Autologous Fat Injection into the Pectoralis Major as an Adjunct to Surgical Correction of Gynecomastia

Pilancı, Özgür; Başaran, Karaca; Aydın, Hasan Utkan; Cortuk, Oguz; Kuvat, Samet Vasfi

doi:10.1093/asj/sju015

Cited by 10 publications

(7 citation statements)

References 19 publications

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“…In most cases of AFG to the breast, the surgeon can choose whether to graft to the subcutaneous 27 or intramuscular plane. 38,39 Most commonly, a combination of both is carried out. 20,29 Intraglandular grafting has also been described.…”

Section: Recipient Tissue Plane and Innervationmentioning

confidence: 99%

From Bedside to Bench: The Effect of Muscular Denervation on Fat Grafting to the Breast by Comparing Take Rate, Quality, and Longevity

Engels

Kappos

Sieber

et al. 2018

Aesthetic Surgery Journal

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Section: Recipient Tissue Plane and Innervationmentioning

confidence: 99%

From Bedside to Bench: The Effect of Muscular Denervation on Fat Grafting to the Breast by Comparing Take Rate, Quality, and Longevity

Engels

Kappos

Sieber

et al. 2018

Aesthetic Surgery Journal

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“…In their series of male patients with gynecomastia, Pilanci et al performed a direct intrapectoral fat injection to the major pectoralis muscle, monitored the patients for up to 2 years, and reported highly satisfactory outcomes in the oral survey measures. 12 Compared with their injection volume range of 80−220 mL, the relatively higher injection volume in our group might be a consequence of the patient selection criteria. In their recent experimental study, comparing the survival trends of fat grafts obtained during traditional and VASER-assisted liposuction procedures, Hsiao et al reported an improved angiogenesis and fibrosis pattern in the VASER group in the histology specimens, despite a similar rate of adipose tissue survival.…”

Section: Discussionmentioning

confidence: 80%

Male Pectoralis Major Muscle Augmentation with Autologous Fat Transplantation Using VASER Lipoaspirate: Evaluation with MRI

Kandulu

Terzibasioglu

2023

Plastic and Reconstructive Surgery - Global Open

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Background: The popularity of autologous fat grafts has increased for the reshaping, contouring, and augmentation of the male breast tissue. However, long-term maintenance of tissue viability and the ways for assessment serve as hot-spot topics in the field. This study was designed to evaluate the viability of fat grafts obtained by a vibration amplification of sound energy at resonance (VASER)-assisted lipoaspiration procedure using a magnetic resonance imaging–based approach. Methods: This is a prospective examination of 20 male patients (40 breasts) who underwent VASER-assisted liposuction and fat grafting surgery, and long-term fat graft viability was evaluated by magnetic resonance imaging scans. Results: Participants had an average age of 34.85 ± 7.37 years with a mean BMI of 26.73 ± 2.63 kg/m 2 . The mean fat graft volume injected was 542.63 ± 144.78 mL on the right, and 548.95 ± 140.36 mL on the left side. On the magnetic resonance imaging follow-up, the mean intrapectoral adipose tissue thickness was 20.34 ± 6.31 mm on the right, and 18.94 ± 8.27 mm on the left sides and tissue viability was preserved in all cases. The mean follow-up duration was 22 ± 9.8 (range 14-44) months. Conclusion: VASER-assisted lipoaspiration and autologous fat grafting of the major pectoralis muscle provide a satisfactory outcome and long-term maintenance of the grafted adipose tissue.

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Section: Discussionmentioning

confidence: 93%

“…Animal studies have shown that intramuscular fat grafts have no association with long or short term events of fat embolism after autologous fat transplantation, which further supports the special case of the gluteus major muscle. In our case, the authors have vast experience with intramuscular fat grafting techniques with more than 1200 cases for pectoral and deltoid reshaping and enhancement through intramuscular fat grafting [5][6][7]19,20 Before the preparation and writing of this article, we had not read or found evidence regarding the fat grafting of the trapezius muscle. In fact, the preliminary results of our experience were shared during various international meetings in 2019 and 2020, as stated within the title page of this article.…”

Section: Discussionmentioning

confidence: 99%

Adipose Tissue Transfer in Dynamic Definition Liposculpture—PART I. Back: Latissimus Dorsi and Trapezius Muscles

Hoyos

Stefanelli²,

Perez

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: The aesthetics for the male posterior torso remain a topic not fully studied in body contouring surgery, neither the lipoinjection of its muscles have been considered before. As a result, we carried out a retrospective cohort study including patients who underwent fat grafting of either the trapezius or the latissimus dorsi muscles as part of dynamic definition liposculpture (HD2). Methods: We performed cadaveric dissections to support the fat grafting technique for both the trapezius and the latissimus dorsi muscles. We also searched our records for patients who underwent fat grafting of these muscles in addition to HD2 from January 2016 to November 2021 at a single center in Bogotá, Colombia. Results: Thirty-five consecutive patients met the inclusion criteria. In total, 22 (63%) and 7 (20%) of 35 underwent fat grafting at the trapezius and the latissimus dorsi muscles alone, respectively, and 6 out of 35 (17%) of both. Mean age is 39 years (range = 22–63). All patients were men. No complications were recorded related to fat grafting. Almost all patients were satisfied with the procedure (97%). Follow-up period ranged from 2 to 48 months. Conclusions: Liposuction might not be enough to achieve the ideal V-shape of the men’s back in some cases; hence, fat grafting of the power muscles becomes the best option. Recognition of the main neurovascular pedicle, proper preoperative markings, and a correct surgical technique ensure both the safety and the reproducibility of the technique.

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Autologous Fat Injection into the Pectoralis Major as an Adjunct to Surgical Correction of Gynecomastia

Abstract: 4 Therapeutic.

Cited by 10 publications

References 19 publications

From Bedside to Bench: The Effect of Muscular Denervation on Fat Grafting to the Breast by Comparing Take Rate, Quality, and Longevity

From Bedside to Bench: The Effect of Muscular Denervation on Fat Grafting to the Breast by Comparing Take Rate, Quality, and Longevity

Male Pectoralis Major Muscle Augmentation with Autologous Fat Transplantation Using VASER Lipoaspirate: Evaluation with MRI

Adipose Tissue Transfer in Dynamic Definition Liposculpture—PART I. Back: Latissimus Dorsi and Trapezius Muscles

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