Fat Transfer
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2021 ◽  
Vol 21 (1) ◽  
Zhiwan Liu ◽  
Wenjun Zhang ◽  
Boyu Zhang ◽  
Linhao Ma ◽  
Feng Zhou ◽  

Abstract Background Liposuction is one of the most commonly performed aesthetic procedures. Toxic shock syndrome(TSS) is a rare, life-threatening complication. The incidence rate of TSS is very low in the plastic surgery field, especially after liposuction and fat transfer. Case presentation A 23-year-old female patient was transferred to our emergency department from an aesthetic clinic with sepsis shock features after received liposuction and fat transfer. The patient underwent TSS, disseminated intravascular coagulation(DIC), multiple organ dysfunction syndrome (MODS), symmetrical peripheral gangrene (SPG), and necrotizing soft tissue infection of the buttocks in the next 10 days. Authors used a series of debridement and reconstructive surgery including vacuum sealing drainage (VSD) treatment, artificial dermis grafts,split-thickness skin grafts, amputation surgeries when her vital signs were stable. The patient experienced desquamation of the hand on the 26th day. The skin grafts survived and the function of both fingers and toes recovered. She was discharged 2 months after admission and was in good health. Conclusion TSS is extremely rare in the field of liposuction and autologous fat transfer. The mortality rate of TSS is very high. Early diagnosis and operative treatment, as well as correction of systemic abnormalities, are the important keys to save a patient's life.

Burns ◽  
2021 ◽  
Ahmed M. Abouzaid ◽  
Mohamed E. El Mokadem ◽  
Ahmed K. Aboubakr ◽  
Mohamed A. Kassem ◽  
Ahmed K. Al Shora ◽  

2021 ◽  
Vol 9 (11) ◽  
pp. e3945
Raúl Martín Manzaneda Cipriani ◽  
Gerardo A. Adrianzen ◽  
Jaroslav Zulueta ◽  
Braulio Sarango

Steven R Cohen ◽  
Jordan Wesson ◽  
Sierra Willens ◽  
Taylor Nadeau ◽  
Chloe Hillman ◽  

Abstract Background A standardized technique for facial fat grafting, Injectable Tissue Replacement and Regeneration (ITR 2), was developed to address both anatomic volume losses in superficial and deep fat compartments as well as skin aging, incorporating newer regenerative approaches. Objectives The authors sought to track the short and long terms effects of a new standardized technique for facial fat grafting in the midfacial zone across a 19-month time period. Methods Twenty-nine female were analyzed for mid-facial volume changes after autologous fat transfer with ITR 2. Across 19 months, volumes were evaluated using the Vectra XT 3D Imaging System to calculate differences between a predefined, 3-dimensional mid-facial zone measured preoperatively and serially after fat grafting with novel approach using varying fat parcel sizes. Results Patient data was analyzed collectively as well as separately by age (< and > 55 years). Collective analysis revealed a trend of initial volume loss within the first 1-7 months followed by an increase within the 8–19-month range, averaging 56.6% postoperative gain and ending at an average of 52.3% gain in volume by 14-19 months. A similar trend was observed for patients <55 years of age, but to a greater extent, with a 54.1% average postoperative gain and final average of 75.2%. Conversely, patients above 55 years of age revealed a linear decay beginning at 60.6% and steadily declining to 29.5%. Multiple regression analysis revealed no statistically significant influence of weight change during the study duration. Conclusions Preliminary evidence shows a dynamic change in facial volume, with an initial decrease in facial volume followed by a rebound effect that demonstrated improvement of facial volume regardless of patient weight change or amount of fat injected 19 months after treatment. Volume improvement occurred to a greater extent in patients under 55 years old, whereas in patients older than 55 volume gradually decreased. To our knowledge, this study represents the first time that progressive improvement in facial volume has been shown 19 months after treatment with a new standardized technique of fat grafting.

Sanguan Kunaporn ◽  
Pichansak Bunmas

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Hebatullah Yasser Badr Mahmoud ◽  
Hany Saad Setta ◽  
Mohamed El-Shinawi

Abstract Background Lipofilling is an increasingly popular technique for breast reconstruction following both mastectomy and breast-conserving surgery (BCS). Autologous fat transfer (Lipofilling), is a technique which has been used for many years in the setting of aesthetic breast surgery. Although gaining popularity in this setting, there are still questions regarding its oncological safety when used in patients being treated for breast cancer. Objective To systematically evaluate the current literature regarding the oncological safety of lipofilling in patients who underwent surgical treatment for breast cancer by performing a metaanalysis to investigate the recurrence rates and the incidence of complications after lipofilling. Data Sources: Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materi als available in the Internet till 2019. Data Extraction All the studies which did not fulfill the inclusion criteria were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures. Conclusion Through this analysis, no evidence that lipofilling significantly increases the risk of locoregional recurrence when used as part of a breast reconstruction procedure after either mastectomy or BCS for breast cancer was found. Therefore, it can be considered an oncologically safe procedure in suitable patients with careful oncological follow-up. In the future, more longterm, adequately powered, multicentre controlled studies are needed. Additionally, more research should be carried out on the incidence of complications following lipofilling so that efforts can be made to prevent them and optimise fat graft survival.

2021 ◽  
Vol 10 (19) ◽  
pp. 4515
Maximilian Mahrhofer ◽  
Thomas Schoeller ◽  
Maria Casari ◽  
Kathrin Bachleitner ◽  
Laurenz Weitgasser

Introduction: Poland syndrome is a rare, challenging combination of chest wall and breast deformities for reconstructive surgeons and selecting the treatment can prove difficult. This study aims to help surgeons in choosing the best viable option for treatment by sharing our institutional experience and proposing a guiding algorithm. Methods: A retrospective analysis of all patients with Poland syndrome undergoing treatment for breast and chest wall deformities at a single institution between December 2011 and May 2020 was performed. Medical charts were reviewed to allow for a description of patient demographics, treatment modalities and complications. A treatment algorithm to aid in selecting the adequate reconstructive option based on our institutional experience was formulated. Results: A total of 22 patients (six male, 16 female) were identified who received treatment for Poland Syndrome related deformities. Nine received microsurgical free flap reconstruction (three Deep Inferior Epigastric Perforator flaps, six Transverse Myocutaneous Gracilis flaps), two received reconstruction with a local flap (two Latissimus dorsi flaps), nine received implant based reconstruction, and two were treated with autologous free fat transfer only (17 in combination with other surgical methods). Conclusion: Free flap reconstruction with the TMG flap is a valid option for patients with low Body Mass Index (BMI), while Deep Inferior Epigastric Perforator flaps should be considered for patients with a higher BMI. Autologous free fat transfer proves to be a safe and efficient treatment option in mild cases of Poland syndrome for male and female patients, in combination with or without implant based reconstructive surgery. Multicentre studies should be conducted to achieve higher case numbers of this rare disease and support clinical decisions with more data.

2021 ◽  
Vol 506 (1-2) ◽  
Vu Ngoc Lam ◽  
Le Thi Thu Hai ◽  
Nguyen Phuong Tien

Autologous fat grafting is a technique that has been used for a long time in the field of plastic surgery. Besides many advantages, the complications, which can range from mild such as hematoma, infection, calcification, necrosis... even death is a big problem.  The article presents a case of using autologous fat taken from the abdomen to graft onto the facial area with complications of severe infection in both the receiving and donor sites, causing necrosis of fat and skin in both areas. The treatment takes a long time with different procedures, but the consequences for the patient are still very serious both in terms of aesthetics and function. The objective of this study was to evaluate the safety and efficacy of fat grafting to the facial region for the reconstruction and aesthetic enhancement of facial contour.

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