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The use of autologous fat grafts in breast surgery: A literature review
Yalcin Bayram,Melihcan Sezgic,Percin Karakol,Mehmet Bozkurt,Gaye Taylan Filinte 대한성형외과학회 2019 Archives of Plastic Surgery Vol.46 No.6
Autologous fat injection was first described roughly a century ago and has been used in surgeryever since. In addition to its use in many surgical fields, it is also frequently used for bothaesthetic and reconstructive purposes in breast surgery. Since the application of fat graftingin breast surgery has steadily increased, studies investigating its reliability have simultaneouslybecome increasingly common. Previous studies have reported that the use of fat grafting inbreast surgery is reliable, but some pending questions remain about its routine use. In order touse fat grafts successfully in breast surgery, it is necessary to be familiar with the structureand content of adipose tissue, the efficacy of adipose stem cell-enriched fat grafts, the oncologicalsafety of fat grafts, and the problems that may occur in the radiological follow-up ofpatients who undergo fat grafting procedures. In this literature review, we aim to discuss theuse of fat grafts in breast surgery by investigating these common problems.
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The use of autologous fat grafts in breast surgery: A literature review
Bayram, Yalcin,Sezgic, Melihcan,Karakol, Percin,Bozkurt, Mehmet,Filinte, Gaye Taylan Korean Society of Plastic and Reconstructive Surge 2019 Archives of Plastic Surgery Vol.46 No.6
Autologous fat injection was first described roughly a century ago and has been used in surgery ever since. In addition to its use in many surgical fields, it is also frequently used for both aesthetic and reconstructive purposes in breast surgery. Since the application of fat grafting in breast surgery has steadily increased, studies investigating its reliability have simultaneously become increasingly common. Previous studies have reported that the use of fat grafting in breast surgery is reliable, but some pending questions remain about its routine use. In order to use fat grafts successfully in breast surgery, it is necessary to be familiar with the structure and content of adipose tissue, the efficacy of adipose stem cell-enriched fat grafts, the oncological safety of fat grafts, and the problems that may occur in the radiological follow-up of patients who undergo fat grafting procedures. In this literature review, we aim to discuss the use of fat grafts in breast surgery by investigating these common problems.
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Tuluy Yavuz,Bali Zülfükar Ulaş,Ünsal Merve Özkaya,Parspancı Aziz,Yoleri Levent,Çiçek Çağla,Filinte Gaye Taylan 대한성형외과학회 2023 Archives of Plastic Surgery Vol.50 No.6
Background The anterolateral thigh (ALT) flap is a preferred option in the reconstruction of a wide variety of defects, enabling multiple tissue components and thicknesses.Methods This study was conducted to investigate the correlation of the thickness of the traditional subfascial ALT flap and superficial fat flap with age, gender, and body mass index (BMI). A total of 42 patients (28 males and 14 females) were included in the study.Results Mean age was 50.2 (range, 16–75) years and mean BMI was 24.68 ± 4.02 (range, 16.5–34.7) kg/m2. The subfascial flap thickness was significantly thinner in male patients (16.07 ± 2.77 mm) than in female patients (24.07 ± 3.93 mm; p < 0.05), whereas no significant difference was found between male (4.28 ± 1.15 mm) and female patients (4.85 ± 1.09 mm) regarding superficial fat flap thickness (p = 0.13). The thickness of both flaps had a positive correlation with BMI, and the strongest correlation was found for subfascial ALT thickness in female patients (r = 0.81). Age had no effect on both flap thickness measurements. The anterior thigh is thicker in women than in men, although it varies according to BMI. This shows that flap elevation is important in the superthin plane, especially if a thin flap is desired in female patients in defect reconstruction with the ALT flap. Thus, a single-stage reconstruction is achieved without the need for a defatting procedure after subfascial dissection or a second defatting procedure 3 to 6 months later.Conclusion The appropriate ALT flap plane should be selected considering the gender and BMI of the patient.
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