Expansion Vibration Lipofilling: A New Technique in Large-Volume Fat Transplantation

Vecchio, Daniel Del; Wall, Simeon

doi:10.1097/prs.0000000000004338

Cited by 91 publications

(16 citation statements)

References 23 publications

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“…To avoid implant injury some authors do not perform FG on the implants with tight, thin breast pockets and scar tissues [ 33 ]. Not only does preinfiltration add to the vasoconstriction and anesthesia but it also expands the tissues, which facilitates FG in these problematic areas [ 40 , 41 , 46 ]. FG with the needle is also reported to be useful in scar tissue with very thin envelope over the implant [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Batiukov¹,

Podgaiski

Mikulich

et al. 2020

BMC Surg

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Background Breast augmentation with implants continues to be the most popular aesthetic surgical procedure performed worldwide. Fat grafting may improve the results of breast augmentation and breast reconstruction with implants. However, fat grafting to the breast with implants carries the risk of implant puncture. To our best knowledge this is the first case in which polyurethane implant puncture during fat grafting is described. Case presentation We report multiple bilateral implant punctures with the cannula during fat grafting in a patient who previously underwent breast reconstruction with polyurethane implants. Conclusions Implants that promote tissue ingrowth may be more prone to puncture with the cannula during fat grafting. Specific planning and surgical maneuvers decrease the risk of implant puncture. Level of evidence Level V, case report.

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Section: Discussionmentioning

confidence: 99%

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Batiukov¹,

Podgaiski

Mikulich

et al. 2020

BMC Surg

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“…We prefer expansion vibration lipofilling for fat grafting. 16 To account for resorption of grafted fat, we perform overfilling by around 20 percentage more than the required amount. A customized compression garment is worn postoperatively for 6 weeks ( Fig.…”

Section: Body Contouring In Female To Malementioning

confidence: 99%

Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals

Asokan

Sudheendran

2022

Indian J Plast Surg

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There is a subset of transgender individuals, who after having undergone gender affirming surgeries want body contouring so that the overall body shape is congruent to the body image. Hormonal therapy can bring about a considerable change in the physical transformation. However, there is an increase in requests for specific body contouring procedures because of increased awareness in the society.There are significant differences between the skeletal as well as soft tissue characteristics of male and female body. Body contouring in transgender individuals can be achieved by altering the skeletal structure or the overlying soft tissues or combining both. In this article, we discuss body contouring as an adjunct to gender affirming surgeries, in both male to female and female to male transgender individuals.

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“…14 Expansion vibration lipofilling is a syringe-free procedure that uses blunt cannulas to inject fat deposits into the subcutaneous plane; it is considered the safest option and current best practice. 1,2 After the authors' experience performing this procedure, the gender affirming patient has been identified as a distinct type of patient with special characteristics that should be addressed. The purpose of the present communication is to compare the authors' outcomes using large-volume fat transplantation alone or combined with buttocks implants in the male-to-female transgender patient, in an attempt to better elucidate specific prognostic, strategic, and technical considerations in these patients.…”

mentioning

confidence: 99%

“…The use of expansion vibration lipofilling is growing as a technique, recognized as safe and effective for redistributing large amounts of body fat to obtain a more feminine figure. 1,2 By offering procedures that are safe and effective, with few complications, more patients are able to find greater satisfaction with their body image. The transgender community has gained more acceptance and respect, and there has been a greater awareness of these individuals in our society over the past several years.…”

mentioning

confidence: 99%

Body Feminization Combining Large-Volume Fat Grafting and Gluteal Implants

Vecchio¹,

Bravo²,

Mandlik³

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: With the increase in popularity of fat transfer to the buttocks in body contouring surgery, new patient subsets are emerging. The gender confirmation patient has specific characteristics that must be addressed to achieve the best outcomes. Methods: The authors performed an observational prospective study including 36 consecutive patients who underwent body feminization as a gender affirming operation using large-volume fat transplantation with or without gluteal implants. Results: Thirty-six consecutive male-to-female transgender patients have undergone large-volume fat transplantation to the buttocks performed by the authors, between July of 2016 and January of 2019. In 12 of these 36 cases, large-volume fat grafting was supplemented by intramuscular placement of silicone implants. The mean waist-to-hip ratio before surgery was 1.11, and this improved to 0.81 after surgery (fat transfer–only group, 0.88; fat transfer plus implants group, 0.75). Conclusions: The transgender patient is a unique patient requiring a specific set of surgeon’s skills and intraoperative strategies to achieve good outcomes. Composite solutions with both implants and lipofilling lead to better outcomes in terms of waist-to-hip ratio in these patients. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

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Expansion Vibration Lipofilling: A New Technique in Large-Volume Fat Transplantation

Abstract: Therapeutic, IV.

Cited by 91 publications

References 23 publications

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals

Body Feminization Combining Large-Volume Fat Grafting and Gluteal Implants

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