Shih Linden, Davis Matthew J, Winocour Sebastian J
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2020 Feb;34(1):5-10. doi: 10.1055/s-0039-3402073. Epub 2020 Feb 15.
Autologous fat grafting has become a popular and well-established technique used by plastic surgeons in a variety of aesthetic and reconstructive procedures. An understanding of the basic science principles underlying fat grafting is crucial to explaining its extensive utility for soft tissue rejuvenation, volume augmentation, and body contouring-and the unpredictable fat resorption rates after grafting that pose a significant challenge for plastic surgeons. While the scientific principles of fat grafting can theoretically be exploited to optimize fat grafting techniques and increase fat tissue survival, a consensus has yet been established as to the best practices for this procedure. This review discusses the biology of adipose tissue and the scientific principles behind its behavior and survival in autologous fat grafting.
自体脂肪移植已成为整形外科医生在各种美容和重建手术中常用的一种流行且成熟的技术。了解脂肪移植背后的基础科学原理对于解释其在软组织年轻化、容积增大和身体塑形方面的广泛应用至关重要,同时也有助于理解移植后不可预测的脂肪吸收率,这对整形外科医生构成了重大挑战。虽然从理论上讲,可以利用脂肪移植的科学原理来优化脂肪移植技术并提高脂肪组织的存活率,但对于该手术的最佳操作方法尚未达成共识。本综述讨论了脂肪组织的生物学特性以及自体脂肪移植中其行为和存活背后的科学原理。