Autologous fat grafting in patients with volume restoration, soft tissues and skin defects correction

Abstract

Objective. To analyze the results of fat grafting in volume restoration, soft tissues and skin defects correction.

Materials and methods. Autologous fat grafting was performed for aesthetic soft tissues correction in 30 women, as well as in 3 patients with long-term non-healing trophic ulcers to obtain a regenerative effect. Subcutaneous fat aspiration was implemented using standard liposuction techniques, water jet, mechanical and syringe.

Results. The volume of fat graft varied depending on the area requiring correction, and averaged 90 (33–195) ml. The areas, most often subjected to fat grafting, were the mammary glands – 10 (33 %), shins – 8 (27 %), buttocks – 5 (17 %), hands – 2 (7 %), lips and nasolabial region – 2 (7 %), the outer surface of the thigh – 1 (3 %). Despite partial decrease of fat graft volume in the postoperative period, all patients were satisfied with the results; no complications of the procedure were noted. The preparation of fat graft for the correction of trophic defects included its washing with saline and filtering with 1.4 and 1.2 mm anaerobic fat transfers; the fat was grafted through a 2 mm cannula into the subcutaneous tissue directly under and around the ulcerative defects. It improved the regeneration of the epithelium around the trophic ulcers and reduced their size.

Conclusions. Thus, the efficiency and safety of using the technique of autologous fat grafting for volumizing and regenerative purposes has been clinically confirmed.

Keywords

lipofilling / fat grafting / liposuction / regenerative surgery / treatment of trophic ulcers

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Khramtsova N.I., Plaksin S.A., Sotskov A.Y., Ponomarev D.N.