Volumetric evaluation of fat resorption after breast lipofilling

Quoc, C. Ho; Taupin, T.; Guérin, N.; Delay, E.

doi:10.1016/j.anplas.2015.06.011

Cited by 45 publications

(25 citation statements)

References 14 publications

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“…Finally, the follow-up periods of the included studies were not reported in the review by Strong et al 2 These follow-up periods ranged from 1 to 156 months and 6 to 156 months in the reviews of Largo et al 19 and Voglimacci et al, 20 respectively. It is known that fat retention can take 3 to 6 months before reaching a steady state, [21][22][23] so it is essential to maintain a longer follow-up period. Therefore, our primary aim was to give an updated comprehensive overview regarding safety, technique, efficacy, and patient-/surgeon-reported outcomes of AFG for breast augmentation purposes.…”

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confidence: 99%

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

et al. 2016

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mentioning

confidence: 99%

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

et al. 2016

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“…The literature are reported fat resorption rates from 30% to 80% for clinical evaluations and from 50% to 90% for the experimental evaluation. [ 38 ] However, in patients affected by VPI, an overcorrection could be counterproductive and could cause obstructive sleep apnoea. [ 37 ] The role of lipofilling in the VPI treatment is to reduce the velopharyngeal gap (a small amount of fat is generally required) and to soften scar contractures after cleft palate repair, facilitating the approximation of the velum to the posterior pharyngeal wall.…”

Section: Discussionmentioning

confidence: 99%

“…In the author's experience and according to the literature,[ 10 ] the outcomes after the fat injection can be considered stable after three months. [ 38 ] In this case series, all the patients underwent one procedure of fat injection. As reported in the literature, a further procedure can be performed in cases of partial improvement and/or worsening of the speech intelligibility during children growing up.…”

Section: Discussionmentioning

confidence: 99%

Autologous fat grafting in the treatment of velopharyngeal insufficiency: Clinical outcomes and treatment tolerability survey in a case series of 21 patients

Panizza

Ghiglione

Zingarelli

et al. 2018

Indian J Plast Surg

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Introduction:Velopharyngeal insufficiency (VPI) is the inability to close the velopharyngeal sphincter during phonation and/or feeding. VPI is clinically characterised by hypernasal speech and nasal regurgitation. In cases of severe VPI, pharyngoplasty is recommended. Cases of mild-to-moderate VPI can be treated with fat grafting of the posterior pharyngeal wall in addition to speech therapy. The lipofilling can also be useful after pharyngoplasty to improve the outcomes.Materials and Methods:Twenty-one patients (14 males and 7 females), ages 4–23 affected by mild-to-moderate VPI and treated with lipofilling were included in this retrospective study. The mean injected fat volume was 7.95 cc (median 6 cc, min 4 cc, max 20 cc and range 16 cc). The follow-up ranged from 6 to 60 months. The pre- and post-operative Borel–Maisonny scores were compared using Wilcoxon test. Moreover, we performed a telephone survey with the aim to assess the parental perception on child's speech and quality of life after the surgical treatment.Results:Despite the small sample size, in this case series, we observed a statistically significant Borel–Maisonny score improvement and a parental satisfaction rate of about 85%.Conclusions:The augmentation of the posterior pharyngeal wall in addition to speech therapy improved the Borel–Maisonny score and the intelligibility of this case series of patients affected by mild-to-moderate VPI. In these patients, evaluated in a multidisciplinary approach, this technique allowed us to avoid major surgical procedures that would modify the anatomy of the velopharyngeal port. However, prospective comparative studies or randomised controlled trials could be useful to compare fat grafting with velopharyngoplasty techniques, with the aim to clarify indications and to define a specific treatment protocol.

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“…However, lioptransfer in contrast to pure liposuction needs particular advanced surgical expertise in the handling of such fragile tissue transplants. Furthermore, well-elaborated informed consent with the patients is mandatory because of at times unpredictable behavior of the transplanted fat in terms of scattered resorption or induration, [21][22][23] therefore the need for several supplementary filling interventions.…”

Section: Breast Implantsmentioning

confidence: 99%

Deformities of the Thoracic Wall: Don't Forget the Plastic Surgeon

Schwabegger

2018

Eur J Pediatr Surg

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Surgical procedures for pectus excavatum (PE) repair, such as minimally invasive repair of pectus excavatum or similar interventions (modified open videoendoscopically assisted repair of pectus excavatum), for remodeling the anterior thoracic wall may finally not always achieve sufficiently pleasing aesthetic results. Particularly in the asymmetric and polymorphic cases, remnant deformities may still be present after any sophisticated remodeling attempt. On the other hand, some cases despite optimal surgical management develop mild recurrences with partial concavity or rib cartilage distortion shortly after pectus-bar removal. Secondary treatment options then may include open access surgery, resection, or reshaping of deformed and prominent costal cartilage. Residual concave areas can be filled by autologous tissue, such as cartilage chips, liposhifting, or implantation of customized alloplastics. To provide the best options for a variety of primary or secondary postsurgical expressions of anterior wall deformities, any physician dealing with PE corrections should be familiar with various shaping and complementary reconstructive techniques or at least should have knowledge of such. However, among treating surgeons, there is an awareness that no single method can be applied for every kind of funnel chest deformity. Careful selection of appropriate techniques, either as a single approach for the ordinary deformities or in conjunction with ancillary procedures for the intricate cases, should be mandatory, based on the heterogeneity of symptoms, severity, expectations, and surgical and technical resources. A variety of such ancillary reconstructive procedures for PE repair are explained and illustrated herewith.

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Volumetric evaluation of fat resorption after breast lipofilling

Cited by 45 publications

References 14 publications

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

Autologous fat grafting in the treatment of velopharyngeal insufficiency: Clinical outcomes and treatment tolerability survey in a case series of 21 patients

Deformities of the Thoracic Wall: Don't Forget the Plastic Surgeon

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