Cipriani Raúl Martín Manzaneda, Adrianzen Gerardo A, Zulueta Jaroslav, Sarango Braulio
Manzaneda Cipriani Clinic, Lima, Peru.
Cayetano Heredia University, Lima, Peru.
Plast Reconstr Surg Glob Open. 2021 Nov 29;9(11):e3945. doi: 10.1097/GOX.0000000000003945. eCollection 2021 Nov.
Volumizing muscles in the thighs by fat grafting to complement body contouring surgeries has not been adequately investigated. Our objective was to describe a technique (VDVFAT) that defines and volumizes thigh muscles by lipotransfer in the vastus medialis and vastus lateralis muscles.
VDVFAT was performed in 52 patients by the same surgeon at a private clinic in Lima, Peru, between 2018 and 2019. All patients were aged between 18 and 60 years, had no cutaneous flaccidity of the thighs, had a body mass index less than 28, and had Goldman surgical risk below Class II.
A total of 45 women aged 19-41 years (mean: 29.2 years) and seven men aged 24-41 years (mean: 33 years) were included. A mean of 173.36 cm of intramuscular fat was grafted to the vastus lateralis, resulting in increased muscle thickness of 21.09 mm, which is equivalent to 88.31% of the initial size of the muscle ( 0.0001). An intramuscular fat mass of 123.53 cm was grafted into the vastus medialis, resulting in increased muscle thickness of 30 mm, which is equivalent to 87.02% of the initial size of the muscle ( 0.0001).
Volumizing and defining the vastus muscles by fat transfer is a safe and reproducible method for defining and volumizing muscles. However, further studies are necessary to determine the durability of fat grafts.
通过脂肪移植使大腿肌肉丰满以辅助身体塑形手术的研究尚不充分。我们的目标是描述一种技术（VDVFAT），该技术通过向股内侧肌和股外侧肌进行脂肪移植来界定并丰满大腿肌肉。
2018年至2019年期间，同一位外科医生在秘鲁利马的一家私人诊所对52例患者实施了VDVFAT。所有患者年龄在18至60岁之间，大腿无皮肤松弛，体重指数小于28，戈德曼手术风险低于二级。
共纳入45名年龄在19至41岁（平均29.2岁）的女性和7名年龄在24至41岁（平均33岁）的男性。平均向股外侧肌移植了173.36厘米的肌内脂肪，使肌肉厚度增加了21.09毫米，相当于肌肉初始大小的88.31%（P<0.0001）。向股内侧肌移植了123.53厘米的肌内脂肪块，使肌肉厚度增加了30毫米，相当于肌肉初始大小的87.02%（P<0.0001）。
通过脂肪移植来丰满和界定股肌是一种安全且可重复的肌肉界定和丰满方法。然而，需要进一步研究以确定脂肪移植的持久性。
