scholarly journals Severe fat embolism after autologous fat grafting in vaginal tightening and breast augmentation surgery

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094910
Author(s):  
Chenyu Wang ◽  
Xiaojun Wang ◽  
Jiuzuo Huang ◽  
Nanze Yu ◽  
Xiao Long
Keyword(s):  
Breast Augmentation ◽  
Donor Site ◽  
Pulmonary Arteries ◽  
Aesthetic Surgery ◽  
Maximum Size ◽  
Fat Embolism ◽  
Donor Site Morbidity ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Autologous Fat

Autologous fat grafting has become increasingly popular in the field of aesthetic surgery because of its biocompatibility and low donor site morbidity. However, some fatal complications may occur following the surgery. We herein describe a woman who developed severe fat embolism after autologous fat grafting for vaginal tightening and breast augmentation surgery. The patient developed symptoms of dyspnea and hypoxemia. Computed tomography pulmonary angiography showed multiple filling defects in the bilateral pulmonary arteries and branches with a maximum size of approximately 1.2 × 0.7 cm. Fat embolism was assumed to have occurred by injection of fat directly into the vessels around the vagina. Further research is needed to elucidate the anatomical mechanism underlying this phenomenon.

scholarly journals Methods used for evaluation of volume retention rate in autologous fat grafting for breast augmentation

2019 ◽  
Vol 132 (18) ◽  
pp. 2223-2228 ◽  
Author(s):  
Cheng-Long Wang ◽  
Si-Si Luan ◽  
Adriana C. Panayi ◽  
Min-Qiang Xin ◽  
Jie Luan
Keyword(s):  
Breast Augmentation ◽  
Retention Rate ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Autologous Fat ◽  
Volume Retention

Autologous Fat Grafting for Primary Breast Augmentation: A Systematic Review

2011 ◽  
Vol 35 (5) ◽  
pp. 882-890 ◽  
Author(s):  
James H. Rosing ◽  
Granger Wong ◽  
Michael S. Wong ◽  
David Sahar ◽  
Thomas R. Stevenson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Breast Augmentation ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Autologous Fat

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

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