CORRECTION OF SOFT TISSUE DEFECTS THROUGH AUTOLOGICAL FAT TISSUE TRANSPLANTATION AFTER LIPOXATION OPERATION
https://doi.org/10.17238/issn2072-3180.2020.4.9-15
Abstract
The aim of considered the implementation of soft tissue defects correction by means of autologous adipose tissue transplantation after liposuction surgery.
Materials and methods. The study was conducted by the authors from 2016 to 2020 and included 26 consecutive operations in female patients. The age limits of the patients ranged from 20 to 59 years. The preoperative body mass index of the patients was 17.4–26.5 kg/m2, on average 21.6 kg/m2 and was determined during the first application. Liposuction surgery was performed 1–3 times on all patients included in the study. The total amount of transplanted autologous adipose tissue was 20–200 ml.
Results. Over 24 months, 58.8 % of patients rated their appearance after autologous adipose tissue transplantation as «very good» and «excellent» and 29.4 % rated their appearance as «good». Only 11.8% of patients felt that their appearance was good at first, and then worsened.
Discussion. In order to obtain a predictable result, the surgeon must inject adipose tissue into living tissue under sterile conditions and refrain from external contact in order to prevent infection. Transplants with a high percentage of components, such as blood and local factors, reduce the ability to predict accurate body volume.
Conclusion. Have shown that the degree of satisfaction observed in patients after autologous adipose tissue grafting gives aesthetically acceptable results in terms of correction of deformities after liposuction. With the acceptance of aesthetic surgery in general and the increasing number of liposuction patients, it is clear that plastic surgeons in the future will face patients seeking secondary contouring surgery. Successful autologous adipose tissue transplantation is based on the appropriate technique, awareness of limitations and understanding of the patient's goals.
About the Authors
G. R. Bayramly
Medera Hospital
Azerbaijan
Azerbaijan
Bayramli Gyunel’ Rasim — Post-graduate student, Department of Surgery of Diseases Ι, Professor
AZ 1118, Baku, st. Ajami Nakhchivani 53C
E. A. ALIYEV
Azerbaijan Medical University
Azerbaijan
Azerbaijan
Aliyev El’dar Allahverdi — Doctor of Medical Sciences, Department of Surgery of Diseases Ι, Professor
AZ 1111, Baku, st. Javadkhan 22, apt. 31
References
1. Triana L., Triana C., Barbato C., Zambrano M. Liposuction:25 years of experience in 26, 259 patients using different devices. Aesthet. Surg., 2009, 29(6), pр. 509–512.
2. Pereira L.H., Sterodimas A. Correction for the iatrogenicform of banana fold and sensuous triangle deformity. Aesthetic Plast. Sur., 2008, 32(6), pр. 923–927.
3. Stephan P., Kenkel J. Updates and advances in lipo-suction. Aesthet. Surg., 2010, 30(1), p. 83.
4. Pitanguy I. Evaluation of body contouring surgery today: a 30-year perspective. Plast. Reconstr. Surg., 2008, 105(4), pp. 1499–1514.
5. Chang K.N. Surgical correction of postliposuction con-tour irregularities. Plast. Reconstr. Surg., 2016, 94(1), pp. 126–136.
6. Illouz Y.G. Liposuction of the abdomen. Ann. Chir. Plast. Esthet., 2020, 44(4), pp. 481–495.
7. Citarella E.R., Sterodimas A., Conde-Green A. Endoscopi-cally assisted limited-incision rhytidectomy: a 10-year prospective study. Plast. Reconstr. Aesthet. Surg., 2018, 63(11), pp. 1842–1848.
8. Nicareta B., Pereira L.H., Sterodimas A., Illouz Y.G. (2011) Autologous gluteal lipograft. Aesthetic Plast. Surg., 2018, 35(2), pp. 216–224.
9. Sterodimas A., Radwanski H.N., Pitanguy I. Aestheticplastic surgery: junior plastic surgeons’ confidence in a training program. Aesthetic Plast. Surg., 2018, 33(1), pp. 131–132.
10. Sterodimas A., Boriani F., Bogetti P., Radwanski H.N., Bruschi S., Pitanguy I. Junior plastic surgeon’s confidence in aesthetic surgery practice: a comparison of two didactic systems. Plast. Reconstr. Aesthet. Surg., 2019, 63(8), pp. 1335–1337.
11. Rohrich R.J., Smith P.D., Marcantonio D.R., Kenkel J.M. The zones of adherence: role in minimizing and preventing contour deformities in liposuction. Plast. Reconstr. Surg., 2015, 107(6), pp. 1562–1569.
12. Pereira L.H., Radwanski H.N. Fat grafting of the buttock sand lower limbs. Aesthetic Plast. Surg., 2016, 20(5), pp. 409–416.
13. Avelar J. Abdominoplasty combined with lipoplasty without panniculus undermining: abdominolipoplasty: a safe technique. Clin. Plast. Surg., 2006, 33(1), pp. 79–90.
14. Pereira L.H., Sterodimas A. Treatment of iatrogenic abdominal contourir regularities. Aesthetic Plast. Surg., 2017, 34(2), pp. 129–135.
15. Pereira L.H., Sterodimas A. Free fat transplantation for the aesthetic correction of mild pectus excavatum. Aesthetic Plast. Surg., 2017, 32(2), p. 393–396.
16. Lewis C.M. Transplantation of autologous fat. Plast. Reconstr. Surg., 2016, 88(6), pp. 1110–1111.
17. Ullmann Y., Shoshani O., Fodor A., Ramon Y., Carmi N., Eldor L., Gilhar A. Searching for the favourable donor site for fat injection: in vivo study using the nude mice model. Dermatol. Surg., 2018, 31(10), pp. 13041307.
18. Rohrich R.J., Sorokin E.S., Brown S.A. In search of improved fat transfer viability: a quantitative analysis of the role of centrifugation and harvest site. Plast. Reconstr. Surg., 2013, 113(1), pp. 391–395.
19. Padoin A.V., Braga-Silva J., Martins P., Rezende K., Rezende A R., Grechi B., Gehlen D., Machado D.C. (2008) Sources of processed lipoaspirate cells: influence of donor site on cell concentration. Plast. Reconstr. Surg., 2016, 122(2), pp. 614–618.
20. Pereira L., Sterodimas A. Composite body contouring. Aesthetic Plast. Surg., 2009, 33(4), pp. 616–624.
21. Illouz Y.G. Present results of fat injection. Aesthetic Plast. Sur., 2018, 12(3), pp. 175–181.
22. Fontdevila J., Serra-Renom J.M., Raigosa M., Berenguer J., Guisantes E., Prades E., Benito-Ruiz J., Martinez E. Assessing the long-term viability of facial fat grafts: an objective measure using computed tomography. Aesthet. Surg., 2008, 28(4), pp. 380–386.
23. Illouz Y.G., La Sculpture Par Lipoplastie Ed. Churchill Livingstone, London, 1988, pp. 193–198.
24. Pereira L.H., Sterodimas A. Autologous fat transplantation and delayed silicone implant insertion in a case of Mycobacterium breast infection. Aesthetic Plast. Surg, 2010, 34(1), pp. 1–4.
25. Coleman S.R. Structural fat grafting: more than a permanent filler. Plast. Reconstr. Surg., 2010, 118(3 Suppl), pp. 108S–120S.
26. Guerrerosantos J. Evolution of technique: face and neck lifting and fat injections. Clin. Plast. Surg., 2008, 35(4), pp. 663–676.
27. Sterodimas A., de Faria J., Correa W.E., Pitanguy I. Tissue engineering in plastic surgery: an up-to-date review of the current literature. Ann. Plast. Surg., 2009, 62(1), pp. 97–103.
28. Sterodimas A., De Faria J., Nicaretta B., Papadopoulos O., Papalambros E., Illouz Y. Cell-assisted lipotransfer. Aesthet. Surg., 2010, 30(1), pp. 78–82.
29. Cardenas-Camarena L. Lipoaspiration and its complications: a safe operation. Plast. Reconstr. Surg., 2016, 112(5), pp. 1435–1441.
30. Matarasso A., Wallach S., Rankin M., Galiano R. Secondary abdominal contour surgery: a review of early and later operative surgery. Plast. Reconstr. Surg., 2015, 115(2), pp. 627–632.
Review
For citations:
Bayramly G.R., ALIYEV E.A. CORRECTION OF SOFT TISSUE DEFECTS THROUGH AUTOLOGICAL FAT TISSUE TRANSPLANTATION AFTER LIPOXATION OPERATION. Moscow Surgical Journal. 2020;(4):9-15. (In Russ.) https://doi.org/10.17238/issn2072-3180.2020.4.9-15
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