Soft preparation of fat for lipotransfer

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• 作者：Anne-Claire Girard ; Vincent Hivernaud ; Franck Festy…
• 关键词：Autologous fat grafting ; Surgery ; plastic ; Adipose tissue ; Centrifugation ; Washing ; Autologe Fetttransplantation ; Plastische Chirurgie ; Fettgewebe ; Zentrifugation ; Waschen
• 刊名：Journal f篓鹿r ?sthetische Chirurgie
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：8
• 期：3
• 页码：120-123
• 全文大小：1,084 KB
• 参考文献：1.Alexander RW, Harrell DB (2013) Autologous fat grafting: use of closed syringe microcannula system for enhanced autologous structural grafting. Clin Cosmet Investig Dermatol 6:91-02PubMed Central PubMed View Article
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• 作者单位：Anne-Claire Girard (1)
  Vincent Hivernaud (1) (2)
  Franck Festy (1)
  Regis Roche (1)
  
  1. ADIP’sculpt, Platform CYROI, 2 rue Maxime Rivière, 97490, Sainte Clotilde, Reunion Island, France
  2. INSERM UMRS 791, 1 Place Alexis Ricordeau, 44042, Nantes cedex 1, France
  
• 刊物主题：Surgery; Head and Neck Surgery; Plastic Surgery; Otorhinolaryngology; Dermatology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1867-4313

文摘

Background With a growing interest in autologous fat grafting, this method is now widely used for soft tissue filling in aesthetic and reconstructive surgery. The technique can provide good clinical outcomes, provided that it is well mastered. However, many parameters can influence adipose graft survival, including fat harvesting, the fat processing technique and fat injection into the recipient site. While protocols differ between surgeons, there is a real will to refine the technique, in order to limit fat resorption after grafting and improve long-term clinical outcomes. Methods In this context, new ways to handle fat during lipotransfer are accumulating. Based on the importance of respecting cell viability and in order to reduce tissue damage, these new protocols are structured around a soft preparation of the tissue during the purification step of lipotransfer. Considering the different studies and the authors-own experiences, this review focuses on the current techniques of fat processing. Results To ensure injection of good quality fat, the authors propose a soft protocol for?fat processing, including multiple washes and centrifugations at low speed. Conclusion Multiplying washes and soft centrifugations of fat make maximum use of the advantages of these techniques without damaging the tissue, leading to larger lipografts of better quality.