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Fragmented Fat Transfer for Massive Weight Loss Gluteal Contouring
Flavio Henrique Mendes1, Fausto Viterbo1
1From the Division of Plastic Surgery, Botucatu Medical School, São Paulo State University.
Plastic and Reconstructive Surgery
|February 23, 2022
Summary
A new fat fragmentation technique offers a safe and effective alternative to liposuction for gluteal fat grafting. This method utilizes excess tissue from apronectomy procedures to create viable lipograft, enhancing body contouring with no reported complications.
Area of Science:
- Plastic Surgery
- Regenerative Medicine
- Body Contouring
Background:
- Traditional liposuction for fat grafting has limitations in harvesting and tissue viability.
- Apronectomy and abdominoplasty procedures often yield excess tissue that is typically discarded.
- Novel fragmentation techniques aim to improve the quality and quantity of autologous fat for grafting.
Purpose of the Study:
- To evaluate the clinical efficacy of a novel fat fragmentation technique for autologous gluteal fat transfer.
- To assess the safety and outcomes of using fragmented apronectomy tissue for buttock augmentation.
- To explore fragmented fat as an alternative to liposuction in massive weight loss patients.
Main Methods:
- Retrospective review of 20 female patients undergoing autologous gluteal fat grafting.
- Fat harvested from apronectomy and/or abdominoplasty was processed using a novel fragmentation technique.
- Average of 720 ml of fragmented fat was grafted bilaterally into the buttocks.
Main Results:
- No local gluteal complications (seroma, infection, fat necrosis, nodulations) were reported.
- All patients showed significant enhancement of gluteal contours and body shape.
- Fat fragmentation provided large volumes of viable autologous fat safely and efficiently.
Conclusions:
- Fat fragmentation is a safe, simple, and reproducible technique for obtaining viable lipograft from discarded tissue.
- This method offers a promising alternative to liposuction for gluteal augmentation, especially in massive weight loss patients.
- Further research into fragmented fat for regenerative medicine and wound healing is warranted.

