Autologous Fat Grafts by Injection-Ten Years' Experience

1992 ◽  
Vol 9 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Gerald Johnson
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Augmentation ◽  
Recipient Site ◽  
Autologous Fat ◽  
Abdominal Skin ◽  
Fat Grafts ◽  
Microscopic Evaluation ◽  
Autologous Grafts ◽  
Fat Survival

The use of surgically excised/mechanically fragmented dermal fat grafts by injection led to the use of suction-aspirated fat for autologous grafts by injection. Efforts to scientifically evaluate the fat survival began with a microscopic evaluation of the integrity of the aspirated fat in a series of patients. The next study consisted of injection of dye-stained fat into the abdominal skin/fat followed by removal and microscopic evaluation of the grafts from 3 months to 1 year later. Also, different sized cannulas for removal and different sized needles for injection of fat were used, with the abdominal skin/fat used as the recipient site. Studies were also done to compare washing versus nonwashing of the fat. These studies and 10 years of clinical evaluation and follow-up has led us to conclude that fat, properly aspirated, properly prepared, and properly injected, is an excellent and permanent substance for soft tissue augmentation.

Pouch Roll Technique for Implant Soft-Tissue Augmentation of Small Defects: Two Case Reports With 5-Year Follow-Up

2015 ◽  
Vol 41 (3) ◽  
pp. 314-320 ◽  
Author(s):  
Jorge Saade ◽  
Bruno Salles Sotto-Maior ◽  
Carlos Eduardo Francischone ◽  
Marcelo Bassani ◽  
André Navas Alves de Castro ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Case Reports ◽  
Soft Tissue Augmentation ◽  
Tissue Augmentation

scholarly journals Modified IVAN Technique: Long-term Follow-up of 20 Cases Over 2 to 11 Years

2020 ◽  
pp. 0000-0000
Author(s):  
Snjezana Pohl ◽  
Gregori M. Kurtzman
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Augmentation ◽  
Extraction Socket ◽  
Immediate Placement ◽  
Long Term Follow Up ◽  
A Site ◽  
Natural Tooth ◽  
Implant Reconstruction

Failure of a natural tooth may not permit placement of an implant at the time of extraction due to insufficiency in available bone to house the implant. Reconstruction of the extraction socket frequently involves both hard and soft tissue augmentation to provide a site that can house the implant and ridge contours that mimic the adjacent natural anatomy. The modified IVAN technique achieves those goals and may be used in both delayed and immediate placement situations. The technique will be discussed as well as long-term follow-up on 20 cases treated by the author.

scholarly journals Treatment of “En Coupe De Sabre “ Linear Scleroderma. Soft Tissue Augmentation and Regeneration by Autologous Fat Transfer

2021 ◽  
pp. 30
Author(s):  
◽  
Keyword(s):  
Stem Cells ◽  
Soft Tissue ◽  
Fat Grafting ◽  
Soft Tissue Augmentation ◽  
Congenital Deformity ◽  
Autologous Fat Grafting ◽  
Fat Transfer ◽  
Autologous Fat ◽  
Autologous Fat Transfer ◽  
Linear Scleroderma

Aim: Frontal linear scleroderma, also known as ‘‘en coup de sabre,’’ is a congenital deformity characterized by atrophy and furrowing of the skin of the front parietal area above the level of the eyebrows. In most cases it occurs as a single paramedian line that may be associated with hypoplasia of underlying structures and facial hemiatrophy. In case of a wide lesion many reconstructive strategies have been proposed. The modern approach is aimed at augmentation of the tissue deficiency by using lipostructure and tissue regeneration. Autologous fat transfer (AFT) seems to be an effective strategy to restore the normal volume and contour of the face while providing a source of adipose-derived stem cells (ADSCs) with a multilineage differentiation potential. Methods: In this report, we present a rare case of linear scleroderma en coupe de sabre which was successfully managed with three stages of autologous fat grafting. Conclusion: The proposed uses for ADSCs in tissue repair and regeneration are quite impressive. Recent works on ADSCs would suggest that adult cells may prove to be an equally powerful regenerative tool in treating congenital and acquired maxillofacial disorders. More importantly, physicians, researchers and international associations need to cooperate in informing clinicians about what practices are based on evidence and to encourage support of additional research. There is increasing interest in a possible therapeutic effect of ADSCs from processed lipoaspirate for a wide spectrum of clinical applications in the facial and craniofacial area. AFT can be used in any facial area where soft tissue is lacking or where there is scarring, producing natural and long-lasting results. Mesenchymal stem cells represent a great tool in regenerative medicine. However, more definitive studies are needed to answer specific questions regarding the best technique to be used and the role of ADSCs. Autologous fat grafting provides a safe and easy approach for the treatment of linear scleroderma en coup de sabre, long-term clinically satisfactory results can be obtained.

Colgajo de recto anterior del abdomen para el tratamiento de los defectos de cobertura lumbosacros. [Rectus abdominis flap for the treatment of lumbosacral coverage defects.]

2018 ◽  
Vol 83 (2) ◽  
pp. 76
Author(s):  
Franco L. De Cicco ◽  
Mariano O. Abrego ◽  
Gerardo L. Gallucci ◽  
Pablo De Carli ◽  
Jorge G. Boretto
Keyword(s):  
Soft Tissue ◽  
Surgical Technique ◽  
Intraoperative Complications ◽  
Vascular Complications ◽  
Rectus Abdominis ◽  
Muscular Tissue ◽  
Recipient Site ◽  
Rectus Abdominis Flap ◽  
Sacral Tumor

<p> </p><p><strong>Introduction</strong>: Treatment of soft tissue lumbosacral defects is based on dead space management and defect coverage. The aim of this study is to describe the surgical technique, results and complications of patients who underwent rectus abdominis flap for lumbosacral defects coverage.</p><p><strong>Methods</strong>: A six-year retrospective review was performed. Demographic characteristics are analyzed. Surgical technique and intra-operative complications are described. Postoperative variables, such as donor site complications, recipient site complications, and flap survival were also reported. </p><p><strong>Results</strong>: Five patients met the inclusion criteria (average age, 50 years). Four patients presented sacral tumor diagnosis and one patient had lumbosacral osteomyelitis. Mean follow-up was 20 months. Flap average size was 8 x 13 cm. Intraoperative complications were one pedicle injury (microsurgical repair) and the death of a patient. Regarding postoperative complications, one wound dehiscence was reported. None of the flaps suffered vascular complications and all remained vital throughout follow-up.</p><p><strong>Conclusion</strong>: Rectus abdominis flap should be considered a valid option in the management of large soft tissue lumbosacral defects. This flap provides sufficient skin volume and muscular tissue. Surgical technique is relatively simple with no need for microsurgical procedure.</p><p> </p><p> </p><p> </p>

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