Rao Anantheswar Y N, Reddy Sudarshan Nagireddy, Chandrappa Ashok Basroor, Vasudevan Srikanth, Batth Rittu
Plastic, Micro & Craniofacial Surgery, Manipal Education and Medical Group International India Pvt Ltd, Bangalore, Karnataka, India.
Craniomaxillofac Trauma Reconstr. 2020 Dec;13(4):305-312. doi: 10.1177/1943387520948709. Epub 2020 Sep 11.
This is a prospective observational study of 60 consecutive cases with facial scars and contour deformity who underwent structural fat grafting.
The aim of the present article is to highlight how fat grafting helps to improve aesthetic and functional outcome in facial scars and contour deformities. It also highlights the factors that need to be considered while planning autologous fat grafting to get better aesthetic results.
This is a prospective observational study of 60 consecutive cases with facial scars and contour deformity. The study was conducted from May 2014 to April 2019 in a tertiary care hospital. All the patients were followed up for a minimum period of 1 year from the date of surgery. Assessment of post-operative aesthetic outcome, in terms of satisfaction, was done using the Visual Analogue Scale (VAS), which ranges from 1 to 10 by the patient and operative surgeon.
The mean age was 30.8 9.8 years. Out of 60 patients, 20 patients underwent additional procedure like dermabrasion and collagen dressing to improve aesthetic outcome. Among 60 patients, 24 patients had transient edema and 10 patients had bruising at the recipient site. There were no major donor site complications except pain which was managed conservatively. Mean patient satisfaction score is 7 and mean surgeon satisfaction score is 7.25.
Despite the ongoing concerns about survival and longevity of fat grafts and also unpredictability of long-term outcomes, fat grafting has become a very useful surgical tool to improve the quality of facial scars and correct contour deformity. Our series shows excellent outcome both clinically as well as from the patient satisfaction. Future research is warranted in the fields of the adipocyte derived stem cells and to expand the clinical application of fat grafting.
这是一项对60例连续面部瘢痕和轮廓畸形患者进行结构脂肪移植的前瞻性观察研究。
本文旨在强调脂肪移植如何有助于改善面部瘢痕和轮廓畸形的美学和功能效果。还强调了在规划自体脂肪移植以获得更好美学效果时需要考虑的因素。
这是一项对60例连续面部瘢痕和轮廓畸形患者的前瞻性观察研究。该研究于2014年5月至2019年4月在一家三级护理医院进行。所有患者从手术日期起至少随访1年。使用视觉模拟量表（VAS）对患者和手术医生进行术后美学效果满意度评估，VAS范围为1至10分。
平均年龄为30.8±9.8岁。60例患者中，20例患者接受了如磨皮和胶原蛋白敷料等额外手术以改善美学效果。60例患者中，24例在受区出现短暂性水肿，10例在受区出现瘀斑。除疼痛经保守治疗外，供区无重大并发症。患者平均满意度评分为7分，医生平均满意度评分为7.25分。
尽管人们一直担心脂肪移植体的存活和寿命以及长期结果的不可预测性，但脂肪移植已成为改善面部瘢痕质量和纠正轮廓畸形的非常有用的手术工具。我们的系列研究在临床和患者满意度方面均显示出优异的结果。在脂肪来源干细胞领域以及扩大脂肪移植的临床应用方面，未来的研究是有必要的。
