Hoyos Alfredo E, Stefanelli Matt, Perez Mauricio E, Padilla Mauricio, Dominguez-Millan Rodrigo
Department of Plastic Surgery, Total Definer Research Group, Bogota, Colombia.
Member of the Colombian Society of Plastic, Aesthetic, Maxillofacial, and Hand Surgery.
Plast Reconstr Surg Glob Open. 2023 Jan 27;11(1):e4765. doi: 10.1097/GOX.0000000000004765. eCollection 2023 Jan.
One big challenge of body contouring surgery is the liposculpture of the lower limbs, probably because of the imperative symmetry and the risk of contour irregularities. We are reporting our experience in fat grafting of the thighs and calves for men and women undergoing dynamic definition liposculpture.
We did cadaveric dissections of the vastus lateralis, vastus medialis, rectus femoris, and gastrocnemius muscles and identified each of their primary pedicles. We also performed fat grafting of these muscles in the contralateral virgin cadaveric specimen. We searched our records for patients who underwent fat grafting of the lower extremity in addition to dynamic definition liposculpture, from January 2016 to May 2022 at a single center in Bogotá, Colombia.
Seventy-three consecutive patients met the inclusion criteria (26 men and 47 women). We grafted 102 gastrocnemius muscles, 86 vastus medialis muscles, 98 vastus lateralis muscles, and 22 rectus femoris muscles. Mean age was 34 and 41 years for men and women, respectively. Range of the fat graft volume was 50-200 mL. No complications were recorded related to fat grafting. Almost all patients were satisfied with the procedure (89%). Follow-up period ranged from 2 to 36 months.
Fat grafting of the lower limb muscles should be considered an alternative operative technique to enhance volume and athletic appearance of this body segment. Based on cadaveric dissections and clinical evidence, our technique is considered reliable and reproducible with remarkable outcomes and a very low complication rate.
身体塑形手术的一大挑战是下肢的脂肪雕塑，可能是因为必须保证对称性以及存在轮廓不规则的风险。我们报告了在接受动态定义脂肪雕塑的男性和女性患者大腿和小腿脂肪移植方面的经验。
我们对股外侧肌、股内侧肌、股直肌和腓肠肌进行了尸体解剖，并确定了它们各自的主要蒂。我们还在对侧未使用过的尸体标本中对这些肌肉进行了脂肪移植。我们检索了2016年1月至2022年5月在哥伦比亚波哥大的一个中心接受除动态定义脂肪雕塑外还进行下肢脂肪移植的患者记录。
73例连续患者符合纳入标准（26例男性和47例女性）。我们移植了102条腓肠肌、86条股内侧肌、98条股外侧肌和22条股直肌。男性和女性的平均年龄分别为34岁和41岁。脂肪移植量范围为50 - 200毫升。未记录到与脂肪移植相关的并发症。几乎所有患者对该手术满意（89%）。随访期为2至36个月。
下肢肌肉脂肪移植应被视为一种替代手术技术，以增加该身体部位的体积并改善外观。基于尸体解剖和临床证据，我们的技术被认为可靠且可重复，效果显著且并发症发生率极低。
