Münch D P
Chirurgische Praxis, Liposuction.ch, Wiedlisbach/Bern, Schweiz.
Handchir Mikrochir Plast Chir. 2013 Apr;45(2):80-92. doi: 10.1055/s-0033-1343396. Epub 2013 Apr 29.
Over the past 30 years, interest in the use of autologous fat for aesthetic body contouring, especially for breast augmentation has been continuously on the rise. The benefits of an autologous fat transplant include the absence of any inflammatory reaction to a foreign body, its harmonious appearance and a natural feeling. In earlier years, complications such as necrosis, infections or the formation of cysts, poor resorption rates as well as the difficulty of harvesting large amounts of fat within a reasonable amount of time provided grounds for criticism of the methodology of autologous fat transplantation. With the advent of the so-called BEAULI method, since 2007 a procedure is available for the efficient harvesting and processing of larger quantities of transplantable fat. The aim of the study is to describe the technique in detail and reproducibly and to present a detailed overview of autologous fat transfer due to the basis of our own clinical experience. Between 1 September 2010 and 30 June 2012 the author performed 96 fat transfer procedures on 84 patients. Patients aged 18-60 with a desire for a moderate augmentation of volume and shape of the breasts were selected for the procedure. The fat was harvested using water jet-assisted liposuction (Bodyjet) to flush out the fat cells and subsequent separation of the fat components with the Lipo-Collector. There were no occurrences of post-operative complications in any of the cases. The results were evaluated in the context of a check-up, a photographic comparison and with the completion of a questionnaire. With regard to the increase in size and/or shape enhancement of the breasts, 31% of the patients were very happy with the results, 45% indicated they were satisfied, 23% would have liked more volume, while 1% were dissatisfied. This study indicates that the autologous fat transplant into the female breast using the BEAULI method represents an excellent, safe method for the achievement of a moderate and harmonious breast size augmentation as well as sustainable and natural-looking contour improvements in selected patients. Additional studies with a larger number of cases and longer observation periods over several years as well as guidelines from the professional associations could contribute to the further perfection of the autologous fat transplant method in terms of resorption rate, efficiency and safety.
在过去30年里，自体脂肪用于身体美学塑形，尤其是隆胸的关注度持续上升。自体脂肪移植的优点包括对异物无任何炎症反应、外观和谐且手感自然。早年，诸如坏死、感染、囊肿形成、吸收率低以及在合理时间内难以获取大量脂肪等并发症引发了对自体脂肪移植方法的批评。随着所谓BEAULI方法的出现，自2007年起有了一种可有效获取和处理大量可移植脂肪的程序。本研究的目的是详细且可重复地描述该技术，并基于我们自己的临床经验对自体脂肪移植进行详细概述。在2010年9月1日至2012年6月30日期间，作者对84例患者进行了96次脂肪移植手术。选择年龄在18至60岁、希望适度增大乳房体积和改善乳房形状的患者进行该手术。使用水动力辅助吸脂术（Bodyjet）冲洗出脂肪细胞，随后用脂肪收集器分离脂肪成分来获取脂肪。所有病例均未出现术后并发症。通过体检、照片对比以及完成问卷调查来评估结果。关于乳房尺寸增大和/或形状改善方面，31%的患者对结果非常满意，45%表示满意，23%希望增大更多体积，而1%不满意。本研究表明，采用BEAULI方法将自体脂肪移植到女性乳房中，对于部分患者而言，是实现适度且和谐的乳房增大以及可持续且自然的外形改善的一种出色且安全的方法。更多病例数、数年更长观察期的进一步研究以及专业协会的指导方针，可能有助于在吸收率、效率和安全性方面进一步完善自体脂肪移植方法。
