Fat Transplantion: Different ClinicalApplications to Achieve Symmetry in Faceand Body Contouring

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Abstract

Introduction: Fat autograft was first described in 1893 byNeuber for cosmetic and congenital defects.Nowadays its use is becoming widespread for soft tissue augmentationto improve simmetry and contour in all areas of theface and body.The authors present their experience with face and body contouringby fat autograft in post-oncological, post-traumatic andcosmetic settings.Materials and Methods: Between 2005 and 2008 31patients underwent fat autografting in the plastic surgery unit ofthe university of palermo.There were 10 cases of breast asimmetry after reduction mammaplasty,breast augmentation and breast recostruction; 3 cases ofpost-traumatic and 1 congenital deformities in the face; 20 casesof facial volume and shape restoration in the midface, lip andnasolabial fold.Results: Improvement of simmetry and contour restorationwere obtained in all cases. 2 procedures were necessary onaverage. Probably due to the smaller amount of grafted fat, resultsare more reproducible in the face. Multiple stages were more frequentlyrequired in the breast. No relevant donor site morbity hasbeen observed. The only complications were 2 cases of fat necrosisin the breast.Conclusion: Fat autografting is a useful tool to correct softtissues asimmetries and to restore contour all over the body. Itsefficacy is dependent on the amount of fat transferred and on thetechnique used in order to maximize take. The lesser the amountand the more accurate the placement, the better the take. however,multiple stages are frequently needed to optimize outcome.
Original languageEnglish
Number of pages1
Publication statusPublished - 2008

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