The Influence of Fat Grafting on Skin Quality in Cosmetic Foot Grafting: A Randomized, Cross-Over Clinical Trial
| Autor: | Jeffrey A. Gusenoff, Beth R Gusenoff, Danielle M. Minteer, Stephanie E Farber |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty 030230 surgery Fat pad law.invention 03 medical and health sciences 0302 clinical medicine Atrophy Randomized controlled trial Dermis law medicine Humans Aged Skin Cross-Over Studies business.industry Forefoot Forefoot Human General Medicine Middle Aged medicine.disease Crossover study Surgery Transplantation Clinical trial medicine.anatomical_structure Adipose Tissue Female business Follow-Up Studies |
| Zdroj: | Aesthetic Surgery Journal. 39:405-412 |
| ISSN: | 1527-330X 1090-820X |
| Popis: | BACKGROUND Pedal fat grafting is a cosmetic procedure to treat the functional and aesthetic sequelae of pedal fat pad atrophy. Fat grafting has been found to mitigate these symptoms, but the exact mechanism is unknown. OBJECTIVES The authors hypothesized that pedal fat grafting may improve skin quality, accounting for prolonged symptomatic improvement despite loss of grafted fat. METHODS Patients with pedal atrophy were enrolled in a randomized crossover clinical trial. Group 1 underwent fat grafting upon enrollment with 2-year follow-up. Group 2 was managed conservatively for 1 year then placed into the fat grafting group with 1-year follow-up. Patients underwent pedal ultrasounds to determine thicknesses of the fat pad and dermis, and photographs were taken to assess skin quality. RESULTS Three men and 20 women with an average age of 63 ± 6 years and an average BMI of 26.0 ± 4.6 kg/m2 were enrolled in the study. Twenty-six feet were injected in Group 1 and 17 were injected in Group 2. Group 1 dermal thickness increased at 6 months post-injection (P < 0.05). This increase persisted through 24 months. Group 2 dermal thickness decreased prior to injection (P < 0.05) but returned to baseline after injection and through 12-month follow-up (P < 0.05). Fat pad thickness returned to baseline by study completion in both groups (P < 0.05). CONCLUSIONS Pedal fat grafting yielded a significant, sustained increase in dermal thickness, though grafted fat was not retained. Fat grafting may improve skin quality, which could contribute to improved clinical outcomes despite loss of grafted fat. LEVEL OF EVIDENCE: 2 |
| Databáze: | OpenAIRE |
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