Autologous Fat Transplantation: Micro and Macro Techniques

@article{Asken1987AutologousFT,
  title={Autologous Fat Transplantation: Micro and Macro Techniques},
  author={Saul Asken},
  journal={The American Journal of Cosmetic Surgery},
  year={1987},
  volume={4},
  pages={111 - 121}
}
  • S. Asken
  • Published 1 June 1987
  • Medicine
  • The American Journal of Cosmetic Surgery
Autologous fat transplantation has been performed for almost a century. Only recently, however, has the fat removed by suction been used for correcting certain skin defects as well as for cosmetic enhancement. This paper presents the clinical indications for such a procedure as well as different methods of harvesting the fat intended for transplantation. New techniques and instrumentation intended to facilitate the extraction and injection of fat and make it as atraumatic as possible are… 
Autologous Fat Transplantation
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Although the process of fat transplantation has not been standardized, it can no longer be considered an experimental procedure as enough surgeons have shown that there can be consistently good results.
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To date the optimal method of transplant purification still remains unclear as well as the impact on the therapeutic results of factors as combination with other interventions, intraoperative extent of correction and the need of numerous transplantations as methods counteracting the postoperative resorption.
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The introduction of liposuction for fat reduction and body contouring has developed into transplantation of the extracted fat for filling of defects or for aesthetic augmentation purposes. There has
Current Practice in Autologous Fat Transplantation: Suggested Clinical Guidelines Based on a Review of Recent Literature
TLDR
This work recommends harvesting by excision, processing by short and gentle centrifuge to separate the layers, and reinjection of the lower layer via a fine cannula and a 1-mL syringe with multiple passes, injecting only a tiny amount with each pass as the needle is withdrawn to obtain the most reliable clinical outcome.
Effect of Various Methods of Fat Harvesting and Reinjection
TLDR
The variety of techniques used to collect, clean, and reinject fat do not damage the fat cells except for the collection of fat in a −700 mm Hg vacuum, which produces smaller bundles of fat.
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Liposuction and autologous fat transplantation is a suitable approach for augmentation mammaplasty for breast augmentation and all women had a significant improvement in their breast size and shape postoperatively.
Autologous Fat Transfer for Tissue Augmentation
Autologous fat transfer, despite being a relatively easy and complication-free procedure, can have technical problems associated with fat harvesting, injection, and duration of survival. Based on a
[Autologous fat transplantation in the modern reconstructive surgery of breast cancer].
TLDR
The authors initiated that breast and plastic surgeons should promote adequate long term follow-up of breast cancer patients who underwent breast reconstruction with autologous fat transplantation by the establishment of national registries.
Fat Transfer Techniques: The Effect of Harvest and Transfer Methods on Adipocyte Viability and Review of the Literature
  • M. Shiffman, S. Mirrafati
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2001
TLDR
The variety of techniques used to collect, clean, and reinject fat do not damage the fat cells except for the collection of fat at −700 mmHg vacuum.
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