Breast augmentation by autologous fat injection grafting: management and clinical analysis of complications.

Abstract:

:Autologous fat is an excellent soft-tissue filler, given its abundance and ease of harvest. Nevertheless, the technique is accompanied by postoperative complications such as fat necrosis, calcification, and sclerotic nodules. These problems directly influence surgical efficacy. Computed tomography or magnetic resonance imaging was used to confirm the location of abnormal adipose tissue preoperatively. Depending on the characteristics of the lesion, the liquefied fat was aspirated or the sclerotic lesion excised. Pressurized dressings were used postoperatively for both techniques. Seventeen patients who experienced complications after autologous fat injection were treated. Pathologic examination of excised samples demonstrated changes including fat necrosis, calcification, hyalinization, and fibroplasia. Intramammary autologous fat injection should only be used with caution. Selecting suitable indications and correct surgical techniques make autologous fat grafting an ideal method for breast augmentation. Strictly controlling the injection volume and injecting diffusely in multiple layers to allow fat granules to distribute evenly within the breast, are effective methods to reduce postoperative complications.

journal_name

Ann Plast Surg

authors

Mu DL,Luan J,Mu L,Xin MQ

doi

10.1097/SAP.0b013e318189a98a

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

124-7

issue

2

eissn

0148-7043

issn

1536-3708

journal_volume

63

pub_type

杂志文章
  • Deep dissection plane for endoscopic-assisted comminuted malar fracture repair.

    abstract::Endoscopic technique has been used in the management of comminuted malar fractures. However, the reported dissection plane is close to the frontal branch of the facial nerve, and paralysis of the frontal muscle is sometimes noted postoperatively. From January 1998 to November 2001, 42 patients underwent endoscopic-ass...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200211000-00002

    authors: Lee SS,Lin SD,Chiu YT,Tsai CC,Lin TM,Chang KP

    更新日期:2002-11-01 00:00:00

  • Endoscopic-assisted wire removal and neurolysis.

    abstract::Endoscopic-assisted surgery allows remote incision placement and provides an illuminated, magnified operative field. We have applied these principles to perform neurolysis of the zygomaticotemporal nerve and removal of a fixation wire under endoscopic control in a patient with pain and tenderness at the site of a prev...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199608000-00012

    authors: Ramirez OM,Pozner JN

    更新日期:1996-08-01 00:00:00

  • Craniosynostotic variations in syndromic, identical twins.

    abstract::Despite intense research, etiologies underlying syndromic craniosynostosis remain poorly understood. While syndrome-related genetic factors have garnered much attention, external forces likely play a large role as well. In contrast to well-defined genetic abnormalities that may be precisely identified and statisticall...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31815d5c14

    authors: Sher S,Cole P,Kaufman Y,Hatef DA,Hollier L

    更新日期:2008-09-01 00:00:00

  • Endoscopic-assisted midface lift utilizing retrograde dissection.

    abstract::Endoscopic facial surgery is gaining wide acceptance, as results are providing comparable if not superior to the standard, superficial musculoaponeurotic system rhytidectomy, with minimal scarring. Frontal branch facial nerve injury remains a troublesome complication. The purpose of our study was to determine if a sub...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199605000-00001

    authors: Burnett CD,Rabinowitz S,Rauscher GE

    更新日期:1996-05-01 00:00:00

  • Experiences with the lateral calcaneal artery flap.

    abstract::A chronic ulcer of the posterior heel or lateral ankle can be a large problem for the patient. The lateral calcaneal artery flap is a reliable neurovascular local skin flap that can cover the defect after excision of the ulcer in this area. The flap includes the lateral calcaneal artery, sural nerve, and lesser saphen...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198812000-00007

    authors: Hovius SE,Hofman A,van der Meulen JC

    更新日期:1988-12-01 00:00:00

  • Measurement of implant capsules.

    abstract::A more direct measurement of implant capsule contracture is needed for the laboratory study of this phenomenon. Most of the previous methods for quantitation of contracture rely on measurements of deformability. Because contraction of an implant capsule is in fact a decrease in the surface area of the capsule, a metho...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198311000-00008

    authors: Caffee HH

    更新日期:1983-11-01 00:00:00

  • The reminiscences of a plastic surgeon during World War II.

    abstract::The experiences of the author while an Officer in the South African Medical Corps are related. During the battle of Britain he was attached to the R.A.M.C. and observed the work of pioneers in modern military plastic surgery. On his return to South Africa, he set up the Brenthurst Military Red Cross Hospital for Plast...

    journal_title:Annals of plastic surgery

    pub_type: 历史文章,杂志文章

    doi:

    authors: Penn J

    更新日期:1978-01-01 00:00:00

  • Pressure ulcer of the breast after subcutaneous mastectomy and reconstruction with prosthesis.

    abstract::A 28-year-old woman underwent bilateral subcutaneous mastectomy and immediate reconstruction with silicone gel-filled prostheses. Three months after surgery, she developed an acute pressure sore on one side, owing to prolonged pressure of the insensitive breast against a hard surface. This complication is presented, t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-198502000-00014

    authors: Mendez-Fernandez MA

    更新日期:1985-02-01 00:00:00

  • Embolization in high-flow arteriovenous malformations of the face.

    abstract::Five patients with arteriovenous malformations of the face (4 males and 1 woman; age range, 11-38 years) were treated by selective embolization through the feeding arteries with polyvinyl alcohol particles. Immediate gross angiographical obliteration was obtained in 4 patients, with pronounced reduction of the arterio...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Komiyama M,Khosla VK,Yamamoto Y,Tazaki H,Toyota N

    更新日期:1992-06-01 00:00:00

  • The Use of Dehydrated Human Amnion/Chorion Membranes in the Treatment of Burns and Complex Wounds: Current and Future Applications.

    abstract::Historically, biologic materials found in nature have been used for a wide variety of medicinal purposes, although their widespread use may be limited due to challenges in obtaining and properly preparing the material for safe clinical use. Amniotic membrane has long been recognized to possess unique properties favora...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0000000000000983

    authors: Tenenhaus M

    更新日期:2017-02-01 00:00:00

  • Treatment of Head and Neck Arteriovenous Malformations Involving the Facial Nerve: A Tailored Algorithm.

    abstract:BACKGROUND:Head and neck arteriovenous malformations (AVMs) involving branches of the facial nerve often cause tremendous cosmetic, functional, and psychological problems that are challenging to treat. We proposed an algorithm to obtain the optimal treatment and esthetic outcome. METHODS:Medical records of 24 patients...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001494

    authors: Hua C,Yang X,Jin Y,Zou Y,Chen H,Ma G,Qiu Y,Hu X,Tremp M,Lin X

    更新日期:2018-12-01 00:00:00

  • Patient perception of postoperative pain after administration of liposomal bupivacaine in plastic surgery.

    abstract:BACKGROUND:Since obtaining FDA approval for postsurgical pain management in 2011, a number of well-designed studies have reported favorably on the safety and efficacy of liposomal bupivacaine (LB). However, the literature lacks adequate reports of patient perception of postoperative pain and subjective satisfaction. M...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000444

    authors: Eberle N,Newman M

    更新日期:2015-06-01 00:00:00

  • Extratemporal facial paralysis.

    abstract:PURPOSE:This report summarizes our experience in the management of extratemporal facial paralysis with a variety of reconstructive techniques and explores those parameters which are considered to be useful in achieving better outcomes. METHODS:In all, 56 patients with extratemporal facial paralysis were studied. All t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3182352221

    authors: Terzis JK,Anesti K

    更新日期:2013-02-01 00:00:00

  • Infection following cranial bone grafting--a need for caution?

    abstract::A case of delayed infection following the use of split-cranial bone graft is presented. Trauma and bacterial contamination of the donor area six months before harvest were the likely causes. We advise caution and the use of alternate donor sites in cases where a history of previous contaminating trauma exists, even if...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199003000-00014

    authors: Lewis VL Jr,Cook JQ,Bailey MH

    更新日期:1990-03-01 00:00:00

  • Versatile use of extended transconjunctival approach for orbital reconstruction.

    abstract::When exposing the orbit, the transconjunctival approach is regarded to have limited surgical exposure. The aim of this study is to demonstrate the versatile usability of extended transconjunctival approach, which can be extended medially and laterally, in reconstruction of medial orbital wall, floor, and even the late...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181855d27

    authors: Kim DW,Choi SR,Park SH,Koo SH

    更新日期:2009-04-01 00:00:00

  • Clinical imaging diagnosis of implant materials for breast augmentation.

    abstract:BACKGROUND:The ingredients of substances implanted for breast augmentation sometimes remain unknown due to lack of information from patients. Significant clinical problems sometimes necessitate removal and reconstruction. Thus, preoperative diagnostic imaging to identify the ingredients of implants may improve the trea...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000214185.94467.a3

    authors: Kawahara S,Hyakusoku H,Ogawa R,Ohkubo S,Igarashi H,Hirakawa K

    更新日期:2006-07-01 00:00:00

  • Acellular dermal composite allografts for reconstruction of the radial forearm donor site.

    abstract:PURPOSE:Since its description in the 1970s, the radial forearm free flap has earned a clearly defined role in the armamentarium of reconstructive head and neck surgery. Three decades later, the donor site remains an intrinsic drawback primarily due to its esthetic impact, although functional morbidity is significant in...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000221622.41450.60

    authors: Rowe NM,Morris L,Delacure MD

    更新日期:2006-09-01 00:00:00

  • Reconstruction of complex oncologic chest wall defects: a 10-year experience.

    abstract::The repair of complex chest wall defects presents a challenging problem for the reconstructive surgeon. Although the majority of such defects could be repaired with the use of local and regional musculocutaneous flaps, more complicated cases require increasingly sophisticated reconstructive techniques. This study revi...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000122653.09641.f8

    authors: Chang RR,Mehrara BJ,Hu QY,Disa JJ,Cordeiro PG

    更新日期:2004-05-01 00:00:00

  • Wedge excision of the nail fold in the treatment of ingrown toenail.

    abstract::Many treatment modalities of ingrown toenail are reported in the literature, often associated with unacceptably high recurrence rate. The authors present their technique, which aims at reducing the convexity of the nail fold. After complete removal of the nail plate and accurate debridement of the granulomatous tissue...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000095436.08812.67

    authors: Persichetti P,Simone P,Li Vecchi G,Di Lella F,Cagli B,Marangi GF

    更新日期:2004-06-01 00:00:00

  • Repair of chronic mallet finger deformity using Mitek micro arc bone anchor.

    abstract::Surgical correction of chronic mallet finger caused by terminal tendon disruption was carried out in 22 patients. The distal stump of the tendon was fixed to the base of the distal phalanx with a Mitek micro arc bone anchor. In all patients the mallet finger deformity was corrected. There were 15 patients with excelle...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000151464.03967.a2

    authors: Ulkür E,Açikel C,Ergun O,Celiköz B

    更新日期:2005-04-01 00:00:00

  • Nodal metastatic melanoma in the neck of a 4-year-old girl after diagnosis of Spitz nevus of the cheek.

    abstract::A 4-year-old girl was referred to the plastic surgery unit with metastatic malignant melanoma diagnosed in a cervical lymph node. She had previously undergone excision of a Spitz nevus of the cheek at age 18 months. The management of this patient is discussed along with a review of the literature relating to Spitz nev...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000037277.03962.4F

    authors: Reynolds N,Ali-Khan AS,Rigby H,Orlando A

    更新日期:2003-05-01 00:00:00

  • Perineal wound complications, risk factors, and outcome after abdominoperineal resections.

    abstract:BACKGROUND:We describe the risk factors for complications and outcome of perineal wounds after abdominoperineal resections (APRs). METHODS:A retrospective chart review was performed, and patient demographics, risk factors, extent of APR, closure of perineal wounds, exposure to radiation, and outcome were collected. R...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31823fac2b

    authors: Choudry U,Harris D

    更新日期:2013-08-01 00:00:00

  • Latissimus dorsi reconstruction: a good option for patients with failed breast conservation therapy.

    abstract::The majority of patients with breast carcinoma are being treated with breast conservation therapy (BCT): lumpectomy and postoperative radiation. Local recurrence reported at 8% to 11% is often treated with salvage mastectomy. This has led to a growing group of patients requiring breast reconstruction after failed BCT....

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000215252.05233.b0

    authors: Freeman ME,Perdikis G,Sternberg EG,TerKonda SP,Waldorf JC

    更新日期:2006-08-01 00:00:00

  • Iloprost improves survival of ischemic experimental skin flaps.

    abstract::The ability of the prostacyclin analogue iloprost to improve survival of ischemic experimental skin flaps was investigated. Unilateral island skin flaps based on the superficial inferior epigastric vessels were raised in 70 rats and subjected to varying lengths of primary ischemia. The flaps were divided into the foll...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199405000-00009

    authors: Senderoff DM,Israeli D,Zhang WX,Urken ML,Weinberg H

    更新日期:1994-05-01 00:00:00

  • Unique rodent model of distraction osteogenesis of the mandible.

    abstract::Despite the increasing use of distraction osteogenesis (DO) of the mandible, the molecular mechanisms regulating new bone formation during DO remain poorly understood. The purposes of this study were (1) to establish a unique rodent model of DO capable of outlining parameters for new bone formation at the distraction ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200211000-00012

    authors: Buchman SR,Ignelzi MA Jr,Radu C,Wilensky J,Rosenthal AH,Tong L,Rhee ST,Goldstein SA

    更新日期:2002-11-01 00:00:00

  • Walk-through injuries: glass door facial injuries.

    abstract::During 1998, 13 patients were treated in the Tel-Aviv Sourasky Medical Center for complex facial soft-tissue injuries caused by passing through large, clear glass doors. All epidemiological details were gathered and analyzed. Of 1,100 soft-tissue facial injury admissions in 1 year, 13 patients had a substantial soft-t...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200106000-00007

    authors: Gur E,Barnea Y,Leshem D,Zaretski A,Amir A,Weiss J,Shpitzer T,Shafir R

    更新日期:2001-06-01 00:00:00

  • Treatment of postblepharoplasty lower eyelid malposition by Aptos thread.

    abstract:BACKGROUND:Lower eyelid malposition is the most common complication after lower eyelid blepharoplasty. Although the traditional techniques were effective for correcting lower eyelid malposition, they had potential disadvantages, including additional trauma, additional scar, and long recovery period. OBJECTIVE:To evalu...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318248b65f

    authors: Zhao ZJ,Lu Y,Liang WZ,Wu JL

    更新日期:2013-07-01 00:00:00

  • Requirements for the development of a hand transplantation program.

    abstract::Since 1998, 42 hand transplants in 30 patients have been performed in countries such as France, United States, China, Austria, Malaysia, Italy, Belgium, Poland, Spain, and Germany. Now, with recent improvements in immunosuppression, the clinical applicability may expand and the ethical obstacles may soon be overcome, ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0b013e31818d45e9

    authors: Gordon CR,Siemionow M

    更新日期:2009-09-01 00:00:00

  • Multiple-component tissue reconstruction of a complex dorsal foot wound through a single gracilis muscle donor incision.

    abstract::The authors describe the ability of the gracilis muscle to provide multiple tissue components- skin, muscle, nerve, and tendonin the reconstruction of a complex dorsal foot wound resulting from a sarcoma resection. The deficits of skin, deep peroneal nerve, anterior tibialis tendon, and dorsal extensor retinaculum wer...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200103000-00023

    authors: Deune EG,Tufaro AP,Manson PN

    更新日期:2001-03-01 00:00:00

  • Construction of penis with two free flaps.

    abstract::A case of penis construction using two free flaps is presented. The urethra is constructed with an ulnar forearm flap and external coverage is provided with deltoid flap. The biggest disadvantage with radial forearm flap, which is considered to be the most ideal donor flap for penile construction, is its large and uns...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200209000-00011

    authors: Harashina T,Inoue Y,Takamatsu A,Wakamatsu K,Takeshita A,Miura H

    更新日期:2002-09-01 00:00:00