Safest Practices for Autologous Buttock Augmentation With Fat Grafting Using a Roller Pump Injection Technique
| Autor: | Kristi L. Hustak, Rolando Morales, Paul Fortes, Christopher K. Patronella, German Newall, Marc Everett, Henry A. Mentz |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty medicine.medical_treatment Peristaltic pump 030230 surgery Transplantation Autologous Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Lipectomy medicine Fat grafting Humans Buttocks Aged Retrospective Studies business.industry Organ Size General Medicine Middle Aged Body Contouring Cannula Surgery Treatment Outcome medicine.anatomical_structure Adipose Tissue 030220 oncology & carcinogenesis Liposuction Body contouring Female Complication business Buttock augmentation |
| Zdroj: | Aesthetic Surgery Journal. 38:751-762 |
| ISSN: | 1527-330X 1090-820X |
| Popis: | Background Autologous buttock augmentation with fat grafting has emerged as one of the preeminent modalities for body contouring employed by plastic surgeons today. Since 2009, we have used the roller pump injection technique. Objectives This procedure can be performed safely without specialized equipment and eliminates the tasks of manual graft preparation and injection. We describe our technique and standard safety measures. The anatomy of and complications associated with liposuction and fat grafting were recorded and reviewed. Methods Retrospective chart review of 916 patients who underwent autologous buttock augmentation by this method from February 2009 to November 2016 was performed. All procedures were performed under general anesthesia at the same surgical center. Liposuction was performed and using a roller pump, the fat layer was propelled through an open-ended cannula into the recipient site. Results Mean volume of fat removed and fat grafted in each patient was 3156 mL and 1807 mL per patient, respectively. There were complications in 13 patients for a rate of 1.4% with 10 (1.1%) related to fat grafting. Fourteen patients (1.5%) had subsequent procedures for volume and four patients (0.44%) for asymmetry. There were no venous thrombolic events, fat embolic events, or deaths. Conclusions The roller pump injection technique for buttock augmentation with fat grafting is safe and efficient. This technique minimizes preparatory effort and does not require additional equipment. We were unable to identify variables associated with complication risk due to the power of this study and the low percentage of complications. Level of Evidence 4 |
| Databáze: | OpenAIRE |
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