Journal article
The Impact of Recipient Site External Expansion in Fat Grafting Surgical Outcomes.
- Oranges CM Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
- Striebel J Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
- Tremp M Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
- Madduri S Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
- Kalbermatten DF Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
- Schaefer DJ Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
- 2018-04-05
Published in:
- Plastic and reconstructive surgery. Global open. - 2018
English
Background
The fat grafting process includes the 4 phases of tissue harvesting, processing, recipient-site preparation, and reinjection. Among them, the preparation of the recipient site has never been exhaustively reviewed. We aim to provide a comprehensive overview of the methods to prepare the recipient site through external expansion with the resulting outcomes.
Methods
PubMed/Medline database was searched for studies on fat grafting recipient site preparation by applying the following algorithm: ((fat grafting) OR (lipofilling) OR (lipograft) AND (recipient site)). A priori criteria were used to review the resulting articles and identify those dealing with external expansion.
Results
Fourteen studies published from 2008 through 2016 met inclusion criteria (4 case reports, 6 retrospective, and 4 prospective studies), representing 1,274 treated patients. Two devices for preexpansion were used with different protocols: BRAVA system and Kiwi VAC-6000M with a PalmPump. The 13 studies that applied the BRAVA system reported large fat volume transplantation to the breast (average > 200 cc). The most common complications were localized edema (14.2%), temporary bruising, and superficial skin blisters (11.3%), while the most serious was pneumothorax (0.5%). The majority of the studies reported enhancement of fat graft survival, which ranged between 53% and 82% at 6 months to 1 year follow-up, and high satisfaction of patients and surgeon.
Conclusions
External expansion and fat grafting is a promising technique for breast reconstruction and augmentation. However, due to the overall low level of evidence of the available studies, further research is needed to validate the procedure.
The fat grafting process includes the 4 phases of tissue harvesting, processing, recipient-site preparation, and reinjection. Among them, the preparation of the recipient site has never been exhaustively reviewed. We aim to provide a comprehensive overview of the methods to prepare the recipient site through external expansion with the resulting outcomes.
Methods
PubMed/Medline database was searched for studies on fat grafting recipient site preparation by applying the following algorithm: ((fat grafting) OR (lipofilling) OR (lipograft) AND (recipient site)). A priori criteria were used to review the resulting articles and identify those dealing with external expansion.
Results
Fourteen studies published from 2008 through 2016 met inclusion criteria (4 case reports, 6 retrospective, and 4 prospective studies), representing 1,274 treated patients. Two devices for preexpansion were used with different protocols: BRAVA system and Kiwi VAC-6000M with a PalmPump. The 13 studies that applied the BRAVA system reported large fat volume transplantation to the breast (average > 200 cc). The most common complications were localized edema (14.2%), temporary bruising, and superficial skin blisters (11.3%), while the most serious was pneumothorax (0.5%). The majority of the studies reported enhancement of fat graft survival, which ranged between 53% and 82% at 6 months to 1 year follow-up, and high satisfaction of patients and surgeon.
Conclusions
External expansion and fat grafting is a promising technique for breast reconstruction and augmentation. However, due to the overall low level of evidence of the available studies, further research is needed to validate the procedure.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.1097/GOX.0000000000001649
- PMID 29616164
- Persistent URL
- https://folia.unifr.ch/global/documents/282515
Statistics
Document views: 11
File downloads: