The book covers all aspects of autologous fat transfer including the history of fat transfer, the history of autologous fat survival, a variety of aesthetic and plastic procedures of the face and body, noncosmetic applications of fat transfer, preoperative care, complications, and medical-legal aspects. The contributors are international experts in the field of autologous fat transfer. The Table of Contents shows the variety of subjects.
The book is intended for residents and fellows, practicing and highly experienced cosmetic surgeons, and surgeons in the fields of plastic surgery, general surgery, otolaryngology, ophthalmology, oral-maxillofacial surgery, neurosurgery, orthopedic surgery, and other surgical subspecialties.
Author(s): Melvin A. Shiffman
Edition: 1st Edition.
Publisher: Springer
Year: 2010
Language: English
Pages: 453
3642004725......Page p0001.djvu
Autologous Fat Transfer\rArt, Science, and Clinical Practice......Page p0003.djvu
Foreword......Page p0005.djvu
Preface......Page p0006.djvu
Contents......Page p0007.djvu
Contributors......Page p0012.djvu
Part I History, Principles, Fat Cell Physiology and Metabolism......Page p0018.djvu
1.2 History......Page p0019.djvu
References......Page p0020.djvu
2.2 Historical Review......Page p0021.djvu
References......Page p0025.djvu
3.2 Fat Transplant Survival......Page p0027.djvu
3.3 Indications for Fat Transplantation......Page p0028.djvu
3.5 Technique of Autologous Fat Transplantation......Page p0029.djvu
3.8 Ratchet Gun for Injection......Page p0031.djvu
References......Page p0032.djvu
4.2 Histology......Page p0034.djvu
4.4 Physiology......Page p0035.djvu
4.5.3 Deep Layer......Page p0036.djvu
4.8 Abdomen......Page p0037.djvu
4.11 Lower Leg......Page p0038.djvu
4.12 Nutrition and Metabolism......Page p0039.djvu
References......Page p0041.djvu
5.2 Fat Cells......Page p0043.djvu
5.3 Lipolysis......Page p0044.djvu
5.5 Obesity......Page p0045.djvu
5.6 Diabetes......Page p0046.djvu
5.11 Multiple Symmetrical Lipomatosis......Page p0047.djvu
References......Page p0048.djvu
6.2 Role of White Adipose Tissue in Metabolism......Page p0051.djvu
6.5 Location of WAT......Page p0052.djvu
6.6 Adipokines and Inflammation......Page p0053.djvu
References......Page p0054.djvu
Part II Preoperative......Page p0055.djvu
7.4 Discussion with the Patient......Page p0056.djvu
7.9 Conclusions......Page p0057.djvu
Part III Techniques for Aesthetic Procedures......Page p0058.djvu
8.1 Introduction......Page p0059.djvu
8.2 Conclusions......Page p0062.djvu
References......Page p0063.djvu
9.2 History......Page p0064.djvu
9.4 Harvesting......Page p0066.djvu
9.6 Fat Transfer......Page p0067.djvu
9.8 Discussion......Page p0068.djvu
10.2 Cultural Issues......Page p0069.djvu
10.4 Aging Asian Eyelids with a Natural Supratarsal Crease......Page p0070.djvu
10.6 Aging Asian Eyelids with a Man-Made Crease......Page p0072.djvu
10.8 Conclusions......Page p0073.djvu
References......Page p0074.djvu
11.2 Subcision......Page p0075.djvu
11.4 Conclusions......Page p0077.djvu
References......Page p0078.djvu
12.3 Treating Scar Tissue......Page p0079.djvu
12.5 Evaluating Acne Scars......Page p0080.djvu
12.7 Acne Scar Treatment Options......Page p0081.djvu
12.8 Lipofilling Acne Scars (Figs. 12.1–12.4)......Page p0082.djvu
References......Page p0085.djvu
13.1 Introduction......Page p0088.djvu
13.2 Goals of Lipoaugmentation......Page p0089.djvu
13.4.1 Donor Site......Page p0091.djvu
13.4.3 Final Fat Preparation......Page p0092.djvu
13.4.4 The Malar Fat Pad......Page p0093.djvu
13.5 Repeat Procedures......Page p0094.djvu
References......Page p0095.djvu
14.1 Introduction......Page p0096.djvu
14.2 General Biology of Wound and Graft Healing with PRP......Page p0098.djvu
14.4.1 Isolation of Platelet-Rich Plasma......Page p0100.djvu
14.5 Harvest of Autologous Fat by Closed Syringe......Page p0102.djvu
14.6 Autologous Fat Grafting with PRP......Page p0104.djvu
14.7 Results and Complications Using PRP......Page p0109.djvu
Discussion......Page p0112.djvu
Conclusions......Page p0115.djvu
References......Page p0119.djvu
15.2 History of Fat Transfer......Page p0122.djvu
15.4 Centrifugation......Page p0123.djvu
15.6.2 Colloid Osmotic Pressure......Page p0124.djvu
15.10 Preoperative Consultation......Page p0125.djvu
15.12 Complications......Page p0126.djvu
References......Page p0129.djvu
16.3 History......Page p0131.djvu
16.4 Microenvironment......Page p0132.djvu
16.5 Starling’s Equation......Page p0133.djvu
16.6 Effect of Tumescence......Page p0134.djvu
16.8.1 The Interstitium......Page p0135.djvu
16.9 Procedure and Methods......Page p0136.djvu
16.10 Case Results......Page p0137.djvu
16.11 Fat’s Future......Page p0138.djvu
16.12 Conclusions......Page p0139.djvu
References......Page p0140.djvu
17.1 Introduction......Page p0142.djvu
17.2 Anatomy and Pathophysiology......Page p0143.djvu
17.4 Patient Selection......Page p0144.djvu
17.6 Technique......Page p0145.djvu
17.7 Fat Harvesting......Page p0146.djvu
17.8 Fat Injection Technique......Page p0147.djvu
17.9 Postoperative......Page p0148.djvu
17.10 Graft Survival......Page p0149.djvu
17.13 Conclusions......Page p0150.djvu
References......Page p0151.djvu
18.2 Glabella and Forehead......Page p0153.djvu
18.7 Expectations of Fat Survival......Page p0154.djvu
References......Page p0156.djvu
19.2 Technique......Page p0158.djvu
19.4 Discussion......Page p0159.djvu
20.2.1 Fat Graft......Page p0160.djvu
20.3 Dermofat Graft (Fig. 20.6)......Page p0163.djvu
20.5 Repositioning......Page p0166.djvu
20.6 Conclusions......Page p0168.djvu
References......Page p0169.djvu
21.2 Technique......Page p0170.djvu
21.3 Conclusions......Page p0174.djvu
References......Page p0175.djvu
22.2 Methods......Page p0176.djvu
22.4 Fat Processing......Page p0177.djvu
22.6 Complications......Page p0178.djvu
22.8 Discussion......Page p0179.djvu
References......Page p0182.djvu
23.1 Introduction......Page p0184.djvu
23.3 Technique......Page p0186.djvu
23.4.1 Bruising......Page p0187.djvu
23.6 Conclusions......Page p0188.djvu
References......Page p0189.djvu
24.2 Surgical Technique......Page p0190.djvu
24.4 Conclusions......Page p0191.djvu
References......Page p0193.djvu
25.2.1 Preparation of Donor Site......Page p0194.djvu
25.2.2 Preparation of Recipient Site......Page p0195.djvu
25.3 Harvest......Page p0196.djvu
25.6 Complications......Page p0197.djvu
25.7 Discussion......Page p0198.djvu
25.8 Conclusions......Page p0199.djvu
References......Page p0200.djvu
26.2 Preoperative Evaluation......Page p0201.djvu
26.4 Harvesting of Fat......Page p0202.djvu
26.6 Fat Storage......Page p0204.djvu
26.8 Discussion......Page p0205.djvu
References......Page p0206.djvu
27.4 Volume Depletion......Page p0207.djvu
27.6 Procedure......Page p0208.djvu
27.7.4 Fourth Postoperative Day......Page p0209.djvu
27.8 Discussion......Page p0210.djvu
27.10 Conclusions......Page p0211.djvu
28.1 Introduction......Page p0212.djvu
28.5 Donor-Site Harvesting......Page p0213.djvu
28.6 Processing the Fat......Page p0214.djvu
28.7.1 General Principles......Page p0215.djvu
28.7.2.5 Anterior Cheek/Malar Septum (from Port B)......Page p0216.djvu
28.9 Complications......Page p0217.djvu
28.10 Discussion......Page p0218.djvu
28.11 Conclusions......Page p0219.djvu
29.2 Preoperative Preparation......Page p0220.djvu
29.3 Technique......Page p0221.djvu
29.5 Vulvar Enhancement......Page p0222.djvu
29.7 Complications......Page p0223.djvu
References......Page p0224.djvu
30.3 Recent History with Liposuctioned Fat......Page p0226.djvu
30.4 Discussion......Page p0228.djvu
References......Page p0229.djvu
31.4 Discussion......Page p0231.djvu
References......Page p0237.djvu
32.3 Clinical Case......Page p0238.djvu
32.4 Discussion......Page p0240.djvu
References......Page p0242.djvu
33.1 Introduction......Page p0243.djvu
33.2 General Biology of Wound and Graft Healing with PRP......Page p0245.djvu
33.3 Autologous Fat Graft Healing Model......Page p0246.djvu
33.4.2 Harvest of Autologous Fat by Closed Syringe......Page p0248.djvu
33.4.3 Autologous Fat Graft Breast Augmentation with PRP......Page p0249.djvu
33.5 Results and Complications......Page p0252.djvu
33.6 Discussion......Page p0255.djvu
References......Page p0257.djvu
34.2 Adipose Tissue-Specific Progenitors with Multipotency......Page p0260.djvu
34.3 Biological and Therapeutic Concepts of Cell-Assisted Lipotransfer......Page p0261.djvu
34.5 Possible Roles of Adipose-Derived Stem/Stromal Cells in Cell-Assisted Lipotransfer......Page p0263.djvu
34.6 Technique......Page p0264.djvu
34.8 Results of Clinical Trials (2003–2009)......Page p0265.djvu
34.10 Outcomes......Page p0266.djvu
34.11.1 Refinement of Autologous Fat Graft Techniques......Page p0267.djvu
34.12 Indications......Page p0268.djvu
References......Page p0269.djvu
35.2.2 Dermabrasion......Page p0271.djvu
35.2.5 Autologous Fat......Page p0272.djvu
35.3.3 Operative Zone Anesthesia......Page p0273.djvu
35.4 Pure Hand Lipofilling Technique......Page p0274.djvu
35.6 Implant Conservation......Page p0276.djvu
35.7 Complications......Page p0277.djvu
References......Page p0278.djvu
36.2 Surgical Concepts......Page p0279.djvu
36.3 Technique......Page p0280.djvu
36.5 Discussion......Page p0285.djvu
36.6 Conclusions......Page p0286.djvu
References......Page p0288.djvu
37.3 Materials......Page p0289.djvu
37.6 Synopsis of Technique......Page p0290.djvu
37.9 Discussion......Page p0291.djvu
38.3 Technique......Page p0294.djvu
38.5 Fat Injection......Page p0295.djvu
References......Page p0297.djvu
39.2 Defects Occurring During Liposuction......Page p0298.djvu
39.4 Conclusions......Page p0299.djvu
40.4 Technique......Page p0300.djvu
41.2 Review of the Literature......Page p0302.djvu
References......Page p0307.djvu
Part IV Techniques for Non-Aesthetic Procedures......Page p0309.djvu
42.2.6 Growth Plate, Partial Closure......Page p0310.djvu
42.2.11 Malar Fracture......Page p0311.djvu
42.2.12 Migraine Headaches......Page p0312.djvu
42.2.19 Sulcus Vocalis......Page p0313.djvu
42.3 Use of Autologous Adipose Stem Cells for Nonaesthetic Transfer......Page p0314.djvu
References......Page p0315.djvu
43.1 Introduction......Page p0317.djvu
43.2 Surgical Technique......Page p0318.djvu
43.3 Patient Selection......Page p0319.djvu
43.4 Sample Cases......Page p0320.djvu
43.5 Discussion......Page p0321.djvu
References......Page p0322.djvu
44.1 Introduction......Page p0324.djvu
44.2.4 Fat Graft Injection......Page p0325.djvu
44.4 Discussion......Page p0326.djvu
44.5 Conclusions......Page p0331.djvu
References......Page p0332.djvu
45.1 Introduction......Page p0333.djvu
45.2 Case Report......Page p0334.djvu
45.4 Discussion......Page p0335.djvu
References......Page p0337.djvu
46.1 Introduction......Page p0339.djvu
46.2.2 Anatomy......Page p0343.djvu
46.3 Techniques......Page p0344.djvu
46.3.1 Surgical Technique: Fat Graft Harvest in Endoscopic Approach......Page p0345.djvu
46.5.1 Anatomy......Page p0346.djvu
References......Page p0347.djvu
47.2 Symptoms of Velopharyngeal Insufficiency......Page p0349.djvu
47.4 Criteria and Indications for Retropharyngeal Fat Injection......Page p0350.djvu
47.6 Results......Page p0351.djvu
References......Page p0352.djvu
48.1 Introduction......Page p0353.djvu
48.2 Surgical Technique......Page p0356.djvu
48.3 Complications......Page p0363.djvu
48.4 Prevention of Fibrosis and Heterotopic Bone......Page p0369.djvu
References......Page p0373.djvu
49.2 Characteristics of Fat Tissue......Page p0375.djvu
49.3 Technique......Page p0376.djvu
49.5 Conclusions......Page p0378.djvu
References......Page p0379.djvu
Part V Fat Processing and Survival......Page p0380.djvu
50.1 Introduction......Page p0381.djvu
50.2 Fat Processing Techniques......Page p0382.djvu
50.3 Future Issues for Fat Processing......Page p0384.djvu
References......Page p0385.djvu
51.2 Technique......Page p0387.djvu
51.3 Precision Injection with Gun Injection Device......Page p0389.djvu
References......Page p0391.djvu
52.1 Introduction......Page p0392.djvu
References......Page p0394.djvu
53.2 Materials and Methods......Page p0395.djvu
53.3 Results......Page p0396.djvu
53.4 Histopathologic Examination Findings......Page p0397.djvu
53.5 Discussion......Page p0398.djvu
References......Page p0400.djvu
Part VI Complications......Page p0402.djvu
54.2 Complications......Page p0403.djvu
54.2.1 Viral Infection/Warty Over-Growth......Page p0404.djvu
References......Page p0410.djvu
55.2 Patients and Methods......Page p0412.djvu
55.3 Results......Page p0413.djvu
55.4 Discussion......Page p0414.djvu
References......Page p0415.djvu
56.2 Contour Deformity......Page p0417.djvu
56.5 Conclusions......Page p0419.djvu
References......Page p0420.djvu
Part VII Miscellaneous......Page p0421.djvu
57.2 Historical Perspective......Page p0422.djvu
57.3 Liposuction and Free Adipose Transfer......Page p0423.djvu
57.4 Viability of Human Adipocytes After Aspiration Harvest......Page p0424.djvu
57.7 Tissue Handling......Page p0425.djvu
References......Page p0426.djvu
58.1 Introduction......Page p0428.djvu
58.2 Materials and Methods......Page p0429.djvu
58.4 Results of Samples......Page p0430.djvu
58.6 Conclusions......Page p0431.djvu
References......Page p0432.djvu
59.2 Methods......Page p0434.djvu
59.5 Technique......Page p0437.djvu
59.6 Outcomes......Page p0438.djvu
59.7 Discussion......Page p0439.djvu
References......Page p0440.djvu
60.2.5 Standard of Care......Page p0442.djvu
60.5 Legal Aspects......Page p0443.djvu
60.9 Fat Hypertrophy......Page p0444.djvu
References......Page p0445.djvu
61.1 Introduction......Page p0446.djvu
Index......Page p0449.djvu
