Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRES
Background:. Fat grafting has established its niche in a wide spectrum of aesthetic and reconstructive procedures. A consensus-based method of harvest, processing, enrichment, injection, and assessment is lacking, despite the rising trends in its application. We conducted a survey among plastic surg...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-03-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004849 |
| _version_ | 1797840132398645248 |
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| author | Macarena Vizcay, MD Shivangi Saha, MD Arbab Mohammad Lee L.Q. Pu, MD, PhD, FACS Kotaro Yoshimura, MD Guy Magalon, MD Roger Khouri, MD, FACS Sydney Coleman, MD Gino Rigotti, MD Stefania DeFazio, MD |
| author_facet | Macarena Vizcay, MD Shivangi Saha, MD Arbab Mohammad Lee L.Q. Pu, MD, PhD, FACS Kotaro Yoshimura, MD Guy Magalon, MD Roger Khouri, MD, FACS Sydney Coleman, MD Gino Rigotti, MD Stefania DeFazio, MD |
| author_sort | Macarena Vizcay, MD |
| collection | DOAJ |
| description | Background:. Fat grafting has established its niche in a wide spectrum of aesthetic and reconstructive procedures. A consensus-based method of harvest, processing, enrichment, injection, and assessment is lacking, despite the rising trends in its application. We conducted a survey among plastic surgeons to evaluate and identify trends of fat grafting practices.
Methods:. We conducted an electronic survey with a 30-item questionnaire of 62 members of the International Society of Plastic Regenerative Surgeons. We collected demographic information, techniques, and experiences related to large volume (100–200 ml) and small-volume (<100 ml) fat grafting.
Results:. The majority of the respondents worked predominantly as aesthetic surgeons. The donor area selection was based on the patient’s fat availability (59.7%). For fat enrichment, platelet-rich-plasma and adipose stem cells were routinely used by 12.9% and 9.7% of respondents, respectively. A 3- to 4-mm cannula with three holes was the most preferred instrument for large-volume fat harvesting (69.5%). For small-volume fat grafting, 2-mm cannulas (75.8%) with Mercedes tip (27.3%) were used most commonly. For processing, decantation of fat was performed by 56.5% of respondents (without exclusivity). For handheld injections (without exclusivity), respondents preferred a 1- to 2-mm cannula with a 1 cm3 syringe. The most popular method of outcome assessment was photographic evaluation.
Conclusions:. The respondents’ tendencies were similar to those reported in the previous literature, with some exceptions, such as the technique for preparing fat and enrichment. A wider cross-sectional survey, involving national delegates and global representatives of plastic surgeons, is anticipated. |
| first_indexed | 2024-04-09T16:09:42Z |
| format | Article |
| id | doaj.art-4794e952603b480c8d062f4e155b4db3 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-09T16:09:42Z |
| publishDate | 2023-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-4794e952603b480c8d062f4e155b4db32023-04-24T10:07:39ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-03-01113e484910.1097/GOX.0000000000004849202303000-00063Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRESMacarena Vizcay, MD0Shivangi Saha, MD1Arbab Mohammad2Lee L.Q. Pu, MD, PhD, FACS3Kotaro Yoshimura, MD4Guy Magalon, MD5Roger Khouri, MD, FACS6Sydney Coleman, MD7Gino Rigotti, MD8Stefania DeFazio, MD9From the * Reconstructive Microsurgery Service, University Department of Hand Surgery & Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group Milan, Italy† Department of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India‡ Aarupadai Veedu Medical College and Hospital, Puducherry, India§ Division of Plastic Surgery, University of California, Davis, Ca.¶ Department of Plastic Surgery, School of Medicine, Jichi Medical University, Tochigi, Japan‖ Department of Plastic Surgery, Assistance Publique Hôpitaux de Marseille, Aix-Marseille University, Marseille, France** Miami Breast Center, Key Biscayne, Fla.†† Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.‡‡ San Francesco Hospital, Via Monte Ortigara, Verona, Italy§§ Board Certified Plastic Surgeon, Rome, Italy; Secretary, ISPRES.Background:. Fat grafting has established its niche in a wide spectrum of aesthetic and reconstructive procedures. A consensus-based method of harvest, processing, enrichment, injection, and assessment is lacking, despite the rising trends in its application. We conducted a survey among plastic surgeons to evaluate and identify trends of fat grafting practices. Methods:. We conducted an electronic survey with a 30-item questionnaire of 62 members of the International Society of Plastic Regenerative Surgeons. We collected demographic information, techniques, and experiences related to large volume (100–200 ml) and small-volume (<100 ml) fat grafting. Results:. The majority of the respondents worked predominantly as aesthetic surgeons. The donor area selection was based on the patient’s fat availability (59.7%). For fat enrichment, platelet-rich-plasma and adipose stem cells were routinely used by 12.9% and 9.7% of respondents, respectively. A 3- to 4-mm cannula with three holes was the most preferred instrument for large-volume fat harvesting (69.5%). For small-volume fat grafting, 2-mm cannulas (75.8%) with Mercedes tip (27.3%) were used most commonly. For processing, decantation of fat was performed by 56.5% of respondents (without exclusivity). For handheld injections (without exclusivity), respondents preferred a 1- to 2-mm cannula with a 1 cm3 syringe. The most popular method of outcome assessment was photographic evaluation. Conclusions:. The respondents’ tendencies were similar to those reported in the previous literature, with some exceptions, such as the technique for preparing fat and enrichment. A wider cross-sectional survey, involving national delegates and global representatives of plastic surgeons, is anticipated.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004849 |
| spellingShingle | Macarena Vizcay, MD Shivangi Saha, MD Arbab Mohammad Lee L.Q. Pu, MD, PhD, FACS Kotaro Yoshimura, MD Guy Magalon, MD Roger Khouri, MD, FACS Sydney Coleman, MD Gino Rigotti, MD Stefania DeFazio, MD Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRES Plastic and Reconstructive Surgery, Global Open |
| title | Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRES |
| title_full | Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRES |
| title_fullStr | Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRES |
| title_full_unstemmed | Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRES |
| title_short | Current Fat Grafting Practices and Preferences: A Survey from Members of ISPRES |
| title_sort | current fat grafting practices and preferences a survey from members of ispres |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004849 |
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