Ultra HD Liposuction: Enhancing Abdominal Etching Using Ultrasound-Guided Rectus Abdominis Fat Transfer (UGRAFT)

Viaro, Maurício Schneider; Danilla, Stefan; Cansanção, Alvaro Luiz; Viaro, Paloma Salomone

doi:10.1097/gox.0000000000002818

Cited by 14 publications

(25 citation statements)

References 12 publications

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Section: Discussionmentioning

confidence: 99%

“…Fat grafting is being increasingly used to volumize muscle groups, especially as a complement to body contouring surgery, styling, and highlighting with liposuction results and few adverse events. [8][9][10][11][12][13][18][19][20][21] The results showed that the increase of the thickness in the immediate postoperative period is evident and 1-month follow-up ultrasound measurements highlighted a decrease in the muscle thickness in relation to the immediate postoperative period in all fat-grafted muscle groups (long head of the biceps femoris and semitendinosus muscles), bilaterally. Nevertheless, despite these results, the patients maintained a good distribution of muscle thickness 1 month after surgery, and this decrease is minimal when compared with the thickness initially obtained after fat grafting, which suggest that the results are possibly sustainable over time (Table 4).…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Various procedures have been developed for the volumization of muscle groups to meet patient requirements, such as fat grafting techniques for pectoral and deltoid muscles, biceps and triceps, rectus abdominis, trapezius, erector spinae, and vastus muscles. [7][8][9][10][11][12][13] Research on the thigh remains limited, and studies that have been conducted in the anterior thigh are favored because they emphasize the current trends in projecting an athletic image. 14 However, studies on the posterior thigh…”

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confidence: 99%

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Intramuscular Posterior Thigh Volumization: An Aesthetic and Harmonious Transition to the Gluteal Region (Hv-FAT)

Cipriani¹,

Babaitis²,

Vega³

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: The gluteal region remains the preferred site for fat grafting. However, the transition from the gluteal region to the thighs has not been well studied. This study aimed to describe an echographic guidance hamstring volumization procedure (Hv-FAT) as a complement to body contouring surgery. Methods: Hv-FAT was performed in 19 patients from four countries (Peru, Argentina, Brazil, and Mexico) from May to June 2022 by four surgeons trained in soft-tissue ultrasound and in the aforementioned technique. All the patients met the following criteria: age older than 18 years and younger than 60 years; a body mass index of 30 kg/m² or less, and a surgical risk score of 2 or less, according to the Goldman index. Results: A total of four men and 15 women were included in this study, whose ages ranged from 22 to 58 years (mean: 36.37 years). After fat grafting, on average, the thickness of the right biceps femoris increased by 54.07%, maintaining 95.02% of this thickness one month postoperatively, whereas the thickness of the left biceps femoris increased by 46.57%, maintaining 94.86% of this thickness in the same postoperative period. In turn, the right semitendinosus muscle thickness increased by 181.90%, maintaining 97.42% of this thickness, whereas the left semitendinosus muscle increased by 111.90%, maintaining 95.29% of this thickness 1 month postoperatively (P < 0.0001). Conclusion: Hv-FAT is an effective and reproducible procedure for volumizing the biceps femoris and semitendinosus muscles, maintaining significant results one month postoperatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Intramuscular Posterior Thigh Volumization: An Aesthetic and Harmonious Transition to the Gluteal Region (Hv-FAT)

Cipriani¹,

Babaitis²,

Vega³

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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“…Liposuction is one of the most common cosmetic surgical procedures performed in Brazil and worldwide [1]. High-definition (HD) liposuction, also known as HD abdominal etching, is a reliable procedure that provides more athletic results and has become a major trend among plastic surgeons and patients because it allows the surgeon to sculpt the abdomen and enhance muscle details [2].…”

Section: Introductionmentioning

confidence: 99%

NutrUgraft - preoperative supplementation in ultra HD liposuction with ultrasound-guided rectus abdominis fat transfer: a prospective longitudinal cohort clinical study

Salomone¹,

Viaro²

2023

IJN

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Liposuction triggers an inflammatory response as a result of surgical trauma. Preoperative dietary supplementation has been implemented to enhance recovery. The purpose of this study was to evaluate patients’ perceptions of the use of preoperative dietary supplementation through a questionnaire. We conducted a prospective study of 80 healthy patients, 2 men, and 78 women, with a mean age of 34.8 years. Thirty days before surgery, all patients have prescribed the NutrUgraft protocol: CoQ10 200 mg, Dimpless 40 mg, Biointestil 300 mg, and IBS Care 100 mg. The Impact® dietary supplement was also prescribed, 1 unit daily for 7 days. On postoperative day 30, patients answered 5 objective questions: (1) How do you rate your healing? Good, fair, or poor; (2) Did you feel safer by receiving preoperative supplementation? Yes, no, or indifferent; (3) Postoperatively, your bowel: functioned normally, constipated, or had diarrhea; (4) Postoperatively, did you develop fibrosis? Yes, no, or I don’t know; and (5) If undergoing another surgery in the future, would you like to receive preoperative supplementation again? Yes, no, or indifferent. Of 80 patients evaluated, 80% classified their healing as good, 90% reported feeling safer by receiving preoperative supplementation, 85% reported that their bowel functioned normally postoperatively, 80% reported not developing fibrosis, and 91.25% would like to receive supplementation again if undergoing another surgery. Based on the results, patients had a positive perception of all topics evaluated, thus highlighting the importance of dietary supplementation in the preoperative period of plastic surgery.

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“…Danilla 6 obtained more natural results when performing rectus abdominis fat grafting in patients undergoing lipoabdominoplasty. Viaro et al 7 in 2020 published for the first time information about the Ultrasound-Guided Rectus Abdominis Fat Transfer (UGRAFT) technique, which consists of fat grafting in the rectus abdominis muscle under direct visualization with ultrasound in patients who are not suitable for abdominoplasty, to obtain a more natural abdominal contour.…”

mentioning

confidence: 99%

Incorporation of the UGRAFT Technique to High-definition Liposuction

González

Viaro

Vega³

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: High-definition liposuction is now a reliable procedure that provides more athletic results. It is a trend among plastic surgeons and patients. The ultrasound-guided rectus abdominis fat transfer (UGRAFT) technique has expanded the range of patients who can benefit from rectus abdominis fat grafting, including those without skin laxity. Its advantage over isolated high-definition liposuction is a more natural-looking result because it increases muscle volume and provides a contoured abdomen even during movement, regardless of the patient’s position. In this article, we describe one patient undergoing the UGRAFT technique after high-definition liposuction, versus one patient undergoing only high-definition liposuction. We determined that the use of the UGRAFT technique provides greater muscle definition over those in which this technique has not been performed. The UGRAFT technique opens the possibility of developing more complete body structures regarding definition, providing volume to muscular areas. The more muscle mass and less body fat, the greater the body definition in a liposuction. The less muscle mass and more body fat, the less definition a patient will have in a liposuction. Under these principles, we improve the result by increasing the volume of muscle mass.

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Ultra HD Liposuction: Enhancing Abdominal Etching Using Ultrasound-Guided Rectus Abdominis Fat Transfer (UGRAFT)

Abstract: Supplemental Digital Content is available in the text.

Cited by 14 publications

References 12 publications

Intramuscular Posterior Thigh Volumization: An Aesthetic and Harmonious Transition to the Gluteal Region (Hv-FAT)

Intramuscular Posterior Thigh Volumization: An Aesthetic and Harmonious Transition to the Gluteal Region (Hv-FAT)

NutrUgraft - preoperative supplementation in ultra HD liposuction with ultrasound-guided rectus abdominis fat transfer: a prospective longitudinal cohort clinical study

Incorporation of the UGRAFT Technique to High-definition Liposuction

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