Department of Plastic Surgery, LH Clinic, Rua Xavier da Silveira 45/206, Rio de Janeiro, Brazil.
Aesthetic Plast Surg. 2011 Dec;35(6):1000-8. doi: 10.1007/s00266-011-9720-1. Epub 2011 May 10.
In many countries, liposuction is the most frequently performed aesthetic procedure. Although liposuction has been considered a safe surgical procedure, reports indicate that it can have significant sequelae. Irregularities ranging from "oversuctioning" to bumpy skin and asymmetries result from inadequate experience of the surgeon.
A total of 57 consecutive female patients were operated on from June 2005 to June 2007. The age distribution of the patients ranged from 22 to 53 years, with a mean of 34.2 years. All the patients that were included in the study had undergone from one to three liposuction procedures. Overall satisfaction with the body appearance after autologous fat transplantation for correction of postliposuction irregularities was rated on a scale of 1-5, where 1 is poor, 2 is fair, 3 is good, 4 is very good, and 5 is excellent.
The total amount of clean adipose tissue transplanted varied from 14 to 120 ml. There were no cases of liponecrosis, which developed in the grafted area, and no liponecrotic lumps were palpated on postoperative evaluation on any operated cases. There were no cases of cellulitis at the donor or grafted area, no deep vein thrombosis, and no pulmonary embolism. There were nine cases that needed one additional session of fat grafting of 5-35 ml. Seven of those cases needed further fat grafting on the abdominal area and the remaining two needed further grafting of the infragluteal depressions. At 12 months, 68% reported that their appearance after autologous fat grafting was "very good" to "excellent" and 23% responded that their appearance was "good." Only 9% of patients thought their appearance was less than good.
With the overall acceptance of aesthetic surgery increasing and the number of patients undergoing liposuction increasing, it is likely that plastic surgeons will see more patients requesting secondary contour surgery in the future. The key to successful autologous fat grafting is familiarity with the technique, recognizing its limitations, and understanding the goals of the patient. This study has shown that the patient satisfaction rate observed after autologous fat transplantation produces aesthetically acceptable results in correcting post liposuction deformities.
在许多国家，吸脂术是最常进行的美容手术。尽管吸脂术被认为是一种安全的手术，但有报道表明它可能会产生严重的后遗症。从“过度抽吸”到皮肤不平整和不对称等不规则现象，都是由于医生经验不足造成的。
2005 年 6 月至 2007 年 6 月，对 57 例连续女性患者进行了手术。患者年龄分布在 22 至 53 岁之间，平均 34.2 岁。所有纳入研究的患者均接受过 1 至 3 次吸脂术。自体脂肪移植矫正吸脂术后畸形后对身体外观的总体满意度在 1-5 分之间进行评分，其中 1 分为差，2 分为一般，3 分为好，4 分为很好，5 分为优秀。
移植的清洁脂肪组织总量从 14 至 120ml 不等。在受区没有发生脂肪坏死，术后评估也没有触诊到脂肪坏死肿块。供区或受区无蜂窝织炎、深静脉血栓形成和肺栓塞。有 9 例需要再进行 5-35ml 的脂肪移植。其中 7 例需要进一步进行腹部脂肪移植，其余 2 例需要进一步进行臀下凹陷处的脂肪移植。在 12 个月时，68%的患者报告自体脂肪移植后的外观“非常好”到“优秀”，23%的患者报告外观“好”。只有 9%的患者认为自己的外观“不够好”。
随着人们对美容手术的整体接受度的提高和接受吸脂术的患者数量的增加，未来整形外科医生可能会看到更多的患者要求进行二次轮廓整形手术。自体脂肪移植成功的关键是熟悉技术、认识到其局限性，并了解患者的目标。本研究表明，自体脂肪移植后观察到的患者满意度率在矫正吸脂术后畸形方面产生了可接受的美学效果。
