Kao Wen-Pin, Lin Yun-Nan, Lin Tsung-Ying, Huang Yu-Hao, Chou Chih-Kang, Takahashi Hidenobu, Shieh Tung-Ying, Chang Kao-Ping, Lee Su-Shin, Lai Chung-Sheng, Lin Sin-Daw, Lin Tsai-Ming
Dr Kao is a Plastic Surgeon, Division of Plastic Surgery, Changhua Christian Hospital, Chang-Hua, Taiwan. Drs Y-N Lin, Shieh, and Huang are Plastic Surgeons; Drs Chang, Lai, and S-D Lin are Professors; Dr Lee is an Associate Professor; and Dr T-M Lin is a Clinical Professor, Department of Plastic Surgery, Kaohsiung Medical University, Kaohsiung, Taiwan. Dr T-Y Lin is a Traumatology Specialized Surgeon, Division of Traumatology, Department of Emergency, Division of Plastic Surgery, Kaohsiung Medical University. Dr Chou is a Plastic Surgeon, Yuan's General Hospital, Kaohsiung, Taiwan. Mr Takahashi is a medical student, Department of Post Baccalaureate Medicine, Kaohsiung Medical University.
Aesthet Surg J. 2016 Jun;36(6):648-56. doi: 10.1093/asj/sjv253. Epub 2016 Jan 12.
Numerous techniques and materials are available for increasing the dorsal height and length of the nose. Microautologous fat transplantation (MAFT) may be an appropriate strategy for augmentation rhinoplasty.
The authors sought to determine the long-term results of MAFT with the so-called one-third maneuver in Asian patients who underwent augmentation rhinoplasty.
A total of 198 patients who underwent primary augmentation rhinoplasty with MAFT were evaluated in a retrospective study. Fat was harvested by liposuction and was processed and refined by centrifugation. Minute parcels of purified fat were transplanted to the nasal dorsum with a MAFT-Gun. Patient satisfaction was scored with a 5-point Likert scale, and aesthetic outcomes were validated with pre- and postoperative photographs.
The mean age of the patients was 45.5 years. The mean operating time for MAFT was 25 minutes, and patients underwent 1-3 MAFT sessions. The mean volume of fat delivered per session was 3.4 mL (range, 2.0-5.5 mL). Patients received follow-up for an average of 19 months (range, 6-42 months). Overall, 125 of 198 patients (63.1%) indicated that they were satisfied with the results of 1-3 sessions of MAFT. There were no major complications.
The results of this study support MAFT as an appropriate fat-transfer strategy for Asian patients undergoing primary augmentation rhinoplasty. LEVEL OF EVIDENCE 4: Therapeutic.
有多种技术和材料可用于增加鼻背高度和长度。微量自体脂肪移植（MAFT）可能是隆鼻术的一种合适策略。
作者试图确定在接受隆鼻术的亚洲患者中，采用所谓三分之一操作法进行MAFT的长期效果。
在一项回顾性研究中，对总共198例行初次MAFT隆鼻术的患者进行了评估。通过抽脂获取脂肪，经离心处理和提纯。用MAFT枪将微量提纯脂肪移植到鼻背。用5级李克特量表对患者满意度进行评分，并用术前和术后照片验证美学效果。
患者的平均年龄为45.5岁。MAFT的平均手术时间为25分钟，患者接受1至3次MAFT治疗。每次治疗输送的平均脂肪量为3.4毫升（范围为2.0至5.5毫升）。患者平均随访19个月（范围为6至42个月）。总体而言，198例患者中有125例（63.1%）表示对1至3次MAFT治疗的结果满意。无重大并发症。
本研究结果支持MAFT作为亚洲患者初次隆鼻术的一种合适的脂肪移植策略。证据级别4：治疗性。
