Kandulu Hüseyin, Terzibasioglu Ali Ege
Nisantasi University, Istanbul, Turkey.
Plast Reconstr Surg Glob Open. 2023 Apr 13;11(4):e4945. doi: 10.1097/GOX.0000000000004945. eCollection 2023 Apr.
The popularity of autologous fat grafts has increased for the reshaping, contouring, and augmentation of the male breast tissue. However, long-term maintenance of tissue viability and the ways for assessment serve as hot-spot topics in the field. This study was designed to evaluate the viability of fat grafts obtained by a vibration amplification of sound energy at resonance (VASER)-assisted lipoaspiration procedure using a magnetic resonance imaging-based approach.
This is a prospective examination of 20 male patients (40 breasts) who underwent VASER-assisted liposuction and fat grafting surgery, and long-term fat graft viability was evaluated by magnetic resonance imaging scans.
Participants had an average age of 34.85 ± 7.37 years with a mean BMI of 26.73 ± 2.63 kg/m. The mean fat graft volume injected was 542.63 ± 144.78 mL on the right, and 548.95 ± 140.36 mL on the left side. On the magnetic resonance imaging follow-up, the mean intrapectoral adipose tissue thickness was 20.34 ± 6.31 mm on the right, and 18.94 ± 8.27 mm on the left sides and tissue viability was preserved in all cases. The mean follow-up duration was 22 ± 9.8 (range 14-44) months.
VASER-assisted lipoaspiration and autologous fat grafting of the major pectoralis muscle provide a satisfactory outcome and long-term maintenance of the grafted adipose tissue.
自体脂肪移植在男性乳房组织的重塑、塑形和增大方面越来越受欢迎。然而，组织活力的长期维持以及评估方法是该领域的热点话题。本研究旨在使用基于磁共振成像的方法评估通过共振声能振动放大（VASER）辅助吸脂术获得的脂肪移植的活力。
这是一项对20名接受VASER辅助吸脂和脂肪移植手术的男性患者（40个乳房）的前瞻性检查，并通过磁共振成像扫描评估长期脂肪移植活力。
参与者的平均年龄为34.85±7.37岁，平均体重指数为26.73±2.63kg/m。右侧平均注入的脂肪移植体积为542.63±144.78mL，左侧为548.95±140.36mL。在磁共振成像随访中，右侧胸内脂肪组织平均厚度为20.34±6.31mm，左侧为18.94±8.27mm，所有病例的组织活力均得以保留。平均随访时间为22±9.8（范围14 - 44）个月。
VASER辅助吸脂和胸大肌自体脂肪移植提供了令人满意的结果，并能长期维持移植脂肪组织。
