Evaluation of Use of Adipose Cells in Various Procedures of Plastic Surgery and its Volumetric Quantification using High Resolution Ultrasound
Introduction: Autologous fat transfer is based on one of the principles of plastic surgery, replace like with like. It is used in wide variety of aesthetic procedures such as lip, facial augmentation and reconstructive procedures such as involutional disorders, post traumatic defects etc. Aim:...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2017-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/10497/25116_CE[Ra]_F(Sh)_PF1_(NE_VT_PY)_PFA(NE_GG).pdf |
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| author | Somashekar Gejje Arun K Singh P.K Srivastava Madhumati Goel Vijay Kumar Amrita Hongal |
| author_facet | Somashekar Gejje Arun K Singh P.K Srivastava Madhumati Goel Vijay Kumar Amrita Hongal |
| author_sort | Somashekar Gejje |
| collection | DOAJ |
| description | Introduction: Autologous fat transfer is based on one of the
principles of plastic surgery, replace like with like. It is used in wide
variety of aesthetic procedures such as lip, facial augmentation
and reconstructive procedures such as involutional disorders,
post traumatic defects etc.
Aim: This prospective study was on the use of adipose cells
in various procedures of plastic surgery, the role of high
resolution ultrasound in estimating the volume of the grafted
fat, comparison of the results based on the different donor sites
of the harvested fat and comparison of the effectiveness of
grafted fat in extremities and craniofacial region.
Materials and Methods: In this prospective study a total of 34
patients underwent fat grafting procedure at various sites of the
body from May 2012 till November 2013. After noting the details
of the patient, details of the defect, laboratory and radiological
investigations, the consent for the fat grafting procedure was
taken. Clinical photographs and High Resolution Ultrasound
(HRUS) volume estimation was done on a regular basis as per
the protocol.
Results: Out of 34 patients, 29 patients underwent free fat
grafting and five patients underwent derma fat grafting. HRUS
at six months revealed a mean 73.5% and 63.5% of the injected
fat remained in contour deformity in extremities and craniofacial
region respectively. HRUS at one year revealed a mean 57.4%
and 41.4% of the injected fat remained in contour deformity in
extremities and craniofacial region respectively.
Conclusion: HRUS is an excellent handy modality for serial
volume estimation, cost-effective, non-invasive, multi planar
modality, does not require any preparation, and easily done
outdoor procedure. Follow up is a practical proposition.
Autologous fat grafting is a safe procedure with no significant
complications other than fat reabsorption and it can be done
under local anaesthesia in contour deformity of smaller areas.
Disadvantage of autologous fat grafting is the fat reabsorption
needing multiple sittings. |
| first_indexed | 2024-12-10T08:36:29Z |
| format | Article |
| id | doaj.art-e306f11e640c4218a6e435c824147b55 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-10T08:36:29Z |
| publishDate | 2017-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-e306f11e640c4218a6e435c824147b552022-12-22T01:55:58ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-08-01118PC17PC2110.7860/JCDR/2017/25116.10497Evaluation of Use of Adipose Cells in Various Procedures of Plastic Surgery and its Volumetric Quantification using High Resolution UltrasoundSomashekar Gejje0Arun K Singh1P.K Srivastava2Madhumati Goel3Vijay Kumar4Amrita Hongal5Consultant, Department of Plastic Surgery, The Bangalore Hospital, Bengaluru, Karnataka, India.Professor and Head, Department of Plastic Surgery, KGMU, Lucknow, Uttar Pradesh, India.Professor, Department of Radiotherapy, KGMU, Lucknow, Uttar Pradesh, India.Professor, Department of Pathology, KGMU, Lucknow, Uttar Pradesh, India.Professor, Department of Plastic Surgery, KGMU, Bengaluru, Karnataka, India.Consultant, Department of Dermatology, The Bangalore Hospital, Bengaluru, Karnataka, India.Introduction: Autologous fat transfer is based on one of the principles of plastic surgery, replace like with like. It is used in wide variety of aesthetic procedures such as lip, facial augmentation and reconstructive procedures such as involutional disorders, post traumatic defects etc. Aim: This prospective study was on the use of adipose cells in various procedures of plastic surgery, the role of high resolution ultrasound in estimating the volume of the grafted fat, comparison of the results based on the different donor sites of the harvested fat and comparison of the effectiveness of grafted fat in extremities and craniofacial region. Materials and Methods: In this prospective study a total of 34 patients underwent fat grafting procedure at various sites of the body from May 2012 till November 2013. After noting the details of the patient, details of the defect, laboratory and radiological investigations, the consent for the fat grafting procedure was taken. Clinical photographs and High Resolution Ultrasound (HRUS) volume estimation was done on a regular basis as per the protocol. Results: Out of 34 patients, 29 patients underwent free fat grafting and five patients underwent derma fat grafting. HRUS at six months revealed a mean 73.5% and 63.5% of the injected fat remained in contour deformity in extremities and craniofacial region respectively. HRUS at one year revealed a mean 57.4% and 41.4% of the injected fat remained in contour deformity in extremities and craniofacial region respectively. Conclusion: HRUS is an excellent handy modality for serial volume estimation, cost-effective, non-invasive, multi planar modality, does not require any preparation, and easily done outdoor procedure. Follow up is a practical proposition. Autologous fat grafting is a safe procedure with no significant complications other than fat reabsorption and it can be done under local anaesthesia in contour deformity of smaller areas. Disadvantage of autologous fat grafting is the fat reabsorption needing multiple sittings.https://jcdr.net/articles/PDF/10497/25116_CE[Ra]_F(Sh)_PF1_(NE_VT_PY)_PFA(NE_GG).pdffat atrophycontour correctionderma fatfat graftingreabsorption |
| spellingShingle | Somashekar Gejje Arun K Singh P.K Srivastava Madhumati Goel Vijay Kumar Amrita Hongal Evaluation of Use of Adipose Cells in Various Procedures of Plastic Surgery and its Volumetric Quantification using High Resolution Ultrasound Journal of Clinical and Diagnostic Research fat atrophy contour correction derma fat fat grafting reabsorption |
| title | Evaluation of Use of Adipose Cells in Various Procedures of Plastic Surgery and its Volumetric Quantification using High Resolution Ultrasound |
| title_full | Evaluation of Use of Adipose Cells in Various Procedures of Plastic Surgery and its Volumetric Quantification using High Resolution Ultrasound |
| title_fullStr | Evaluation of Use of Adipose Cells in Various Procedures of Plastic Surgery and its Volumetric Quantification using High Resolution Ultrasound |
| title_full_unstemmed | Evaluation of Use of Adipose Cells in Various Procedures of Plastic Surgery and its Volumetric Quantification using High Resolution Ultrasound |
| title_short | Evaluation of Use of Adipose Cells in Various Procedures of Plastic Surgery and its Volumetric Quantification using High Resolution Ultrasound |
| title_sort | evaluation of use of adipose cells in various procedures of plastic surgery and its volumetric quantification using high resolution ultrasound |
| topic | fat atrophy contour correction derma fat fat grafting reabsorption |
| url | https://jcdr.net/articles/PDF/10497/25116_CE[Ra]_F(Sh)_PF1_(NE_VT_PY)_PFA(NE_GG).pdf |
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