Limits...
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 42-year-old woman suffered from bilateral sunken upper eyelids with multiple folds. One-time MAFT was performed at 2.2 mL/2.4 mL (right/left side). A, preoperative frontal view (left) and left profile view 12 months after grafting (right). B, Preoperative left profile view (left) and 12 months after grafting (right).
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4255902&req=5

Figure 3: A 42-year-old woman suffered from bilateral sunken upper eyelids with multiple folds. One-time MAFT was performed at 2.2 mL/2.4 mL (right/left side). A, preoperative frontal view (left) and left profile view 12 months after grafting (right). B, Preoperative left profile view (left) and 12 months after grafting (right).

Mentions: The average age of the patients was 35.5 years (range, 26–52 years), and the total injection volume of fat was 1.8 mL for the right side (range, 1.2–2.3 mL) and 1.7 mL for the left side (range, 0.8–2.4 mL). The average operation time was 34 min unless combined with other adjunctive procedures such as upper or lower blepharoplasty or fat grafting of other areas. No major complications were encountered except 2 cases of prolonged swelling for > 2 weeks. All patients were satisfied with the results except one who requested secondary fat grafting [Cases 1 (Figs. 3A, B), case 2 (Figs. 4A–C), case 3 (Fig. 5), and case 4 (Fig. 6)].


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 42-year-old woman suffered from bilateral sunken upper eyelids with multiple folds. One-time MAFT was performed at 2.2 mL/2.4 mL (right/left side). A, preoperative frontal view (left) and left profile view 12 months after grafting (right). B, Preoperative left profile view (left) and 12 months after grafting (right).
© Copyright Policy
Related In: Results  -  Collection

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

Figure 3: A 42-year-old woman suffered from bilateral sunken upper eyelids with multiple folds. One-time MAFT was performed at 2.2 mL/2.4 mL (right/left side). A, preoperative frontal view (left) and left profile view 12 months after grafting (right). B, Preoperative left profile view (left) and 12 months after grafting (right).
Mentions: The average age of the patients was 35.5 years (range, 26–52 years), and the total injection volume of fat was 1.8 mL for the right side (range, 1.2–2.3 mL) and 1.7 mL for the left side (range, 0.8–2.4 mL). The average operation time was 34 min unless combined with other adjunctive procedures such as upper or lower blepharoplasty or fat grafting of other areas. No major complications were encountered except 2 cases of prolonged swelling for > 2 weeks. All patients were satisfied with the results except one who requested secondary fat grafting [Cases 1 (Figs. 3A, B), case 2 (Figs. 4A–C), case 3 (Fig. 5), and case 4 (Fig. 6)].

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