High-Definition Excisional Body Contouring
We describe our experience in full and mini abdominoplasties with a 360-degree approach, involving all muscular groups and body segments as described by high-definition liposculpture. Selective fat grafting is also safely performed in specific areas to improve projection and volume. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 22, 2020 Category: Cosmetic Surgery Authors: Alfredo E. Hoyos Ariza, Mauricio E. Perez Pachon Source Type: research

Abdominoplasty
CLINICS IN PLASTIC SURGERY (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 22, 2020 Category: Cosmetic Surgery Authors: Alan Matarasso, James E. Zins Source Type: research

Copyright
ELSEVIER (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 22, 2020 Category: Cosmetic Surgery Source Type: research

Contributors
ALAN MATARASSO, MD, FACS (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 22, 2020 Category: Cosmetic Surgery Source Type: research

Contents
Alan Matarasso and James E. Zins (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 22, 2020 Category: Cosmetic Surgery Source Type: research

Clinics in Plastic Surgery
Microsurgery: Global Perspectives, An Update (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 22, 2020 Category: Cosmetic Surgery Source Type: research

Abdominoplasty After Massive Weight Loss
After massive weight loss (MWL), patients present with deformities that are more severe and often different than those observed in standard cosmetic abdominoplasty. The first step is careful consideration of the special factors involved in preoperative screening of patients with MWL presenting for body contouring surgery. Once these patient factors are optimized and surgery is considered, careful analysis of anatomic deformities should ensue. Technical variations of standard abdominoplasty are often required. With proper attention to safe screening, analysis of the anatomic deformities, and application of relevant techniqu...
Source: Clinics in Plastic Surgery - May 5, 2020 Category: Cosmetic Surgery Authors: Jonathan P. Brower, J. Peter Rubin Source Type: research

Drainless Abdominoplasty Using Progressive Tension Sutures
This article provides in-depth technical details on the authors ’ no-drain abdominoplasty technique. The authors also address through recent literature some of the commonly stated barriers to surgeons instituting this technique into their abdominoplasty procedure, including excessive time of placement, dimpling, and effectiveness. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - May 5, 2020 Category: Cosmetic Surgery Authors: Todd A. Pollock, Harlan Pollock Source Type: research

Lipoabdominoplasty with Anatomic Definition
Lipoabdominoplasty is one of the most frequent abdominal body contouring procedures performed today. It guarantees a safe combination of abdominoplasty and liposuction while minimizing the risk of ischemic flap complications. This is because of the limited undermining performed and the liposuction adjunct, both of which minimize perforator injury. In the last several years, the integration of anatomic definition through the use of liposuction has further refined the procedure, led to improved results, and increased patient satisfaction. The more natural results of the anatomic abdominal definition is a next step in abdomin...
Source: Clinics in Plastic Surgery - April 28, 2020 Category: Cosmetic Surgery Authors: Osvaldo Saldanha, Andr és I. Ordenes, Carlos Goyeneche, Nicolas Oyarce, Martha Paredes, Osvaldo Saldanha Filho, Cristianna Bonetto Saldanha Source Type: research

Noninvasive Abdominoplasty
Noninvasive and minimally invasive treatments are increasingly supplanting, or complimenting, abdominoplasty. For optimal delivery of patient care and to maintain a dominant share of the body-contouring market, plastic surgeons need to embrace these new technologies. High capital purchases, costly disposables, maintenance fees, lack of experience, conflicting anecdotal reports, energy-related complications, marketing hyperbole, and rapid obsolescence are formidable barriers to this adoption. Receptive plastic surgeons may be best served by accepting brief short-term retrospective reports by reputable innovative body contou...
Source: Clinics in Plastic Surgery - April 27, 2020 Category: Cosmetic Surgery Authors: Dennis J. Hurwitz, Lauren Wright Source Type: research

Abdominal Etching
This article offers a comprehensive description of the authors ’ technique, including preoperative assessment, intraoperative procedure, and postoperative care for patients undergoing abdominal etching. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - April 24, 2020 Category: Cosmetic Surgery Authors: Ahmad Saad, Nahas Combina Luciano, Altamirano-Arcos Carlos Source Type: research

Abdominoplasty: State-of-the-Art
While journal articles are instructive, they may often give the reader a single surgeon ’s perspective. Furthermore, the article may or may not compare and contrast the author’s results with the previous plastic surgery literature. Continuing Medical Education (CME) articles may address a topic of clinical importance in its entirety but often lack sufficient detail due to journal s pace constraints. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - April 20, 2020 Category: Cosmetic Surgery Authors: Alan Matarasso, James E. Zins Tags: Preface Source Type: research

Measuring Outcomes in Cosmetic Abdominoplasty
The BODY-Q is a condition-specific patient-reported outcome measure that enables a comprehensive assessment of outcomes that are specific to patients undergoing body contouring procedures such as abdominoplasty. The BODY-Q scales were designed to be responsive to the effects of abdominoplasty on health-related quality of life and appearance outcomes. The BODY-Q covers a range of content domains, and the independently functioning scales enable surgeons to tailor the BODY-Q to their needs. The application of the BODY-Q in cosmetic clinics internationally may give rise to better understanding of abdominoplasty outcomes and op...
Source: Clinics in Plastic Surgery - April 17, 2020 Category: Cosmetic Surgery Authors: Claire E.E. de Vries, Anne F. Klassen, Maarten M. Hoogbergen, Amy K. Alderman, Andrea L. Pusic Source Type: research

Deep Venous Thrombosis Prophylaxis
This article summarizes the current evidence for the incidence of VTE events in abdominoplasty and abdominoplasty combined with other procedures, the current recommendations for risk stratification and management, and options available for mechanical and chemical VTE prophylaxis. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - April 16, 2020 Category: Cosmetic Surgery Authors: Casey T. Kraft, Jeffrey E. Janis Source Type: research

Abdominoplasty with Combined Surgery
Abdominoplasty is the fifth most common cosmetic plastic surgery procedure performed in the United States and combining it with other procedures has become more the norm than the outlier. Liposuction is the most common adjunctive procedure, followed by breast surgery, lower back lift, and thigh lift, in addition to hernia repair and gynecologic procedures. The goal of these combination procedures includes creating more global aesthetic improvement while protecting patients from complications, based on consideration of confounding medical variables and increased risks presented by surgery of prolonged duration and exposure....
Source: Clinics in Plastic Surgery - April 2, 2020 Category: Cosmetic Surgery Authors: Michele A. Shermak Source Type: research

Enhanced Recovery After Surgery Pathways in Breast Reconstruction
The Enhanced Recovery After Surgery (ERAS) protocol is a multidisciplinary, multimodal, and evidence-based approach to perioperative management. The ERAS pathway has been applied to numerous major surgical procedures throughout various specialties and has shown reduced postoperative morbidity, reduced opioid use, higher patient satisfaction, and shortened hospital length of stay. In the current health care climate, there has been a growing focus on optimizing the quality of care for patients and reducing the overall cost burden of health care. In this article, the authors review the ERAS pathways for breast reconstruction ...
Source: Clinics in Plastic Surgery - February 28, 2020 Category: Cosmetic Surgery Authors: Sarah Persing, Michele Manahan, Gedge Rosson Source Type: research

The Opioid Epidemic
Increases in opioid prescribing over the last several decades is correlated with an alarming increase in opioid-related morbidity and mortality owing to both prescription opioid misuse and abuse as well as heroin abuse. Prescribing after surgery is commonly in excess, and leftover pills are an important driver of opioid use disorders owing to diversion and misuse. Creating evidence-based prescribing guidelines based on patient-centered outcomes and encouraging safe opioid storage and disposal is critical to curbing opioid-related morbidity and mortality going forward and to ensure safe and appropriate postoperative pain ma...
Source: Clinics in Plastic Surgery - February 28, 2020 Category: Cosmetic Surgery Authors: Lily A. Upp, Jennifer F. Waljee Source Type: research

Nerve Entrapments
There are more than 2 dozen nerve entrapment syndromes in the body. Generally, these occur at sites of fibroosseous or fibromuscular tunnels. Any insult that leads to an increase in the size of the nerve or a decrease in the volume of the tunnel will cause compression. Resultant nerve ischemia sets off a cascade of events that lead to predictable clinical signs and symptoms. Here, we review the most common nerve entrapment syndromes and highlight their assessment and management. Specific clinical scenarios that require a high suspicion for nerve entrapment are highlighted. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 28, 2020 Category: Cosmetic Surgery Authors: Lauren Jacobson, Jana Dengler, Amy M. Moore Source Type: research

The Maladies of Pain
In 1993, Paul Brand and Phillip Yancey wrote about the importance of pain in a book entitled, Pain, The Gift Nobody Wants. This was followed in 1997 by their book entitled, The Gift of Pain. Each book embraces the essential role that pain has in protecting the body from further harm. As an intensely unpleasant sensation, pain makes our bodies withdraw from the offensive malefactor to the security of an innocuous environment. So pain is good! Pain is a gift. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 28, 2020 Category: Cosmetic Surgery Authors: Michael W. Neumeister, Reuben A. Bueno Tags: Preface Source Type: research

Pain Management in Plastic Surgery
CLINICS IN PLASTIC SURGERY (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 28, 2020 Category: Cosmetic Surgery Authors: Michael W. Neumeister, Reuben A. Bueno Source Type: research

Copyright
ELSEVIER (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 28, 2020 Category: Cosmetic Surgery Source Type: research

Contributors
MICHAEL W. NEUMEISTER, MD, FRCSC, FACS (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 28, 2020 Category: Cosmetic Surgery Source Type: research

Contents
Michael W. Neumeister and Reuben A. Bueno Jr (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 28, 2020 Category: Cosmetic Surgery Source Type: research

Forthcoming Issues
Abdominoplasty (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 28, 2020 Category: Cosmetic Surgery Source Type: research

Fibromyalgia
is characterized by generalized pain, specific sites of musculoskeletal tenderness, fatigue, sleep disturbance, headaches, and many other visceral and cognitive maladies. The epidemiology is not well-elucidated and the diagnoses and management can be difficult. Surgery may not be the most appropriate management of some of these pain conditions like fibromyalgia. It may even be more difficult to discern some surgical conditions from points of heightened sensitivity in the fibromyalgia patient. Close attention to the current and past medical history in such patients should aid the surgeon in his attempt to rid the patient o...
Source: Clinics in Plastic Surgery - February 6, 2020 Category: Cosmetic Surgery Authors: Michael W. Neumeister, Evyn L. Neumeister Source Type: research

Pediatric Pain Management in Plastic Surgery
Adequate pediatric pain management is difficult to achieve for a variety of reasons. Pain assessment is more difficult in the pediatric population. There are a variety of different tools that may be used to accurately assess pain. There are many modalities to achieve pain control, including pharmacologic and nonpharmacologic means. These different modalities should be used in unison to achieve pain control. Compartment syndrome is a surgical emergency, and pediatric patients present differently from adult patients. The 3 As (anxiety, agitation, increase in analgesia requirement) should be monitored in all pediatric patient...
Source: Clinics in Plastic Surgery - February 6, 2020 Category: Cosmetic Surgery Authors: Kory D. Blank, Norman Y. Otsuka Source Type: research

Migraine Treatment
Migraine headaches affect more than 35 million Americans and are ranked the third-highest cause of disability worldwide, resulting in decreased quality of life and serious economic consequences. There are 4 types of migraine headaches: frontal, temporal, occipital, and rhinogenic. Each type has a well-described trigger site. Migraines headaches often are refractory to medical therapy and may respond well to botulinum toxin type A. Migraine surgery is another option to release trigger sites. A systematic review of the migraine surgery literature found an average success rate of 90%, with elimination or greater than 50% impr...
Source: Clinics in Plastic Surgery - February 6, 2020 Category: Cosmetic Surgery Authors: Danielle Olla, Justin Sawyer, Nicole Sommer, John B. Moore Source Type: research

Imaging of Damaged Nerves
Nerve imaging is an important component in the assessment of patients presenting with suspected peripheral nerve pathology. Although magnetic resonance neurography and ultrasound are the most commonly utilized techniques, several promising new modalities are on the horizon. Nerve imaging is useful in localizing the nerve injury, determining the severity, providing prognostic information, helping establish the diagnosis, and helping guide surgical decision making. The focus of this article is imaging of damaged nerves, focusing on nerve injuries and entrapment neuropathies. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 5, 2020 Category: Cosmetic Surgery Authors: David A. Purger, Sarada Sakamuri, Nicholas F. Hug, Sandip Biswal, Thomas J. Wilson Source Type: research

Perioperative Pain Management in Hand and Upper Extremity Surgery
Perioperative pain management in surgery of the hand and upper extremity relies on a multimodal approach involving systemic, local, and presurgical considerations. A pain management plan should be tailored to each patient. Management of pain of patients undergoing upper extremity surgery begins before surgical intervention and continues postoperatively. Patient education, setting expectations, psychological interventions, and addressing risk factors associated with postoperative pain are critical to successful pain management. Intraoperative anesthesia is accomplished via a variety of means. Cryotherapy, transcutaneous ele...
Source: Clinics in Plastic Surgery - February 5, 2020 Category: Cosmetic Surgery Authors: Evyn L. Neumeister, Austin M. Beason, Jacob A. Thayer, Youssef El Bitar Source Type: research

Targeted Muscle Reinnervation for Treatment of Neuropathic Pain
Targeted Muscle Reinnervation (TMR) is a reproducible procedure for effective prevention and treatment of neuropathic pain. Recent studies have demonstrated that TMR is more successful in treating neuroma pain than the standard method of neuroma excision and burying into muscle. The fundamental concept of TMR is that providing severed nerve endings a place to go and something to do facilitates normal healing. Future studies will continue to support the use of TMR for any region of the body where an injured nerve may develop a painful neuroma. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 5, 2020 Category: Cosmetic Surgery Authors: Ava G. Chappell, Sumanas W. Jordan, Gregory A. Dumanian Source Type: research

Pain Management in Plastic Surgery
This article reviews pain management strategies available to plastic surgeons based on therapeutic class of medication and provides a framework for pain management based on Enhanced Recovery After Surgery (ERAS) protocols. The authors have developed a multimodal analgesia regimen to treat postsurgical pain. This article discusses opioids, acetaminophen, nonsteroidal antiinflammatory drugs, cyclooxygenase-2 inhibitors, gabapentin, muscle relaxants, steroids, and local anesthetics. It also discusses tumescent analgesia, regional blocks, and epidurals. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - February 1, 2020 Category: Cosmetic Surgery Authors: Anna R. Schoenbrunner, Jeffrey E. Janis Source Type: research

Regenerative Peripheral Nerve Interfaces for Prevention and Management of Neuromas
Symptomatic neuromas are a common cause of postamputation pain that can lead to significant disability. Regenerative peripheral nerve interface surgery is performed to treat symptomatic neuromas and prevent the development of neuromas. This review delineates the clinical problem of postamputation pain, describes the limitations of the available treatment methods, and highlights the need for an effective treatment strategy that leverages the biologic processes of nerve regeneration and muscle reinnervation. The evidence supporting use of regenerative peripheral nerve interface surgery to mitigate neuroma formation is discus...
Source: Clinics in Plastic Surgery - February 1, 2020 Category: Cosmetic Surgery Authors: Katherine B. Santosa, Jeremie D. Oliver, Paul S. Cederna, Theodore A. Kung Source Type: research

Neuroma
formation occurs because of some degree of nerve injury followed by improper intrinsic nerve repair. The cause of neuroma pain is incompletely understood, but appears to be multifactorial in nature, including local and system changes. A comprehensive understanding of nerve anatomy, injury, and repair techniques should be used when dealing with neuroma formation and its physical manifestations. Diagnosis of neuroma is clinically characterized by pain associated with scar, altered sensation within the given nerve distribution, and a Tinel sign. The pathophysiology of neuroma formation is reviewed. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - January 30, 2020 Category: Cosmetic Surgery Authors: Michael W. Neumeister, James N. Winters Source Type: research

Complex Regional Pain Syndrome
Complex regional pain syndrome (CRPS) has been described as pain a patient feels that is disproportionate to the inciting event. CRPS is also associated with autonomic dysfunction, swelling, dystrophic skin changes, stiffness, functional impairment, and eventual atrophy. This hyperalgesic disease affects musculoskeletal, neural, and vascular structures more commonly in the upper extremity than the lower extremity. Although the etiology behind the pathophysiology of CRPS is unknown, the pain pathway extending from peripheral nociception to central nervous system modulation of stimuli is highly sensitized and overactive, dis...
Source: Clinics in Plastic Surgery - January 30, 2020 Category: Cosmetic Surgery Authors: Michael W. Neumeister, Michael R. Romanelli Source Type: research

Pain
involves a complex interplay between messages sent from the periphery to the central nervous system and vice versa. Specific pathways play a vital role in carrying these messages, and modulating, or exacerbating their downstream effects. This review describes the anatomy and physiology of pain emphasizing targeted treatment pathways of pain. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - January 13, 2020 Category: Cosmetic Surgery Authors: Greg I. Lee, Michael W. Neumeister Source Type: research

Ischemic Pain
This article discusses the pathophysiology, presentation, cause, and treatment of ischemic pain in the surgical patient. Causes of ischemic pain vary but all fundamentally cause local acidosis in the peripheral tissues, which causes signals to be passed through ascending pain pathways to the thalamus and eventual cerebral cortex where it is interpreted as ischemic pain. Ischemic pain is classically associated with an insidious onset but can present in the acute or chronic setting. Treatments are aimed at improving perfusion to the affected tissue. Surgical options include repairing damaged vessels, bypassing diseased vesse...
Source: Clinics in Plastic Surgery - January 13, 2020 Category: Cosmetic Surgery Authors: Michael Romanelli, Jacob A. Thayer, Michael W. Neumeister Source Type: research

Fat Grafting for Treatment of Secondary Facial Deformity
This article examines the evidence and practical aspects involved in the decision making and technique of fat grafting to treat secondary craniofacial deformities. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 16, 2019 Category: Cosmetic Surgery Authors: Francesco M. Egro, Sydney R. Coleman, J. Peter Rubin Source Type: research

Fat Grafting to the Face for Rejuvenation, Contouring, or Regenerative Surgery
CLINICS IN PLASTIC SURGERY (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 16, 2019 Category: Cosmetic Surgery Authors: Lee L.Q. Pu Source Type: research

Copyright
ELSEVIER (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 16, 2019 Category: Cosmetic Surgery Source Type: research

Contributors
LEE L.Q. PU, MD, PhD, FACS (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 16, 2019 Category: Cosmetic Surgery Source Type: research

Contents
Lee L.Q. Pu (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 16, 2019 Category: Cosmetic Surgery Source Type: research

Forthcoming Issues
Pain Management in Plastic Surgery (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - November 16, 2019 Category: Cosmetic Surgery Source Type: research

Fat Grafting for Treatment of Facial Burns and Burn Scars
This article presents the authors ’ experience with the use of fat grafting via the Coleman technique, for the adjuvant treatment of facial burn wounds and their sequelae. It demonstrates the regenerative effects of fat injected under the wound and/or the scar as well as of fat delivered to the debrided surface of the wound and to the surface of the scar after laser treatment or microneedling. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - October 29, 2019 Category: Cosmetic Surgery Authors: Nelson Sarto Piccolo, M ônica Sarto Piccolo, Nelson de Paula Pìccolo, Paulo de Paula Piccolo, Natalia de Paula Piccolo, Ricardo Piccolo Daher, Roberta Piccolo Lobo, Silvia Piccolo Daher, Maria Thereza Sarto Piccolo Source Type: research

Fat Grafting for Facial Rejuvenation in Asians
Fat grafting is one of the most prevalent fields in facial rejuvenation at present. The procedures include the evaluation of recipient and donor areas, as well as fat harvesting, processing, and reinjection. Inappropriate treatment of each link may affect the final effect on the whole. The authors believe that understanding of facial anatomy and personalized therapy are the key to successful operation. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - October 28, 2019 Category: Cosmetic Surgery Authors: Zhibin Yang, Ming Li, Shengyang Jin, Xinyu Zhang, Xuefeng Han, Facheng Li Source Type: research

Fat Grafting for Facial Rejuvenation through Injectable Tissue Replacement and Regeneration
Injectable tissue replacement and regeneration (ITR2) is a standardized fat grafting technique, which anatomically addresses losses of facial volume, laxity, and sun damage of the skin resulting from the natural processes of aging. Based on the structural differences of fat existing in the deeper versus the superficial fat compartments of the face, while accounting for skeletal losses and skin aging, ITR2 utilizes 3 sizes of fat grafts —millifat (parcel size 2.0–2.5 mm), microfat (1.0 mm), and nanofat ( (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - October 28, 2019 Category: Cosmetic Surgery Authors: Steven R. Cohen, Hayley Womack, Ali Ghanem Source Type: research

Fat Grafting for Facial Rejuvenation with Nanofat Grafts
This article describes the techniques and the authors ’ experiences in nanofat grafting, and its potential new applications in regenerative medicine. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - October 28, 2019 Category: Cosmetic Surgery Authors: Patrick Tonnard, Alexis Verpaele, Marcelo Carvas Source Type: research

Fat Grafting for Treatment of Facial Scleroderma
This article focuses on systemic sclerosis, a rare autoimmune disease characterized by skin fibrosis and microvascular damage. Lesions of the face are almost always present; however, current therapy is insufficient and patients have considerable disability and social discomfort. This article presents our approach to using fat grafting in the face as an innovative and promising therapy for patients with systemic sclerosis. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - October 28, 2019 Category: Cosmetic Surgery Authors: Aur élie Daumas, Jeremy Magalon, Flore Delaunay, Maxime Abellan, Cécile Philandrianos, Florence Sabatier, Brigitte Granel, Guy Magalon Source Type: research

Fat Grafting for Facial Rejuvenation Using Stromal Vascular Fraction Gel Injection
This study used stromal vascular fraction gel (SVF-gel), a mechanically processed fat-derived product, to treat eye bag and tear trough deformity. SVF-gel is prepared by a process of centrifugation and intersyringe shifting and is particularly rich in SVF cells and native adipose extracellular matrix. SVF-gel injection is used alone or combined with transconjunctival eye bag removal. High satisfaction was noted among patients treated with SVF-gel injection for periorbital rejuvenation with fairly low complication rates. SVF-gel injection is a good alternative to assist transconjunctival lower eyelid blepharoplasty and corr...
Source: Clinics in Plastic Surgery - October 28, 2019 Category: Cosmetic Surgery Authors: Shenglu Jiang, Yuping Quan, Jing Wang, Junrong Cai, Feng Lu Source Type: research

Fat Grafting for Facial Rejuvenation
The author provides his preferred approach to fat grafting for facial rejuvenation. The preferred donor sites include low abdomen and inner thigh. Fat grafts should be harvested with low negative pressure to ensure the integrity and viability of adipocytes. Fat grafts can be processed with proper centrifugation that can reliably produce purified fat with concentrated growth factors and adipose-derived stem cells, all of which are beneficial to improve graft survival. The approach described in this article is supported by the most scientific studies and thus may provide a more predictable long-lasting result if performed pr...
Source: Clinics in Plastic Surgery - October 25, 2019 Category: Cosmetic Surgery Authors: Lee L.Q. Pu Source Type: research

Fat Grafting for Facial Contouring Using Mechanically Stromal Vascular Fraction –Enriched Lipotransfer
Autologous fat graft has limitations, especially long-term unpredictability of volume maintenance. The mechanical enrichment of fat graft with adipose-derived stem cells (ADSCs) could guarantee the survival of fat grafts. After decantation, washing, and centrifugation of lipoaspirate, the authors carried out histochemical analysis and flow cytometry to determine the best layers for preparing ADSC-enriched fat. After centrifugation, the stromal vascular fraction (SVF) was separated by mechanical dissociation and mixed with another layer of intact adipocytes, which was injected into patients. All patients showed volumetric i...
Source: Clinics in Plastic Surgery - October 25, 2019 Category: Cosmetic Surgery Authors: Natale Ferreira Gontijo-de-Amorim, Luiz Charles-de-S á, Gino Rigotti Source Type: research