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Scott L Spear, Courtney N Coles, Braden K Leung, Matthew Gitlin, Mousam Parekh, David Macarios
BACKGROUND: For years, the safety and effectiveness of autologous fat grafting (AFG) for breast reconstruction have been in question, with particular concern over fat necrosis, calcifications, cyst formation, and interfering with the detection of breast cancer. However, increasing evidence suggests that the complication rates and clinical results are generally acceptable to both clinicians and patients. The emerging challenge is the numerous AFG techniques and systems, where there are limited knowledge and data...
August 2016: Plastic and Reconstructive Surgery. Global Open
Umar Wazir, Hiba El Hage Chehade, Hannah Headon, Medhat Oteifa, Abdul Kasem, Kefah Mokbel
BACKGROUND: Lipofilling is an increasingly popular technique for breast reconstruction following both mastectomy and breast-conserving surgery (BCS). However, concerns remain over its oncological safety and its effect on cancer recurrence. MATERIALS AND METHODS: A systematic literature review and meta-analysis was carried out. Patients who had undergone mastectomy or BCS were investigated separately in order to find out whether the addition of lipofilling had a significant effect on locoregional recurrence rate...
September 2016: Anticancer Research
Bernardo N Batista, Murillo F P Fraga, Marcelo M C Sampaio, Alfredo C S D Barros
No abstract text is available yet for this article.
August 15, 2016: Plastic and Reconstructive Surgery
Jean Yves Petit, Patrick Maisonneuve
No abstract text is available yet for this article.
July 6, 2016: Plastic and Reconstructive Surgery
C Bruant-Rodier, C Dissaux, A Baratte, C Francois Fiquet, F Bodin
During adolescence, psychological and physical changes occur and breast takes a major place in the young woman body image. Except rare malign tumors, breast pathologies at this age are mainly benign or malformative. Malformative issues are revealed during breast growth, as isolated asymmetry or associated to other regional anomalies, with abnormal shape or volume of the breast, or even supernumerary breast. Therapeutic solutions will not differ from the ones used for adults. Breast lipofilling, recently admitted by plastic surgery community is an interesting tool that can be used on young women...
June 15, 2016: Annales de Chirurgie Plastique et Esthétique
Nathaniel L Villanueva, Sean M Hill, Kevin H Small, Rod J Rohrich
The aging hand is characterized by skin changes and soft-tissue deflation, which leads to rhytides, dermal atrophy, and distinct anatomical structures. Soft-tissue deflation and prominent hand anatomy can be corrected with volume augmentation using dermal fillers or lipofilling. Fat transfer volumizes the hand with prolonged durability and efficacy, autologous tissue replacement, and possible dermal regeneration. The senior author's (R.J.R.) technique for hand rejuvenation is described, which uses minimal access and blunt dissection to effectively augment the soft-tissue compartments of the hand...
December 2015: Plastic and Reconstructive Surgery
Marwan H Abboud, Nicolas M Abboud, Saad A Dibo
BACKGROUND: Current brachioplasty techniques include excisional surgery alone or in combination with liposuction. These techniques are associated with poor outcomes, such as residual contour deformities and unfavorable scarring. OBJECTIVES: The authors proposed a new classification system and treatment algorithm for brachial ptosis and described their experience with power-assisted liposuction and lipofilling to treat brachial ptosis without excisional surgery. METHODS: Ninety-five patients with grades 1, 2, or 3 brachial ptosis who underwent brachioplasty were evaluated in a prospective study...
September 2016: Aesthetic Surgery Journal
Sammy Sinno, Stelios Wilson, Nicholas Brownstone, Steven M Levine
BACKGROUND: Autologous fat grafting is an increasingly popular procedure used for facial rejuvenation and body contouring. The purpose of this article is to perform an evidence-based review to determine fact from fiction for the hot topics in autologous fat grafting. METHODS: A comprehensive literature search was performed. The following key words were then searched: "fat grafting," "autologous fat grafting," "autologous fat transfer," "lipotransfer," "liposculping," and "lipofilling...
March 2016: Plastic and Reconstructive Surgery
Haico de Gast, Bart Torrensma, Eillis Fitzgerald, Hieronymus Stevens
The following case series describes the treatment of neuropathic pain in post-surgical scars, using adipocytes and adipose-derived stem/progenitor cells (ASCs). Two cases are described in which patients underwent lipofilling to treat painful scars after cosmetic surgery. The primary indication for lipofilling was pain reduction and not improved cosmesis. Numeric rating scale (NRS) values were reported before the intervention and at regular intervals after the lipofilling. We found a notable long-lasting reduction in the NRS values after the "modified" lipofilling treatment...
March 2016: Pain Physician
Francisco Claro, Fernando Linhares Pereira, Aarão M Pinto-Neto
Usually, complicated reconstructions demand complex procedures. However, we report an unpublished situation where lipofilling was the only effective procedure for breast reconstruction, once 4 previous procedures, including 2 microvascular free flaps, had failed. The reported case describes a woman without subcutaneous tissue in the left breast topography, with radiation sequelae resulting in a fibrotic, hyperchromic, unexpandable skin that was tethered to her costal bone and pleura. The 4 previous attempts of breast reconstruction resulted in unavailable nearby recipient vessels, and this situation appointed breast lipofilling as the most feasible procedure...
January 2016: Plastic and Reconstructive Surgery. Global Open
Kavit Amin, Roxana Zakeri, Patrick Mallucci
We propose a safe, simple, and novel method to harvest fat using a standard liposuction cannula and a Redivac or alternative closed-suction drain. The authors have used this technique for both 'dry' and 'wet' liposuction. This technique is both easy to perform and cost-effective whilst providing both a silent and relatively atraumatic fat harvest. The lower negative pressure compared with traditional harvesting systems likely preserves fat integrity for lipofilling. This method maximises resources already held within a hospital environment...
May 2016: Archives of Plastic Surgery
T Sorin, J Rausky, K Rem, C Ozil, V Nguyen Van Nuoi, M Revol, S Mazouz Dorval
Due to the increasing number of fat grafting procedures, several laboratories have developed their own fat processing system (Puregraft(®), LipiVage(®), Viafill(®), etc.), such as closed harvesting systems, centrifugation or washing and filtration devices, or even simple decantation techniques. However, all these tissue-engineering systems are expensive. Our team has developed a simple and fast autologous fat grafting system, useable even for a large volume of lipofilling, and based on low-pressure suction and a sterile closed-system for processing the harvested fat tissue...
August 2016: Annales de Chirurgie Plastique et Esthétique
Claudio Silva-Vergara, Joan Fontdevila, Jordi Descarrega, Fernando Burdio, Tai-Sik Yoon, Luis Grande
INTRODUCTION: Lipofilling has become a widely used procedure in breast reconstruction after mastectomy or breast-conserving treatment. The possibility that this technique may increase stimulation of cancer development between the potential tumor bed and the lipoaspirates grafts has been raised regarding its safety. The aim of this study was to identify the oncological risks associated with this procedure in our institution. METHODS: Between years 2007 and 2014 we record 195 consecutive patients with fat grafting technique for reconstructive purpose after breast cancer treatment...
April 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Maria Scotto di Santolo, Marco Sagnelli, Giovanni Tortora, Maria Angela Santoro, Pier Luigi Canta, Guido Molea, Fabrizio Schonauer, Massimo Imbriaco
PURPOSE: Lipofilling technique is significantly increasing and the need of a non-invasive method to assess the success of the procedure is becoming mandatory. In particular, US can be considered an alternative method to MRI for evaluation of tissue lipofilling due to the simplicity and easy access of the technique and can be also used for monitoring the efficacy of the surgical procedure. The goal of this study was to demonstrate, the utility of the high-resolution ultrasound technique in the evaluation of autologous adipose tissue lipofilling, used for the correction of post-surgical, post-traumatic and post-burn scars...
June 2016: La Radiologia Medica
T Bayti, M Panouilleres, Y Tropet, F Bonnetain, J Pauchot
BACKGROUND: Evaluate the aesthetic clinical results, satisfaction and quality of life related to health in patients who underwent breast reconstruction by exclusive lipofilling or in addition to other surgical techniques. MEANS AND METHODS: A retrospective observational study was carried between 2009 and 2014 in four groups of patients who underwent a lipofilling by the same operator either after a conservative treatment (group 1), or exclusively (group 2), or after a flap (group 3) or implants (group 4)...
June 2016: Annales de Chirurgie Plastique et Esthétique
Qianwen Wang, Xin Guo, Jiaqi Wang
Preoperative evaluation and surgical details of chin fat augmentation aiming at increasing the projection of the original mentum are scarcely reported. Herein, the authors systematically reviewed the application of fat grafting for chin augmentation in our institution from 2010 to 2014. This percutaneously multilayered fat-injection technology can be applied for chin augmentation for a subset of patients after strict selection, and the details of lipofilling technology and fat distribution vary depending on each individual patient's condition...
October 2015: Journal of Craniofacial Surgery
João Carlos Sampaio Goes, Alexandre Mendonça Munhoz, Rolf Gemperli
This article presents an overview of the subfascial approach to primary and secondary breast augmentation with form-stable implants associated with autologous fat grafting. Although breast augmentation is a well-studied procedure, there are few previous reports concerning the subfascial technique and, especially, this technique associated with lipofilling. Consequently, the authors present their experience with a form-stable, anatomically shaped silicone gel breast implant, which has recently been approved in the United States following FDA clinical trials...
October 2015: Clinics in Plastic Surgery
C Ho Quoc, N Carrabin, A Meruta, J-M Piat, E Delay, C Faure
INTRODUCTION: The clinical surveillance of a patient treated for breast cancer involves many specialists: a surgeon, an oncologist, a radiotherapist, a gynecologist, and a general practitioner. The patients diagnosed with breast cancer will require regular clinical examination in order to identify possible recurrences. In our team, fat grafting has been used since 1998 for breast reconstruction because its results are natural breasts. Usually used as an adjuvant for flap or implant breast reconstruction, the lipofilling increases the aesthetic result and has a high satisfaction rate among patients...
November 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Trent M Gause, Russell E Kling, Wesley N Sivak, Kacey G Marra, J Peter Rubin, Lauren E Kokai
Fat grafting popularity continues to rise among plastic surgeons. As a soft tissue filler, adipose tissue had many desirable attributes: it is easy to obtain, autologous, and may reintegrate into recipient sites. However, fat grafting is clinically plagued by unpredictable resorption rates, thus there is much interest in optimizing the procedure of fat grafting for consistent graft volumes. Fat harvesting, a part of fat transfer surgery, involves the removal of adipose tissue from the donor site. Different harvest procedures, such as whole fat excision or liposuction cannulas, result in a range of fat particle volumes, which may play a role in the cellular stability of grafts...
October 2014: Adipocyte
Prakasit Chirappapha, Mario Rietjens, Francesca De Lorenzi, Manconi Andrea, Alaa Hamza, Jean-Yves Petit, Cristina Garusi, Stefano Martella, Benedetta Barbieri, Alessandra Gottardi
BACKGROUND: Lipofilling is widely used in breast reconstruction after mastectomy with reconstruction or breast conserving surgery in patients with breast cancer. The aim of this study is focused on complications associated with lipofilling in elderly breast cancer patients with breast defects after breast conserving surgery or reconstruction. METHODS: A total of 137 patients older than 60 years who underwent 153 lipofilling procedures were included. All patients had undergone breast lipofilling using Coleman's technique...
July 2015: Plastic and Reconstructive Surgery. Global Open
2016-03-09 00:01:11
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