scholarly journals Long Term Volume Survival after Autologous Fat Transplantation to the Breast: A Review

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
C. Herold
Keyword(s):  
Breast Augmentation ◽  
Standard Technique ◽  
Late Complications ◽  
Long Term Results ◽  
Fat Transplantation ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Fat Grafts ◽  
Autologous Fat Transplantation

Importance Autologous fat transplantation for breast augmentation has become a standard technique and is widely applied. The major weak point is that long time results, especially sudies about long term volumetric survival of the fat grafts have not been available yet. Observations We compared the available literature about volume survival after fat transplantation, including recent findings six years after fat transfer to the breast, showing stable results and even volume gain of transplanted fat grafts in patients that gained weight. Conclusions Fat transplantation to the breast for cosmetic breast augmentation offers stable long term results in terms of volume survival of the transplanted fat grafts. The available long term studies do not show any late complications of fat transfer.

scholarly journals Three Simple Steps for Refining Transcutaneous Lower Blepharoplasty for Aging Eyelids: The Indispensability of Micro-Autologous Fat Transplantation

2019 ◽  
Vol 39 (11) ◽  
pp. 1163-1177 ◽  
Author(s):  
Shu-Hung Huang ◽  
Yun-Nan Lin ◽  
Su-Shin Lee ◽  
Yu-Hao Huang ◽  
Hidenobu Takahashi ◽  
...  
Keyword(s):  
Long Term Results ◽  
Fat Transplantation ◽  
Autologous Fat ◽  
Orbital Fat ◽  
Lower Blepharoplasty ◽  
Tear Trough ◽  
Autologous Fat Transplantation ◽  
The Mean ◽  
Transcutaneous Lower Blepharoplasty

AbstractBackgroundLower blepharoplasty has been used for rejuvenating lower eyelids, and diverse modifications have been used to treat conjunct deformities at the tear trough/lid-cheek junction. Strategies for recontouring prominent tear trough/lid-cheek junctions, including orbital fat manipulation, have been reported with good results in the literature. Micro-autologous fat transplantation (MAFT) is a previously unevaluated, potentially advantageous approach to blending the prominent tear trough/lid-cheek junction.ObjectivesWe determined the long-term results after 3-step transcutaneous lower blepharoplasty with MAFT for patients with aging eyelids and prominent tear trough/lid-cheek junctions.MethodsWe evaluated 205 patients with aging lower eyelids who underwent transcutaneous lower blepharoplasty with MAFT between October 2010 and September 2016. The 3-step procedure involved a subciliary elliptical skin excision, resection of 3 orbital fat compartments, and MAFT for the tear trough/lid-cheek junction employing a MAFT-GUN under intravenous anesthesia.ResultsThe mean patient age was 52 years (range, 34-78 years). The mean operating time was 61 minutes. The mean fat volumes delivered to the tear trough/lid-cheek junctions were 2.80 mL and 2.76 mL for the left and right sides, respectively. The average weights of the 3 resected orbital fat compartments were 0.58 g for the left side and 0.56 g for the right side. Patients showed significant improvement and maintenance at an average follow-up of 60.2 months (range, 18-90 months).ConclusionsThree-step transcutaneous lower blepharoplasty with MAFT is an effective, reliable, and promising method with high patient satisfaction and minimal risk of complications. Long-term results demonstrated its utility for aging lower eyelid treatment.Level of Evidence: 4

Autologous fat transplantation in the modern reconstructive surgery of breast cancer

2012 ◽  
Vol 153 (46) ◽  
pp. 1816-1831 ◽  
Author(s):  
Zoltán Mátrai ◽  
Pál Pesthy ◽  
Gusztáv Gulyás ◽  
Éva Szabó ◽  
Alexandra Bartal ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Reconstructive Surgery ◽  
Biologically Active ◽  
Long Term Results ◽  
Safe Procedure ◽  
Fat Transplantation ◽  
Autologous Fat ◽  
Autologous Fat Transplantation

Autologous fat transplantation is often used in aesthetic plastic surgery, and is recently becoming increasingly popular in the reconstruction of soft tissue defects following oncological surgery. A still not standardized technique of fat transplantation for breast cancer reconstruction is rapidly getting popular. The procedure is not a passive volume replacement, but transplantation of biologically active tissue bearing endocrine, paracrine, exocrine functions and containing fat-derived stem cells, which in the tumorous environment raises many questions in relation to the oncological safety and diagnostic follow-up. Although long-term results based on prospective, randomized studies are not yet available, published clinical experience is promising and reveals an effective and surgically safe procedure if used with appropriate indications and techniques. The authors conducted a broad review of the literature, presenting indications, technique, molecular interactions, and potential risks of the clinical results of autologous fat transplantation in the breast cancer reconstructive surgery. The authors initiated that breast and plastic surgeons should promote adequate long term follow-up of breast cancer patients who underwent breast reconstruction with autologous fat transplantation by the establishment of national registries. Orv. Hetil., 2012, 153, 1816–1831.

Autologous Fat Transplantation

1997 ◽  
Vol 14 (4) ◽  
pp. 433-443 ◽  
Author(s):  
Melvin A. Shiffman
Keyword(s):  
Preliminary Analysis ◽  
Personal Communication ◽  
Review Of The Literature ◽  
Fat Transplantation ◽  
Experimental Procedure ◽  
Autologous Fat ◽  
Fat Grafts ◽  
Autologous Fat Transplantation ◽  
Practicing Physicians ◽  
Attention To Detail

A preliminary analysis of the methods that have been used and the results achieved since fat grafts were first used in 1889 is presented. Descriptions of the techniques used by several practicing physicians were collected by personal communication and a review of the literature and are recorded in this paper. Although the process of fat transplantation has not been standardized, it can no longer be considered an experimental procedure as enough surgeons have shown that there can be consistently good results. Failures and complications are not the result of the theory that fat cannot be transplanted, but the result of errors in technique and not adequate attention to detail.

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