips, outer thighs (saddle-bags), internal knee or thigh, with quantitative volume measurements evaluating the amount of postoperative volume change. Results: Twenty eight patients were included in the study. The mean follow-up time was 18 months. The mean amount of autologous fat injected into each face region was 10-70 mL. Hypercorrection was performed after 3 months and it was 20-50% of the initial injected fat volume. Overall, the mean absolute volume augmentation measured at their last (after 6 month) post operative visit was 10-25%. There was variability between patients in the volume amount and percentage that remained. The resorption process was observed in two patients after 6 month. We made correction with hyaluronic acid and silicone implants. Conclusion: To our knowledge, this study is the first clinical quantification in our practise of autologous fat transfer and/or grafting in the literature that provides definitive evidence on the amount as well as the resultant longevity in the face. Autologous fat transfer to the face has definite long-term volume augmentation results. On average, approximately 25-35% of the injected volume remains at 18 months. However, some variability exists in the percentage of volume that remains that may require a touch-up procedure.

Download Full-text