Megavolume Autologous Fat Transfer
2014; Lippincott Williams & Wilkins; Volume: 133; Issue: 6 Linguagem: Inglês
10.1097/prs.0000000000000179
ISSN1529-4242
AutoresRoger K. Khouri, Gino Rigotti, Eufemiano Cardoso, Roger K. Khouri, Thomas M. Biggs,
Tópico(s)Body Contouring and Surgery
ResumoSummary: The authors describe the techniques that use the principles of fat grafting to allow them to successfully graft megavolumes (250-ml range) of autologous fat into breasts. The Brava external volume expansion device preoperatively increases the volume and vascularity of the recipient site. Low-pressure liposuction and minimal centrifugation are used to gently extract and purify the adipose tissue with minimal trauma. Even and diffuse reinjection of the fat increases graft-to-recipient interface and reduces interstitial fluid pressure. Postoperative Brava use protects the graft and acts as a three-dimensional immobilizing splint. By adhering to these techniques, we have been able to graft megavolumes of fat into the breasts of over 1000 patients and obtain substantial long-term volume retention.
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