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fat grafting in autologous breast reconstruction:applications,outcomes,safety,and complications

Plastic and Aesthetic Research 2023年第1期10卷 485-500页

作者： Bahaa Shaaban David Guerrero Carolyn De La Cruz Lauren Kokai Department of Plastic Surgery University of PittsburghPittsburghPA 15213USA University of Pittsburgh Medical Center PittsburghPA 15213USA Department of Bioengineering University of PittsburghPittsburghPA 15213USA McGowan Institute for Regenerative Medicine PittsburghPA 15213USA

Autologous fat grafting is an important surgical technique in aesthetic and reconstructive *** grafting for breast reconstruction is now an established procedure for adding volume and improving cutaneous pliability;it can be used independently to replace more invasive flap procedures or implants,or as an adjunct for smaller volume *** breadth of applications in the breast necessitates diversity in technique and approach,and while there is no universally agreed-upon protocol,basic principles have guided the evolution of some commonly adopted ***,fat grafting outcomes are highly favorable but dependent on patient and procedure factors,requiring learned patient selection and expertise in recipient site *** complications from fat grafting,such as fat necrosis and the development of nodules,are particularly troublesome for post-oncologic patients,requiring considerable pre-surgical consultation for patient education and managing *** addition to volume and contour augmentation,fat grafting has additional beneficial effects that have recently drawn increased attention including pain reduction from implant capsular contracture or postmastectomy pain syndrome,improved skin quality and reduced fibrosis following radiation,and possible anti-tumorigenic *** developments in clinical fat grafting research that are promising include the use of adipose progenitor cells admixed with lipoaspirate for improved volume retention or alternative biologics such as platelet-rich ***,research towards safe and effective regenerative medicine approaches is actively underway,with the ultimate goal of achieving predictable and increased graft retention,reducing the number of required surgical procedures and enabling on-table results to reflect procedure outcomes.

关键词： fat grafting fat transfer autologous breast reconstruction implant reconstruction lipo-injection breast augmentation graft survival skin expansion mastectomy post-mastectomy pain breast fibrosis capsular contracture

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fat Re-Grafting in Facial Asymmetry: A 2-Case Report

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Modern Plastic Surgery 2016年第1期6卷 1-4页

作者： Ahmed Abdel Hady El Danaf Ahmad Abdelmaksoud Rabie Plastic Surgery Department Mataria Teaching Hospital Cairo Egypt Dermatology Department National Research Centre Cairo Egypt

fat redistribution through recycling of previously grafted fat hasn’t been reported. Two facial asymmetry patients are presented with history of fat grafting to the mandibular angle areas. Collected fat from these formerly fat grafted zones and swollen on subsequent extra body weight gain has been re-grafted in the temporal regions for contour enhancement and has retained volume as photographically documented up to 30 months.

关键词： fatre-Grafting fat transfer Liposuction Dry Technique Facial Asymmetry Hemifacial Microsomia

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