Structural fat grafting: more than a permanent filler.

Abstract:

:Grafted fat has many attributes of an ideal filler, but the results, like those of any procedure, are technique dependent. Fat grafting remains shrouded in the stigma of variable results experienced by most plastic surgeons when they first graft fat. However, many who originally reported failure eventually report success after altering their methods of harvesting, refinement, and placement. Many surgeons have refined their techniques to obtain long-term survival and volume replacement with grafted fat. They have observed that transplanted fat not only adjusts facial and body proportion but also improves surrounding tissues into which the fat is placed. They have noted not only the improvement in the quality of aging skin and scars but also a remarkable improvement in conditions such as radiation damage, chronic ulceration, breast capsular contracture, and damaged vocal cords. The mechanism of fat graft survival is not clear, and the role of adipose-derived stem cells and preadipocytes in fat survival remains to be determined. Early research has indicated the possible involvement of more undifferentiated cells in some of the observed effects of fat grafting on surrounding tissues. Of particular interest is the research that has pointed to the use of stem cells to repair and even to become bone, cartilage, muscle, blood vessels, nerves, and skin. Further studies are essential to understand grafted fat tissue.

journal_name

Plast Reconstr Surg

authors

Coleman SR

doi

10.1097/01.prs.0000234610.81672.e7

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

108S-120S

issue

3 Suppl

eissn

0032-1052

issn

1529-4242

pii

00006534-200609011-00015

journal_volume

118

pub_type

杂志文章
  • Risk of readmission following immediate breast reconstruction: results from the 2011 American College of Surgeons National Surgical Quality Improvement Program data sets.

    abstract:BACKGROUND:With health reform increasingly focused on readmission rates as an indicator of quality of care, providers have a duty to identify patients at risk of readmission. The authors assessed the incidence and risk factors for readmission following immediate breast reconstruction. METHODS:Patients who underwent im...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000319

    authors: Nelson JA,Fischer JP,Chung C,Wu LC,Serletti JM,Kovach SJ

    更新日期:2014-08-01 00:00:00

  • Superficial Circumflex Iliac Artery Perforator Flap: An Anatomical Study of the Correlation of the Superficial and the Deep Branches of the Artery and Evaluation of Perfusion from the Deep Branch to the Sartorius Muscle and the Iliac Bone.

    abstract:BACKGROUND:Harvesting the sartorius muscle and the iliac bone with a superficial circumflex iliac artery (SCIA) perforator flap can be a challenging procedure. The aim of this study was to describe the anatomical topology of the deep branch of the SCIA in fresh cadavers, which has not been reported in detail. METHODS:...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005282

    authors: Yoshimatsu H,Steinbacher J,Meng S,Hamscha UM,Weninger WJ,Tinhofer IE,Harima M,Fuse Y,Yamamoto T,Tzou CHJ

    更新日期:2019-02-01 00:00:00

  • Surgical correction of cryptotia with V-Y advancement of a temporal triangular flap.

    abstract:BACKGROUND:A new approach is introduced for the correction of cryptotia using a large triangular flap designed on the temporal scalp and skin over the auricle. METHODS:The posterior limb of the triangular flap was continued to the mastoid area at the midportion of the auricle. The abnormal insertion of the auricular i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000160692.21827.24

    authors: Cho BC,Han KH

    更新日期:2005-05-01 00:00:00

  • Critical Evaluation of Risk Factors and Early Complications in 564 Consecutive Two-Stage Implant-Based Breast Reconstructions Using Acellular Dermal Matrix at a Single Center.

    abstract:BACKGROUND:Acellular dermal matrix for implant-based breast reconstruction appears to cause higher early complication rates, but long-term outcomes are perceived to be superior. This dichotomy is the subject of considerable debate. The authors hypothesized that patient characteristics and operative variables would have...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001327

    authors: Selber JC,Wren JH,Garvey PB,Zhang H,Erickson C,Clemens MW,Butler CE

    更新日期:2015-07-01 00:00:00

  • Optimizing Outcomes in 2-Stage Prepectoral Breast Reconstruction Utilizing Round Form-Stable Implants.

    abstract::Prepectoral breast reconstruction carries many benefits to patients, including its minimally invasive (muscle-sparing) nature, and its reduction in symptoms such as pain and animation deformity, relative to subpectoral reconstruction. However, without the traditional use of the pectoralis major muscle to mask the uppe...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005949

    authors: Sbitany H,Lee KR

    更新日期:2019-07-01 00:00:00

  • Pedicled vascularized rib transfer for reconstruction of clavicle nonunions with bony defects: anatomical and biomechanical considerations.

    abstract:BACKGROUND:Clavicular nonunions with large bony defects, although rare, are difficult to treat and often result from multiple failed attempts at surgical management. Reconstruction using vascularized bone graft is the accepted standard in cases of large osseous defects. METHODS:An anatomical vascular corrosion study w...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000263537.57701.8b

    authors: Werner CML,Favre P,van Lenthe HG,Dumont CE

    更新日期:2007-07-01 00:00:00

  • Repair of a lower leg defect with an ipsilateral gracilis myocutaneous flap.

    abstract::We report the use of a gracilis myocutaneous flap from the same thigh to repair a defect of the lower leg. This could be a useful alternative in well selected cases. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197910000-00032

    authors: Shubailat GF,Ajluni NJ,Shahateet MA

    更新日期:1979-10-01 00:00:00

  • Medical decision-making among adolescents with neonatal brachial plexus palsy and their families: a qualitative study.

    abstract:BACKGROUND:Elective surgical management of neonatal brachial plexus palsy is complex, variable, and often individualized. Little is known about the medical decision-making process among adolescents with neonatal brachial plexus palsy and their families when faced with making complex treatment decisions. The experiences...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31828bd52b

    authors: Squitieri L,Larson BP,Chang KW,Yang LJ,Chung KC

    更新日期:2013-06-01 00:00:00

  • Evidence-Based Education in Plastic Surgery.

    abstract::Educational reforms in resident training have historically been driven by reports from medical societies and organizations. Although educational initiatives are well intended, they are rarely supported by robust evidence. The Accreditation Council for Graduate Medical Education recently introduced competency-based tra...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000001445

    authors: Johnson SP,Chung KC,Waljee JF

    更新日期:2015-08-01 00:00:00

  • What's New in Acellular Dermal Matrix and Soft-Tissue Support for Prosthetic Breast Reconstruction.

    abstract::Of the nearly 90,000 implant-based breast reconstructions performed in the United States, the majority use internal soft-tissue support. Aesthetically, these constructs may allow for better positioning of prosthesis, improve lower pole expansion, and increase projection. They may have particular utility in direct-to-i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000003950

    authors: Kim JYS,Mlodinow AS

    更新日期:2017-11-01 00:00:00

  • V-Y advancement flap for facial defects.

    abstract::We have used 107 V-Y advancement flaps in 76 patients with only loss of one flap and loss of hair growth in a second. The versatility of this method of closure and its superior cosmetic result recommend it to the plastic surgeon who must close defects of the face. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198006000-00011

    authors: Zook EG,Van Beek AL,Russell RC,Moore JB

    更新日期:1980-06-01 00:00:00

  • The face as a sensory organ.

    abstract:BACKGROUND:The human face is a highly specialized organ for receiving the sensory information from the environment and for its transmission to the cortex. The advent of facial transplantation has shown that excellent reconstruction of disfiguring defects can be achieved; thus, the expectations are now focused on functi...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181fed6fd

    authors: Siemionow M,Gharb BB,Rampazzo A

    更新日期:2011-02-01 00:00:00

  • Inappropriate antidiuretic hormone syndrome in craniofacial surgery.

    abstract::Three instances of inappropriate ADH syndrome following craniofacial operations are reported. The cornerstone to diagnosis is careful fluid and electrolyte monitoring. Treatment consists of fluid restrictions in the acute phase and demeclocycline for refractory cases. Seizures should be symptomatically treated. Surgeo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198301000-00001

    authors: Brones MF,Kawamoto HK Jr,Renaudin J

    更新日期:1983-01-01 00:00:00

  • An exploratory investigation of the morphology and biochemistry of cellulite.

    abstract::Dimpling of the skin of the thighs and buttocks is commonly referred to as cellulite, and it afflicts women much more frequently than men. Whereas many therapies that presume cellulite is caused by an abnormality of adipose tissue have gained recent popularity, the basic pathophysiology of cellulite has not been clear...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199806000-00025

    authors: Rosenbaum M,Prieto V,Hellmer J,Boschmann M,Krueger J,Leibel RL,Ship AG

    更新日期:1998-06-01 00:00:00

  • Radial forearm free flap: hybrid version.

    abstract::The hybrid version of the radial forearm free flap provides an alternative method for reconstruction in the head and neck. It is versatile and has certain theoretical and practical advantages, including high-flow venous drainage, long venous pedicle, lymphatic drainage, and the avoidance of venous anastomosis or venou...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199909040-00026

    authors: To EW,Wang JC

    更新日期:1999-09-01 00:00:00

  • The Dutch Breast Implant Registry: Registration of Breast Implant-Associated Anaplastic Large Cell Lymphoma-A Proof of Concept.

    abstract:BACKGROUND:The Dutch Breast Implant Registry (DBIR) was established in April of 2015 and currently contains information on 38,000 implants in 18,000 women. As a clinical registry, it evaluates the quality of breast implant surgery, including adverse events such as breast implant-associated (BIA) anaplastic large cell l...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005501

    authors: Becherer BE,de Boer M,Spronk PER,Bruggink AH,de Boer JP,van Leeuwen FE,Mureau MAM,van der Hulst RRJW,de Jong D,Rakhorst HA

    更新日期:2019-05-01 00:00:00

  • Unilateral multilayered musculocutaneous V-Y advancement flap for the treatment of pressure sore.

    abstract::We have devised a modified technique using the gluteus maximus musculocutaneous flap as multilayered sliding V-Y advancement to cover pressure sores on the sacral area. Nine patients with relatively large (average 7 x 7 cm) sacral grade IV pressure sores underwent unilateral multilayered V-Y advancement flap. All pati...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199708000-00009

    authors: Lee HB,Kim SW,Lew DH,Shin KS

    更新日期:1997-08-01 00:00:00

  • One preventable cause of spontaneous deflation of inflatable mammary prostheses.

    abstract::Spontaneous "overnight" deflation of inflatable prostheses is rather uncommon, but we have had a 5.7% incidence of it in a 24-month period in which we used implants with a suturable tab and fastened them to the subjacent fascia. At exploration we found these tabs had torn the bag of the implant, usually at the vulcani...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197909000-00004

    authors: Rubin LR,Speace G

    更新日期:1979-09-01 00:00:00

  • Use of the AO plate for immediate mandibular reconstruction in cancer patients.

    abstract::Free vascularized bone grafts have revolutionized mandibular reconstruction, yet their use in all mandibulectomy patients is not always necessary. A recently developed alternative to bony reconstruction has been the use of the AO reconstruction plate. We compared the use of the AO reconstruction plate with immediate f...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199110000-00005

    authors: Schusterman MA,Reece GP,Kroll SS,Weldon ME

    更新日期:1991-10-01 00:00:00

  • The value of the anterior rectus sheath in the transverse abdominal island flap.

    abstract::We report a major modification of technique for the transverse abdominal island flap, namely, taking the anterior rectus fascia with the muscle. We believe that this protects the fine vascular network supplying the flap. This has resulted in a more reliable flap, confirmed by increased fluorescein uptake, and signific...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198311000-00031

    authors: Dinner MI,Dowden RV

    更新日期:1983-11-01 00:00:00

  • The operative treatment of isolated craniofacial dysostosis (plagiocephaly): a comparison of the unilateral and bilateral techniques.

    abstract::Both the safety and efficacy of the treatment of isolated craniofacial dysostosis (plagiocephaly) in infancy have been demonstrated. Opinions remain divided, however, as to the optimal type of procedure to be undertaken. In an attempt to answer this question, we have retrospectively evaluated a study population of 48 ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199005000-00003

    authors: Bartlett SP,Whitaker LA,Marchac D

    更新日期:1990-05-01 00:00:00

  • What is the optimal time to start helmet therapy in positional plagiocephaly?

    abstract:BACKGROUND:Although helmet therapy is widely accepted in the treatment of severe positional plagiocephaly, treatment regimens, especially regarding starting age, are controversial. This study investigated the importance of starting age to optimize the management of helmet therapy. METHODS:Sixty-two infants with severe...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31821b62d6

    authors: Kluba S,Kraut W,Reinert S,Krimmel M

    更新日期:2011-08-01 00:00:00

  • Critical analysis of reduction mammaplasty techniques in combination with conservative breast surgery for early breast cancer treatment.

    abstract:BACKGROUND:Although reduction mammaplasty is a well-described technique for aesthetic purposes, there are few previous reports regarding its application and clinical outcome following conservative breast surgery reconstruction. The purpose of this study was to analyze the feasibility of the technique and its outcome fo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000202121.84583.0d

    authors: Munhoz AM,Montag E,Arruda EG,Aldrighi C,Gemperli R,Aldrighi JM,Ferreira MC

    更新日期:2006-04-01 00:00:00

  • Ankylosis of the mandible from cancrum oris.

    abstract::We present 30 cases of ankylosis of the lower jaw following cancrum oris. The clinical and radiological findings, the anesthetic methods, and the surgical management are described. Adequate excision of limiting scar and any bony ankylosis, with immediate mucosal or skin coverage of any raw surfaces created, is the pro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197603000-00011

    authors: Oluwasanmi JO,Lagundoye SB,Akinyemi OO

    更新日期:1976-03-01 00:00:00

  • Accelerated porcine wound healing after treatment with α-gal nanoparticles.

    abstract:BACKGROUND:The α-gal epitope is a carbohydrate antigen that interacts specifically with the natural anti-Gal antibody--the most abundant antibody in humans. Anti-Gal/α-gal epitope interaction activates complement to generate chemotactic factors that induce rapid recruitment of macrophages. The authors hypothesized that...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31823aebb1

    authors: Hurwitz ZM,Ignotz R,Lalikos JF,Galili U

    更新日期:2012-02-01 00:00:00

  • Reconstruction of oncologic tibial defects in children using vascularized fibula flaps.

    abstract:BACKGROUND:Tibial resection in children presents a unique reconstructive challenge because of technical demands, future growth potential, and repetitive loading of the lower extremity. Positioned in a tibial defect, the free fibula undergoes primary bone healing while maintaining intrinsic resistance to infection and t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318230e463

    authors: Schwarz GS,Disa JJ,Mehrara BJ,Healey JH,Cordeiro PG

    更新日期:2012-01-01 00:00:00

  • Microvascular free-flap salvage of the diabetic foot: a 5-year experience.

    abstract::This study reviews 21 microvascular free flaps to the diabetic foot in 19 patients over a 65-month period. All flaps were either to the plantar surface of the foot or to cover exposed Achilles tendon. Twenty of the flaps survived. The operations required a long, costly hospitalization with frequent recipient- and dono...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199411000-00013

    authors: Karp NS,Kasabian AK,Siebert JW,Eidelman Y,Colen S

    更新日期:1994-11-01 00:00:00

  • Trigonocephaly-associated hypotelorism: is treatment necessary?

    abstract::This study was designed to examine whether hypotelorism associated with trigonocephaly might be self-correcting. Only patients who required surgical treatment and had undergone preoperative and postoperative anthropometric measurements were included. In no case was any attempt made to correct the hypotelorism surgical...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199603000-00001

    authors: Fearon JA,Kolar JC,Munro IR

    更新日期:1996-03-01 00:00:00

  • The dual role of perichondrium in cartilage wound healing.

    abstract::Cartilage structures from the head and neck possess a certain but limited capacity to heal after injury. This capacity is accredited to the perichondrium. In this study, the role of the inner (cambium) and the outer (fibrous) layers of the perichondrium in cartilage wound healing in vitro is investigated. For the firs...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000020991.10201.6C

    authors: Duynstee ML,Verwoerd-Verhoef HL,Verwoerd CD,Van Osch GJ

    更新日期:2002-09-15 00:00:00

  • Mammaplasty combining vertical and transverse approaches through a vertical incision.

    abstract::An adjustable vertical marking is described for vertical mammaplasty in mild and moderate hypertrophy or ptosis of the breast. A vertical rectangular flap with the pedicle supported at the inframammary fold provides fullness for the upper or the lower pole of the breast. It is fixed over the pectoralis aponeurosis alo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000100811.71958.A5

    authors: Abramo AC,Teixeira JC Jr,Galindo A

    更新日期:2004-02-01 00:00:00