autologous fat transfer [electronic resource] art, science, and clinical practice

[...]... History, Principles, Fat Cell Physiology and Metabolism I 1 History of Autologous Fat Transfer1 Melvin A Shiffman 1.1  Introduction The history of autologous fat augmentation gives an insight into the development of fat transfer for both cosmetic and non-cosmetic problems Transplantation of pieces of fat and occasionally diced pieces of fat advanced to the removal of small segments of fat by liposuction... Complications of Fat Transfer Hassan Abbas Khawaja, Melvin A Shiffman, Enrique Hernandez-Perez, Jose Enrique Hernandez-Perez, and Mauricio Hernandez-Perez 55 Facial Fat Hypertrophy in Patients Who Receive Autologous Fat Tissue Transfer Giovanni Guaraldi, Pier Luigi Bonucci, and Domenico De Fazio 56 Lid Deformity Secondary to Fat Transfer ... procedure and the fact that it is always somewhat temporary Depending on the patient and the location to where the fat is transferred, the fat survives for a variable period I have found that transferring fat under skin grafts, scars, and on top of semirigid or rigid surfaces improves the viability of the fat transfer For example, if one transfers fat under the skin post mastectomy, it seems to stay there and. .. loss) between the fat cylinder and excised fat, but there was a 59% loss of weight of the aspirated fat The conclusion was that fat aspiration is traumatic and breaks up the cells However, there was histologic evidence of viable fat cells in all transplants Jones and Lyles (44) harvested fat with a 60 mL syringe, 3.0 mm pyramid cannula, and locked the plunger at 35 mL The harvested fat was washed three... grafts would remain fatty tissue Mann (6) performed free transplant of omentum fat and stated that it remained seemingly viable for as long as 1 year and retained a small percentage of its fat Neuhof (7) examined available experimental and clinical evidence and concluded that: 1 Transplanted autologous fat undergoes practically some changes as transplanted bone 2 The transplant dies and is replaced either... we essentially abandoned the technique Sometime later, we heard about successes with injection of fat into the back of the hand and we attempted a few cases By this time, we had stopped using the Teflon gun and were simply aspirating the fat with the syringe and transferring it to smaller syringes through a small transfer tube after which the fat was injected into the back of the hand Our technique... diagnosed by mammography, one 12 months and the other 92 months after fat transfer to the breast Now fat transfer to the breast area is being used outside the breast itself, into the pectoralis major muscle and behind and in front of the muscle The fat is also being used to augment tissues around the breast following treatment for breast cancer Although most of the fat transfer procedures are for augmentation... transplantation of the extracted fat for augmentation of defects or for cosmetic purposes There has been a controversy concerning the manner of collecting, injecting, and cleansing the fat and the effectiveness of the fat transfer Some physicians have been disappointed with the long-term results of fat transplantation The process of fat transplantation has not yet been standardized, and there is a need to analyze... encountered is fat resorption Trauma to the cells, desiccation during transfer, and the presence of blood are contributing factors At least an 18-gauge needle should be used to reinject fat Ersek (27) reported that very little autologous fat survives but his use of a whisk in the cleansing process probably destroyed most of the fat cells 3.5  Technique of Autologous Fat Transplantation The lack of standardization... was 75–85% of original fat present 3 months after transplantation Agris (24) claimed that trauma and desiccation injured transplanted fat cells Bircoll (25) stated that the ASPRS report (26) of 30% survival and Peer’s report (27) of 50% survival of autologous fat transplantation were based on the older technique of bulk fat transfer Biopsies show 80% survival of fat after 1 year and an additional bulk . to date text on autologous fat transfer and includes chapters concerning the history of fat transfer and fat transfer survival, principles of fat transfer, adipose cell anatomy and physiology,.