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Soft tissue augmentation with autologous fat graft: the dissected pouch technique
1Department of Plastic and Reconstructive Surgery, Karadeniz Technical University, School of Medicine, Trabzon, Turkey.
Journal of Cutaneous and Aesthetic Surgery
|March 20, 2010
Summary
This study presents a lipofilling technique for soft tissue augmentation, achieving satisfactory fat graft maintenance and high patient satisfaction. The method effectively corrects contour deformities with a low resorption rate and minimal scarring.
Area of Science:
- Plastic Surgery
- Regenerative Medicine
Background:
- Autologous fat grafting is widely used for soft tissue augmentation.
- Unpredictable results and fat graft resorption remain significant challenges.
- Current techniques lack an ideal solution for preventing resorption.
Purpose of the Study:
- To describe and evaluate a novel lipofilling technique for soft tissue augmentation.
- To assess the efficacy of this technique in correcting contour deformities.
- To determine graft maintenance rates and patient satisfaction.
Main Methods:
- Twenty patients with subcutaneous tissue loss, atrophy, or hypoplasia underwent lipofilling.
- A subcutaneous pouch was dissected and filled with autologous fat graft.
- Patient, surgeon, and layman satisfaction were surveyed postoperatively.
Main Results:
- Satisfactory graft maintenance was observed during the postoperative period.
- High satisfaction scores were reported (mean 7.67 +/- 1.22).
- Overcorrection was avoided after initial cases.
Conclusions:
- The described lipofilling technique effectively corrects contour deformities.
- The technique demonstrates a low fat graft resorption rate.
- It results in relatively non-visible scars without causing irregularities.
