scholarly journals Autologous Fat Transfer After Augmentation and Reconstruction of the Female Breast: An International, Cross-Sectional Photo-Comparison Study Among Different Physician and Laymen Study Groups

2018 ◽  
Vol 25 (6) ◽  
pp. 594-601
Author(s):  
Jan-Willem Groen ◽  
Andrzej A. Piatkowski ◽  
John H. Sawor ◽  
Janneke A. Wilschut ◽  
Roger K. Khouri ◽  
...  
Keyword(s):  
Study Groups ◽  
Control Group ◽  
Comparison Study ◽  
Postoperative Results ◽  
Cross Sectional ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Visual Analog Scales ◽  
Deep Inferior Epigastric Artery

Objective. The aim of this study is to compare the cosmetic evaluation of autologous fat transfer (AFT) for various indications between surgeons and different laymen groups. Background Data. Despite the upsurge in AFT scientific/clinical interest, objectifying satisfaction has only recently progressed beyond simple Likert-type/Visual Analog Scales. Furthermore, differences in satisfaction between laymen and surgeons has not been thoroughly studied. Method. A photo comparison study between European plastic surgeons and different laymen groups was conducted to investigate agreement on cosmetic evaluation of AFT. Three sets of preoperative/postoperative photographs illustrating patients treated with External Vacuum Expansion (EVE) + AFT for various indications in breast surgery were scored according to the Harris Scale, and the interrater agreement was analyzed using Cohen’s κ. Results. The overall agreement between the surgeons and the groups of former augmentation, control group, and deep inferior epigastric artery perforator patients was fair, moderate, and substantial, respectively. Interrater agreements among different laymen groups and surgeons from different countries among themselves was substantial to almost perfect. Finally, we found that laymen are generally more optimistic about postoperative results than surgeons. Conclusion. In our study, former augmentation patients showed the lowest agreement with surgeons, in the cosmetic appreciation of EVE + AFT and this group might benefit from a more thorough preoperative consultation regarding expectations when choosing AFT. However, overall laymen tend to be more optimistic about postoperative results and surgeon education in general does not seem influenced by surgeon nationality. The significant differences between surgeons and laymen in the cosmetic evaluation of EVE + AFT justifies further studies that focus on the qualitative aspects of these differences to further balance patients’ and surgeons’ expectations.

Long-term Results After Autologous Fat Transfer for Treatment of Chronic Lower Extremity Wounds

2021 ◽  
pp. 153473462110276
Author(s):  
Johannes Eschborn ◽  
Philipp Kruppa ◽  
Iakovos Georgiou ◽  
Manfred Infanger ◽  
Mojtaba Ghods
Keyword(s):  
Primary Outcome ◽  
Wound Closure ◽  
Long Term Results ◽  
Control Group ◽  
Case Group ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Wound Size ◽  
Significant Difference

Autologous fat transfer may offer a simple and effective treatment option for chronic wound patients, delivering adipose-derived stem cells, with potent regenerative attributes. Nevertheless, the clinical benefit has not yet been sufficiently demonstrated. A total of 39 wound patients were treated with autologous fat transfer (AFT) and matched with a control group, according to the identified confounding variables “gender” and “method of defect closure.” All data were acquired retrospectively. Primary outcome was “wound closure” and “reduction of wound size.” After a follow-up of 48 weeks, there was no significant difference in primary outcome (wound closure P = .54) between both groups. The relative wound reduction after fat transfer was 69.9% ± 42.7% compared to 53.4% ± 106.8% in the control group ( P = .91). Subgroup analysis of all patients, healed by secondary intention, revealed an increased wound size reduction ( P  = .03) and wound closure rate ( P = .20) in the case group after 12 weeks. No adverse events were recorded. Fat grafting can reduce the wound size if left to secondary healing and may be considered individually for reconstructive purposes. A repeated application of autologous fat might be beneficial due to a temporary effect.

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

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

Surgical Principles and Breast Imaging and Monitoring after Autologous Fat Transfer

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

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

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.

scholarly journals Complications and Surgical Treatment of Breast Augmentation Using Autologous Fat Transfer and Fillers

2021 ◽  
Vol 9 (8) ◽  
pp. e3734
Author(s):  
Shigeki Sakai ◽  
Naohiro Ishii ◽  
Yukie Nakamura ◽  
Kyoichi Matsuzaki ◽  
Shigemi Sakai ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Breast Augmentation ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer

scholarly journals Differences in Trunk Kinematic between Frail and Nonfrail Elderly Persons during Turn Transition Based on a Smartphone Inertial Sensor

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Alejandro Galán-Mercant ◽  
Antonio I. Cuesta-Vargas
Keyword(s):  
Frail Elderly ◽  
Inertial Sensor ◽  
Angular Displacement ◽  
Population Group ◽  
Study Groups ◽  
Cross Sectional Study ◽  
Control Group ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Physically Active

Objective. Firstly, to, through instrumentation with theiPhone4smartphone, measure and describe variability of tridimensional acceleration, angular velocity, and displacement of the trunk in the turn transition during the ten-meter Extended Timed-Get-up-and-Go test in two groups of frail and physically active elderly persons. Secondly, to analyse the differences and performance of the variance between the study groups during turn transition (frail and healthy).Design. This is a cross-sectional study of 30 subjects over 65 years, 14 frail subjects, and 16 healthy subjects.Results. Significant differences were found between the groups of elderly persons in the accelerometry (P<0.01) and angular displacement variables (P<0.05), obtained in the kinematic readings of the trunk during the turning transitions. The results obtained in this study show a series of deficits in the frail elderly population group.Conclusions. The inertial sensor found in theiPhone4is able to study and analyse the kinematics of the turning transitions in frail and physically active elderly persons. The accelerometry values for the frail elderly are lower than the physically active elderly, whilst variability in the readings for the frail elderly is also lower than the control group.

Gluteal Augmentation and Contouring with Autologous Fat Transfer

2018 ◽  
Vol 45 (2) ◽  
pp. 249-259 ◽  
Author(s):  
Ashkan Ghavami ◽  
Nathaniel L. Villanueva
Keyword(s):  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Gluteal Augmentation
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