safe liposuction and fat transfer pdf

Safe liposuction and fat transfer pdf

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Autologous fat grafting: Harvesting techniques

1. Introduction

What are the benefits and risks of liposuction?

Power-assisted liposuction and lipofilling PALL is a simple and reproducible surgical technique for large volume fat grafting. The authors share their 7-year experience with their large-volume fat transfer technique, PALL.

Autologous fat grafting: Harvesting techniques

The gluteal concave deformity, a complication of repeated intragluteal injections in childhood, is a relatively common complaint of many young women in China. This issue could be addressed by lipofilling, as the method could produce aesthetically acceptable results in correcting soft tissue contour defects. Twelve patients with bilateral gluteal concave deformities associated with repeated intragluteal injections were operated on from June to June The deformities were classified as major or minor. Overall satisfaction with body appearance after gluteal fat grafting and liposculpture was rated on a scale of 1 poor , 2 fair , 3 good , 4 very good , and 5 excellent. The average volume of fat injected was No serious adverse events occurred.

Autologous fat grafting is widely used for soft-tissue augmentation and replacement in reconstructive and aesthetic surgery providing a biocompatible, natural and inexpensive method. Multiple approaches have been developed in the past years, varying in the location of adipose tissue donor-sites, use of wetting solutions, harvesting, processing and placing techniques. Despite many advances in this subject, the lack of standardization in the protocols and the unpredictability of the resorption of the grafted tissue pose a significant limitation for graft retention and subsequent filling. In this review, we discuss several approaches and methods described over the last years concerning the harvesting of autologous fat grafts. We focus on contents such as the best donor-site, differences between existing harvesting techniques namely tissue resection, hand aspiration or liposuction techniques , recommended harvesting cannula diameters, pressure application and volume of wetting solution injected prior aspiration. Results and comparisons between methods tend to vary according to the outcome measured, thus posing a limitation to pinpoint the most efficient methods to apply in fat grafting.

1. Introduction

Advanced Techniques in Liposuction and Fat Transfer. Traditional liposuction with blunt-tip fenestrated cannulas remains the most commonly performed surgery for localized fat deposits. Since the introduction of power-assisted liposuction PAL by MicroAire Surgical Instruments FDA K December , the device has undergone developmental changes to improve mechanical disruption of normal and fibrotic fatty areas, in gynecomastia and within firmer tissues after secondary surgery for superior fat extraction 2- 8. To date, however, there have been no studies that objectively determine whether the effects of mechanical injury, produced by a PAL device with potential increased surgical trauma, result in increased tissue shrinkage and tightening, after extraction of fat which is not apt to occur with traditional manual liposuction TL. The purposes of this chapter were to review a year clinical experience with powered-assisted liposuction and, in a limited study, obtain additional quantitative data on tissue shrinkage accommodation or retraction and tightening elasticity comparing PAL liposuction vs.

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What are the benefits and risks of liposuction?

A Brazilian butt lift is a popular cosmetic procedure that involves the transfer of fat to help create more fullness in your backside. A Brazilian butt lift consists of fat grafting that is notable for its natural-looking results. The procedure involves the following steps:.

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