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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 indicated an irregular, depressed area. B, Traditional fat-grafting was performed through injection and overcorrection. Three large fat parcels, A, B, and C, appeared. At this time, the overcorrection resulted in bulging of the surface of the depressed areas. C, After vigorous manual massage, the 3 parcels, A, B, and C, came into contact with each other and fused as a larger fat entity. D, Although the skin surface of the bulged areas smoothened and flattened after massage, the central area of this conjoined parcel, A + B + C, was presumed to have necrotized. E, Several weeks after the event of central necrosis, some absorption areas resulted in irregular skin surfaces, as presented between the 2 arrows in this figure. The newly formed depression or irregularity was visible after grafting.
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Figure 7: A, Sagittal view indicated an irregular, depressed area. B, Traditional fat-grafting was performed through injection and overcorrection. Three large fat parcels, A, B, and C, appeared. At this time, the overcorrection resulted in bulging of the surface of the depressed areas. C, After vigorous manual massage, the 3 parcels, A, B, and C, came into contact with each other and fused as a larger fat entity. D, Although the skin surface of the bulged areas smoothened and flattened after massage, the central area of this conjoined parcel, A + B + C, was presumed to have necrotized. E, Several weeks after the event of central necrosis, some absorption areas resulted in irregular skin surfaces, as presented between the 2 arrows in this figure. The newly formed depression or irregularity was visible after grafting.

Mentions: Based on a study conducted by Peer that indicated approximately 55% graft survival after fat grafting, some surgeons prefer to perform fat grafting through overinjection at the recipient site, followed by vigorous manual massage exerted by the operator to even out and flatten the skin surface. However, as illustrated in Figure 7, overinjection can eventfully induce several complications as described previously.24


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 indicated an irregular, depressed area. B, Traditional fat-grafting was performed through injection and overcorrection. Three large fat parcels, A, B, and C, appeared. At this time, the overcorrection resulted in bulging of the surface of the depressed areas. C, After vigorous manual massage, the 3 parcels, A, B, and C, came into contact with each other and fused as a larger fat entity. D, Although the skin surface of the bulged areas smoothened and flattened after massage, the central area of this conjoined parcel, A + B + C, was presumed to have necrotized. E, Several weeks after the event of central necrosis, some absorption areas resulted in irregular skin surfaces, as presented between the 2 arrows in this figure. The newly formed depression or irregularity was visible after grafting.
© Copyright Policy
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC4255902&req=5

Figure 7: A, Sagittal view indicated an irregular, depressed area. B, Traditional fat-grafting was performed through injection and overcorrection. Three large fat parcels, A, B, and C, appeared. At this time, the overcorrection resulted in bulging of the surface of the depressed areas. C, After vigorous manual massage, the 3 parcels, A, B, and C, came into contact with each other and fused as a larger fat entity. D, Although the skin surface of the bulged areas smoothened and flattened after massage, the central area of this conjoined parcel, A + B + C, was presumed to have necrotized. E, Several weeks after the event of central necrosis, some absorption areas resulted in irregular skin surfaces, as presented between the 2 arrows in this figure. The newly formed depression or irregularity was visible after grafting.
Mentions: Based on a study conducted by Peer that indicated approximately 55% graft survival after fat grafting, some surgeons prefer to perform fat grafting through overinjection at the recipient site, followed by vigorous manual massage exerted by the operator to even out and flatten the skin surface. However, as illustrated in Figure 7, overinjection can eventfully induce several complications as described previously.24

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