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

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.

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Breast Contouring by Autologous Fat Transfer

The American Journal of Cosmetic Surgery ◽

10.1177/074880689200900308 ◽

1992 ◽

Vol 9 (3) ◽

pp. 273-279 ◽

Cited By ~ 30

Author(s):

James E. Fulton

Keyword(s):

Breast Augmentation ◽

Breast Tissue ◽

Silicone Implants ◽

Fat Transfer ◽

Autologous Fat ◽

Autologous Fat Transfer ◽

Augmentation Procedure ◽

Volumetric Measurements

The breast augmentation controversy continues. One alternative to silicone implants is to utilize the patient's own fat. Twenty patients completed the procedure of breast contouring with autologous fat transfer and have been followed closely with repeated breast volumetric measurements and mammograms for 1 to 5 years. The average fat retention has been 71% and the patients have been satisfied with the augmentation procedure. There has been no instance of firmness in these breasts and periodic mammogram examinations have demonstrated no distortion or masking of the breast tissue. The breast calcifications that have developed are of the benign type and are typical of any kind of breast sugery. The breasts may get larger with time. We feel this technique is a useful addition to our breast augmentation armamentarium and will become the procedure of choice for those who cannot have silicone implants and have good areas of disharmonious obesity to serve as donor sites.

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Assessment of Different Modalities in Gluteoplasty

The American Journal of Cosmetic Surgery ◽

10.1177/0748806818793814 ◽

2018 ◽

Vol 36 (2) ◽

pp. 57-70

Author(s):

Youssif Khachaba ◽

Tarek Ashour ◽

Laila Aboul Nasr ◽

Sherif Zamer

Keyword(s):

Patient Satisfaction ◽

Silicone Implants ◽

Aesthetic Outcome ◽

Fat Transfer ◽

Autologous Fat ◽

Aesthetic Result ◽

Autologous Fat Transfer ◽

Patients Satisfaction ◽

Number Of Patients ◽

Average Patient

The form and size of the female gluteal region have always symbolized beauty and sexuality. There is a remarkable increase in the number of patients seeking gluteoplasty worldwide. Gluteoplasty may be achieved by silicone implant insertion or autologous fat transfer, in addition to other ancillary procedures including liposuction. Careful patient selection and evaluation are needed to assure good results. The aim of the study was to evaluate the use of silicone implants, autologous fat transfer, and liposuction in gluteoplasty. A total of 22 patients underwent gluteoplasty. Intramuscular gluteal implant insertion was employed in 8 patients, whereas autologous fat transfer was employed in 14 patients. The average patient satisfaction (on a scale from 1 to 5) following implant gluteoplasty was 4.25 for the overall aesthetic outcome, whereas the average patient satisfaction following autologous fat transfer gluteoplasty was 4.79 for the overall aesthetic outcome. Both gluteoplasties with silicone implants or fat transfer achieved favorable results, with very good to excellent patients’ satisfaction after both procedures, with slightly better satisfaction following autologous fat transfer. Our results are comparable with before published results, with favorable outcomes regarding complications. Liposuction is an important addition that positively affects the aesthetic result. Gluteoplasty using silicone implants or fat transfer, in addition to ancillary liposuction, achieved favorable results, with very good to excellent patients’ satisfaction. However, a larger scale study is needed to statistically approve or disapprove to this trend.

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Fractional ablative CO2 laser treatment versus scar subcision and autologous fat transfer in the treatment of atrophic acne scars: New technique

Journal of Surgical Dermatology ◽

10.18282/jsd.v1.i1.6 ◽

2016 ◽

Vol 1 (1) ◽

Author(s):

Laila Mohammad ◽

Lamia H Elgarhy ◽

Dina Saad ◽

Walid Mostafa

Keyword(s):

Laser Treatment ◽

Digital Photograph ◽

Fat Transfer ◽

Autologous Fat ◽

Autologous Fat Transfer ◽

Acne Scars ◽

Grading Systems ◽

Before And After ◽

Co2 Laser Treatment ◽

The Mean

There are different modalities for management of atrophic acne scars which include lasers. Ablative fractional CO2 laser was developed to address the shortcomings of traditional ablative lasers, with superior results to non-ablative fractional lasers. Autologous fat transfer has been utilized for nearly a decade in tissue augmentation and reconstruction. Present studies were designed to compare ablative fractional CO2 laser treatment with scar subcision and autologous fat transfer in the treatment of atrophic acne scars. 20 patients with atrophic acne scars were recruited: 10 patients were treated by three sessions of ablative fractional CO2 laser therapy, and 10 patients treated by subcision and autologous fat transfer. All patients were followed up for three months, and were assessed by digital photograph before and after treatment through the application of Goodman and Baron quantitative and qualitative grading systems, in addition to reports by three physicians committees and reports of patients’ satisfaction. Analysis of both groups showed significant improvements in all types of atrophic acne scars. The mean percentage of total quantitative improvement was more significant in the case of autologous fat transfer with regard to ice-pick and total number of scars. Therefore, scar subcision with autologous fat transfer proved to be as effective as, or even more effective than, ablative fractional CO2 laser in the treatment of atrophic acne scars with regard to the total number of scars as well as ice-pick type.

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European Survey Study Among Plastic/Breast Surgeons on the Use of and Opinion Toward Autologous Fat Transfer: With Emphasis on Breast Surgery

Surgical Innovation ◽

10.1177/1553350618799553 ◽

2018 ◽

Vol 25 (6) ◽

pp. 602-615 ◽

Cited By ~ 1

Author(s):

Jan-Willem Groen ◽

Andrzej A. Piatkowski ◽

John H. Sawor ◽

Janneke A. Wilschut ◽

Marco J. P. F. Ritt ◽

...

Keyword(s):

Breast Surgery ◽

Survey Study ◽

Clinical Implementation ◽

Fat Transfer ◽

Autologous Fat ◽

Oncological Safety ◽

Autologous Fat Transfer ◽

European Guidelines ◽

Background Data ◽

The Mean

Objective. The aim of this study is to examine the experience of European surgeons on autologous fat transfer (AFT) and highlight differences between countries and levels of experience. Background Data. The popularity of AFT causes an increase in sophisticated scientific research and clinical implementation. While results from the former are well-documented, important aspects of the latter are far less recognized. Methods. An international survey study about surgeon background, besides AFT familiarity, technique, and opinion, was distributed among surgeons from 10 European countries. The differences between countries and levels of experience were analyzed using a logistic regression model. Results. The mean respondent age, out of the 358 completed questionnaires, was 46 years. Ninety-seven percent of the respondents were plastic surgeons, who practiced AFT mostly in breast surgery and considered themselves experienced with the technique. The thigh and abdomen were less favored harvest locations by the Belgium and French respondents, respectively, and both the French and Austrian respondents preferred manual aspiration over liposuction in harvesting the fat. Despite minor differences between countries and experience, the intraglandular space was injected in all subgroups. Conclusions. The expanding use of AFT in Europe will lead to more experience and heterogeneity regarding the technique. However, despite an obvious adherence to Coleman’s method, deviations thereof become more apparent. An important example of such a deviation is the ongoing practice of intraglandular AFT despite being a contraindication in various European guidelines. These unsafe practices should be avoided until scientific clarification regarding oncological safety is obtained and should therefore be the focus of surgeon education in Europe.

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