Ist eine intramuskuläre Injektion bei autologer Fetttransplantation zur Mamma sinnvoll ? - Eine MRT-volumetrische Studie

Herold, Christian; Ueberreiter, Klaus; Cromme, F.; Grimme, M.; Vogt, Peter M.

doi:10.1055/s-0030-1269931

Cited by 24 publications

(9 citation statements)

References 18 publications

(30 reference statements)

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“…ao injetar a gordura por via intramuscular, a resistência é desproporcionalmente maior, de modo que se pode certamente sentir ao injetar se está sendo injetado por via intramuscular ou periglandular. (7) A comparação dos volumes calculados com a volumetria da RM no pré e pós-operatório revelou uma média de persistência de volume de 64% (± 13%) no músculo peitoral e de 81% (± 8%) na gordura periglandular. (7) No transplante de gordura autóloga para a mama, o plano periglandular é superior ao plano intramuscular em termos de persistência de volume.…”

Section: Resultsunclassified

Uso De Ultrassom Na Identificação De Planos Profundos E Superficiais Para Lipoenxertia Em Mamoplastia De Aumento: Revisão De Literatura

De Oliveira,

Goldmann,

Zatt

et al. 2023

Rev. Contemp.

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Objetivo: Identificar planos profundos e superficiais da mama através do ultrassom para lipoenxertia em procedimentos de mamoplastia de aumento. Método: Revisão de literatura nas bases de dados eletrônicas PubMed. Utilizaram-se os descritores “breast fat grafting”, “augmentation mammoplasty”, “ultrasound breast fat grafting”, incluindo artigos na língua inglesa sem limitação de data de publicação. Resultados: O ultrassom é pode ser ferramenta que auxilia os cirurgiões plásticos a conferirem resultados mais naturais quando se fala em cirurgias de mamoplastia. A gordura geralmente é colocada no músculo peitoral maior, que fornece volume e projeção, mas é a colocação de gordura nos tecidos mais superficiais que controla a modelagem da mama. Pequenos e grandes defeitos mamários podem ser preenchidos; proeminências ósseas e bordas visíveis do implante podem ser disfarçadas; dano de radiação pode ser melhorado; reconstruções podem ser refinadas; seios difíceis podem ser moldados com precisão; os implantes podem ser removidos e substituídos por gordura; e um aumento simples e natural pode ser realizado. É essencial que a gordura seja colocada em alíquotas muito pequenas para maximizar a área de superfície para revascularização e minimizar a chance de necrose gordurosa. Conclusões: O uso do Ultrassom tem sido ferramenta inovadora para lipoenxertia em técnicas de contorno corporal. Na mamoplastia de aumento, tem função útil na visualização com exatidão a área a ser enxertada. Áreas de lipoenxertia ainda não são bem definidas, uma vez que a injeção de gordura é muitas vezes feita em todos os níveis da mama. Através do uso do ultrassom associado a lipoenxertia de planos profundos musculares e de planos superficiais em associação de mamoplastia de aumento, pequenos e grandes defeitos mamários podem ser preenchidos; proeminências ósseas e bordas visíveis do implante podem ser disfarçadas.

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Section: Resultsunclassified

Uso De Ultrassom Na Identificação De Planos Profundos E Superficiais Para Lipoenxertia Em Mamoplastia De Aumento: Revisão De Literatura

De Oliveira,

Goldmann,

Zatt

et al. 2023

Rev. Contemp.

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“…The grow-in rate was 76%, resulting in a net volume increase of the breast of approximately 51.7% of the injected volume. Other authors used MRI to quantify the grow-in rate relative to graft volume with the WAL technique: Herold et al analyzed 10 patients and found an uptake of 77%, 33 and Peltoniemi et al studied 8 patients and found an uptake of 80%. 24 For comparison, various studies evaluated the grow-in rate after fat transfer with techniques other than WAL.…”

Section: Resultsmentioning

confidence: 99%

“…Herold et al found a volume preservation of 81% in the periglandular fatty tissue and a volume preservation of 64% in the muscle at 6 months after the fat cell transplant in a MRIvolumetrically measured series. 33 The pectoralis muscles are thus a possible additional target volume to increase the safely injectable total volume.…”

Section: Reinjectionmentioning

confidence: 99%

Breast Augmentation by Water-Jet Assisted Autologous Fat Grafting: A Report of 300 Operations

Muench¹

2016

Surg J

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Autologous fat transfer for breast augmentation is gaining more acceptance as an alternative to implants because only autologous filling materials are used and because undesirable fat can be removed from other regions as an additional benefit. The advantages of breast augmentation with autologous fat include the lack of reactive inflammation, foreign body reaction, and scars as well as the natural-appearing result with more volume, an improved contour, a fuller cleavage, and natural consistency.The competence and the experience of the surgeon, the technique of the extraction and processing of the fat, as well as the fat cell injection method are critical points regarding patient safety and result. Other factors are patient selection, the efficiency of the liposuction, the tumescent anesthesia, the instruments, a minimal blood loss, a high rate of survival of the transferred fat cells, and a minimal complication rate. 1 The literature varies regarding stem cell enrichment, grow-in rate, durability of the result, complications, limitations of future preventive breast exams, and possible tumor induction. Ross et al concluded in their research of 103 publications that there is no consensus regarding the optimum technique. 2 Keywords ► breast augmentation ► fat transplantation ► autologous fat graft ► liposuction ► WAL ► lipofilling AbstractBackground The BEAULI -method (Breast Augmentation by Lipotransfer) is available for extraction and processing of large transplantable fat quantities. The aim of this work is to describe the surgical technique precisely and reproducibly and to provide an overview of the autologous fat transfer based on surgical experience. Method The author performed 300 autologous fat transplantations on 254 women between September 3, 2010, and May 13, 2015. Patients desiring moderate volume increase, fuller and firmer breasts, as well as an optimization of the silhouette, ideally with the concurrent desire of the correction of unwanted fat deposits, were selected. The fat was extracted via water-jet assisted liposuction (Body-jet, Human Med AG, Schwerin, Germany), and the fat cells were subsequently separated with the Lipocollector ® (Human Med AG, Schwerin, Germany).Results The results were assessed with a control exam and photo comparison and were based on the responses on a questionnaire. Overall, 35.9% of the patients defined the result as very good, 38.6% as good, 22.4% as satisfactory, and 3.1% as poor. Conclusion This study shows that the autologous fat cell transplantation into the female breast via water-jet assisted liposuction achieves a moderate and harmoniously appearing breast volume enlargement as well as contour improvement. Further studies with more cases and longer observation periods over several years could contribute to improving the method of the autologous fat transfer regarding the grow-in rate, efficiency, and safety.

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“…Autologous fat grafting was performed by one senior surgeon in each center according to the standardized protocol of the BEAULI™ method [65] (see also [21], [22], [64]). The abdomen, waist, back, thighs and upper arms served as donor sites.…”

Section: Methodsmentioning

confidence: 99%

Breast reconstruction de novo by water-jet assisted autologous fat grafting – a retrospective study

Hoppe

Ueberreiter

Surlemont

et al. 2013

GMS German Medical Science; 11:Doc17; ISSN 1612-3174

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Ist eine intramuskuläre Injektion bei autologer Fetttransplantation zur Mamma sinnvoll ? - Eine MRT-volumetrische Studie

Cited by 24 publications

References 18 publications

Uso De Ultrassom Na Identificação De Planos Profundos E Superficiais Para Lipoenxertia Em Mamoplastia De Aumento: Revisão De Literatura

Uso De Ultrassom Na Identificação De Planos Profundos E Superficiais Para Lipoenxertia Em Mamoplastia De Aumento: Revisão De Literatura

Breast Augmentation by Water-Jet Assisted Autologous Fat Grafting: A Report of 300 Operations

Breast reconstruction de novo by water-jet assisted autologous fat grafting – a retrospective study

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