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微小自体脂肪移植在上睑凹陷矫正中的应用。

Application of microautologous fat transplantation in the correction of sunken upper eyelid.

作者信息

Lin Tsai-Ming, Lin Tsung-Ying, Chou Chih-Kang, Lai Chung-Sheng, Lin Sin-Daw

机构信息

Charming Institute of Aesthetic and Regenerative Surgery, Kaohsiung, Taiwan; Department of Plastic Surgery, Kaohsiung Medical University, Kaohsiung, Taiwan; and Department of Surgery, Yuan's General Hospital, Kaohsiung, Taiwan.

出版信息

Plast Reconstr Surg Glob Open. 2014 Dec 5;2(11):e259. doi: 10.1097/GOX.0000000000000141. eCollection 2014 Nov.

Abstract

BACKGROUND

Although fat grafting has been clinically applied by surgeons in esthetic and reconstructive surgery, it has widely evolved in processes such as harvesting, processing, and placement of fat, using the fat-grafting procedure, which dates back over 100 years. Surgeons frequently use fat grafting to recontour, augment, or fill soft-tissue defects, facial wrinkles, or skin problems such as depressions or scars. However, fat grafting has not been thoroughly understood and has not been conclusively standardized to ensure superior clinical results.

METHODS

This study was intended to determine the role of microautologous fat transplantation (MAFT) under evidence-based medicine, particularly in accurate delivery of small fat parcels. The research method involved the conceptualization of MAFT and the development of an innovative surgical instrument for fat placement. Clinically, 168 patients with sunken upper eyelids with multiple folds underwent this procedure.

RESULTS

The major findings suggested that MAFT exhibits promising clinical results and offers a superior guideline for fat placement. Details of the technique and theoretical implications are also discussed.

CONCLUSIONS

The therapeutic effects of MAFT and the long-term clinical results of patients with sunken upper eyelids with multiple folds indicated satisfactory outcomes. Based on the results, MAFT offers an alternative option to surgeons for performing fat grafting and provides a more favorable option for the benefit and welfare of patients by reducing the potential complications.

摘要

背景

尽管脂肪移植已被外科医生临床应用于美容和重建手术中,但自100多年前的脂肪移植手术以来,它在脂肪采集、处理和植入等过程中已得到广泛发展。外科医生经常使用脂肪移植来重塑轮廓、增大或填充软组织缺损、面部皱纹或诸如凹陷或疤痕等皮肤问题。然而,脂肪移植尚未得到充分理解,也尚未最终标准化以确保卓越的临床效果。

方法

本研究旨在确定微量自体脂肪移植(MAFT)在循证医学下的作用,特别是在精确递送小脂肪块方面。研究方法包括MAFT的概念化以及开发一种用于脂肪植入的创新手术器械。临床上,168例上睑凹陷伴多重褶皱的患者接受了该手术。

结果

主要研究结果表明,MAFT显示出有前景的临床效果,并为脂肪植入提供了卓越的指导方针。还讨论了该技术的细节和理论意义。

结论

MAFT的治疗效果以及上睑凹陷伴多重褶皱患者的长期临床结果表明效果令人满意。基于这些结果,MAFT为外科医生进行脂肪移植提供了另一种选择,并通过减少潜在并发症为患者的利益和福祉提供了更有利的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082b/4255902/6d476ffe35f0/gox-2-e259-g001.jpg

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