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Application of microautologous fat transplantation in the correction of sunken upper eyelid.

Lin TM, Lin TY, Chou CK, Lai CS, Lin SD - Plast Reconstr Surg Glob Open (2014)

Bottom Line: However, fat grafting has not been thoroughly understood and has not been conclusively standardized to ensure superior clinical results.The therapeutic effects of MAFT and the long-term clinical results of patients with sunken upper eyelids with multiple folds indicated satisfactory outcomes.Based on the results, MAFT offers an alternative option to surgeons for performing fat grafting and provides a more favorable option for the benefit and welfare of patients by reducing the potential complications.

View Article: PubMed Central - PubMed

Affiliation: Charming Institute of Aesthetic and Regenerative Surgery, Kaohsiung, Taiwan; Department of Plastic Surgery, Kaohsiung Medical University, Kaohsiung, Taiwan; and Department of Surgery, Yuan's General Hospital, Kaohsiung, Taiwan.

ABSTRACT

Background: Although fat grafting has been clinically applied by surgeons in esthetic and reconstructive surgery, it has widely evolved in processes such as harvesting, processing, and placement of fat, using the fat-grafting procedure, which dates back over 100 years. Surgeons frequently use fat grafting to recontour, augment, or fill soft-tissue defects, facial wrinkles, or skin problems such as depressions or scars. However, fat grafting has not been thoroughly understood and has not been conclusively standardized to ensure superior clinical results.

Methods: This study was intended to determine the role of microautologous fat transplantation (MAFT) under evidence-based medicine, particularly in accurate delivery of small fat parcels. The research method involved the conceptualization of MAFT and the development of an innovative surgical instrument for fat placement. Clinically, 168 patients with sunken upper eyelids with multiple folds underwent this procedure.

Results: The major findings suggested that MAFT exhibits promising clinical results and offers a superior guideline for fat placement. Details of the technique and theoretical implications are also discussed.

Conclusions: The therapeutic effects of MAFT and the long-term clinical results of patients with sunken upper eyelids with multiple folds indicated satisfactory outcomes. Based on the results, MAFT offers an alternative option to surgeons for performing fat grafting and provides a more favorable option for the benefit and welfare of patients by reducing the potential complications.

No MeSH data available.


Related in: MedlinePlus

A, Sagittal view of the upper eyelid. B, The lower (deep) layers were transplanted with 3 to 4 layers of fat parcels (preferable volume of each parcel, 1/240 mL); the fat parcel was red in color. C, The intermediate (middle) layers were transplanted with 2 to 3 layers of fat parcels, each with a volume of 1/240 mL; the fat parcel was blue in color. D, The upper (superficial) layers were transplanted with a layer of the fat parcel (recommended volume of each parcel, 1/240 mL); the fat parcel was brown in color.
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Figure 2: A, Sagittal view of the upper eyelid. B, The lower (deep) layers were transplanted with 3 to 4 layers of fat parcels (preferable volume of each parcel, 1/240 mL); the fat parcel was red in color. C, The intermediate (middle) layers were transplanted with 2 to 3 layers of fat parcels, each with a volume of 1/240 mL; the fat parcel was blue in color. D, The upper (superficial) layers were transplanted with a layer of the fat parcel (recommended volume of each parcel, 1/240 mL); the fat parcel was brown in color.

Mentions: After the purified fat was transferred, the fat-filled syringe was loaded into the MAFT-Gun instrument (Fig. 1B). The predetermined volume of the fat parcel to be injected during each triggering was adjusted by rotating the dial (Fig. 1C) with labeled numbers depicting the total injection frequencies per 1 mL of fat graft. An 18-G blunt cannula was used to inject fat while withdrawing the MAFT-Gun. Each delivered fat volume was set at 1/240 mL and meticulously transplanted in 3 to 4 layers: a deep layer above the inferior orbital rim; a middle layer, the sub–orbicularis oculi muscle (deep in the muscle); and superficial layer, the supraorbicularis oculi muscle (just beneath the dermis of the eyelid) (Figs. 2A–D). Postoperative care was provided regularly and without any special dressings or massage. Oral antibiotic and non-steroid anti-inflammatory drugs were administered for 3 days, as required. All patients were regularly photographed at each follow-up visit, and the preoperative and postoperative photographs of each patient were compared.


Application of microautologous fat transplantation in the correction of sunken upper eyelid.

Lin TM, Lin TY, Chou CK, Lai CS, Lin SD - Plast Reconstr Surg Glob Open (2014)

A, Sagittal view of the upper eyelid. B, The lower (deep) layers were transplanted with 3 to 4 layers of fat parcels (preferable volume of each parcel, 1/240 mL); the fat parcel was red in color. C, The intermediate (middle) layers were transplanted with 2 to 3 layers of fat parcels, each with a volume of 1/240 mL; the fat parcel was blue in color. D, The upper (superficial) layers were transplanted with a layer of the fat parcel (recommended volume of each parcel, 1/240 mL); the fat parcel was brown in color.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4255902&req=5

Figure 2: A, Sagittal view of the upper eyelid. B, The lower (deep) layers were transplanted with 3 to 4 layers of fat parcels (preferable volume of each parcel, 1/240 mL); the fat parcel was red in color. C, The intermediate (middle) layers were transplanted with 2 to 3 layers of fat parcels, each with a volume of 1/240 mL; the fat parcel was blue in color. D, The upper (superficial) layers were transplanted with a layer of the fat parcel (recommended volume of each parcel, 1/240 mL); the fat parcel was brown in color.
Mentions: After the purified fat was transferred, the fat-filled syringe was loaded into the MAFT-Gun instrument (Fig. 1B). The predetermined volume of the fat parcel to be injected during each triggering was adjusted by rotating the dial (Fig. 1C) with labeled numbers depicting the total injection frequencies per 1 mL of fat graft. An 18-G blunt cannula was used to inject fat while withdrawing the MAFT-Gun. Each delivered fat volume was set at 1/240 mL and meticulously transplanted in 3 to 4 layers: a deep layer above the inferior orbital rim; a middle layer, the sub–orbicularis oculi muscle (deep in the muscle); and superficial layer, the supraorbicularis oculi muscle (just beneath the dermis of the eyelid) (Figs. 2A–D). Postoperative care was provided regularly and without any special dressings or massage. Oral antibiotic and non-steroid anti-inflammatory drugs were administered for 3 days, as required. All patients were regularly photographed at each follow-up visit, and the preoperative and postoperative photographs of each patient were compared.

Bottom Line: However, fat grafting has not been thoroughly understood and has not been conclusively standardized to ensure superior clinical results.The therapeutic effects of MAFT and the long-term clinical results of patients with sunken upper eyelids with multiple folds indicated satisfactory outcomes.Based on the results, MAFT offers an alternative option to surgeons for performing fat grafting and provides a more favorable option for the benefit and welfare of patients by reducing the potential complications.

View Article: PubMed Central - PubMed

Affiliation: Charming Institute of Aesthetic and Regenerative Surgery, Kaohsiung, Taiwan; Department of Plastic Surgery, Kaohsiung Medical University, Kaohsiung, Taiwan; and Department of Surgery, Yuan's General Hospital, Kaohsiung, Taiwan.

ABSTRACT

Background: Although fat grafting has been clinically applied by surgeons in esthetic and reconstructive surgery, it has widely evolved in processes such as harvesting, processing, and placement of fat, using the fat-grafting procedure, which dates back over 100 years. Surgeons frequently use fat grafting to recontour, augment, or fill soft-tissue defects, facial wrinkles, or skin problems such as depressions or scars. However, fat grafting has not been thoroughly understood and has not been conclusively standardized to ensure superior clinical results.

Methods: This study was intended to determine the role of microautologous fat transplantation (MAFT) under evidence-based medicine, particularly in accurate delivery of small fat parcels. The research method involved the conceptualization of MAFT and the development of an innovative surgical instrument for fat placement. Clinically, 168 patients with sunken upper eyelids with multiple folds underwent this procedure.

Results: The major findings suggested that MAFT exhibits promising clinical results and offers a superior guideline for fat placement. Details of the technique and theoretical implications are also discussed.

Conclusions: The therapeutic effects of MAFT and the long-term clinical results of patients with sunken upper eyelids with multiple folds indicated satisfactory outcomes. Based on the results, MAFT offers an alternative option to surgeons for performing fat grafting and provides a more favorable option for the benefit and welfare of patients by reducing the potential complications.

No MeSH data available.


Related in: MedlinePlus