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Small volume fat transfer

J E Fulton1, M Suarez, K Silverton

  • 1Fulton Skin Clinic, Newport Beach, California 92660, USA.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|September 2, 1998
PubMed
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This study presents a refined fat grafting technique for tissue augmentation, achieving significant volume increases (40%-120%) with long-lasting results. The improved method offers a safe and effective solution for cosmetic contouring and defect correction.

Area of Science:

  • Plastic Surgery
  • Regenerative Medicine
  • Aesthetic Medicine

Background:

  • Autologous fat grafting has been used for tissue augmentation for over 100 years.
  • Despite its long history, the technique remains controversial due to variable outcomes.
  • Previous investigations aimed to enhance fat grafting potential and improve results.

Purpose of the Study:

  • To develop a less traumatic method for fat collection, purification, and reinjection.
  • To achieve more dramatic augmentations for cosmetic improvement of contours and tissue defects.

Main Methods:

  • Fat was harvested using tumescent infiltration and a specialized "vented" syringe with an atraumatic tip.
  • Collected fat was washed and transferred to small syringes for precise, multi-layered injections.

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  • Unused fat was cryopreserved for potential secondary or tertiary injection sessions.

    • Main Results:

    • The fat transfer method resulted in augmentations ranging from 40% to 120% of the injected volume.
    • The grafted fat stabilized within 45-60 days and persisted for up to 10 years.
    • The procedure was generally uncomplicated, with minor side effects like bruising and rare infections.

    Conclusions:

    • Fat grafting, utilizing this refined technique, is a safe and effective procedure.
    • This method successfully corrects and enhances tissue defects and contour deficiencies.
    • The long-term stability and safety profile support its use in cosmetic applications.