Promising recent regenerative medicine applications in plastic and reconstructive surgery

Abstract

Cosmetic and reconstructive surgery relies extensively on the complex relationship between skin, soft tissue and the underlying bone skeleton. Soft tissue loss and acquired soft tissue deficits are some of the daily challenges faced by the plastic surgeon. Fat grafting has become one of the standard lines of care that has various applications in plastic surgery treatments. The ability of adipose stem cells to rejuvenate by producing trophic factors, and to differentiate into different cell types, has provided promising utilization for a variety of different applications in plastic surgery. Bone disorders, including infection and poor healing, pose vexing problems to the reconstructive surgeon. Vascular surgery is a technique necessary for the reconstruction of the most challenging surgical defects, and has great potential for improvement through technology. Nanoscale refinements of current techniques may offer more efficient and improved surgical and non-surgical approaches for reconstruction. Such refinements will significantly expand our capabilities for innovative reconstructive interventions, with high efficiency, specificity and minimal invasiveness.