Introduction of an easy technique for purification and injection of autogenous free fat parcels in correcting of facial contour deformities
Introduction of an easy technique for purification and injection of autogenous free fat parcels in correcting of facial contour deformities
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DOI：
10.1097/01.sap.0000248110.59452.49
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发表时间：
2007-06-01
影响因子：
1.5
通讯作者：
Shi, Jun
中科院分区：
文献类型：
--
作者：
Hu, Shouduo;Zhang, Haiming;Shi, Jun
背景：面部轮廓畸形通常是由先天异常、外伤和衰老过程引起的。所有面部凹陷，包括眉间皱纹和下巴轻度后退，都属于这一类。局部注射自体脂肪包矫正面部畸形已有近20年的历史。方法：采用常用材料（纱布、棉棒），采用简单的技术，对注射器抽吸的脂肪包进行纯化，然后将纯化的脂肪组织多层注射到植入部位，治疗50例152个部位的面部轮廓畸形，取得了成功。结果：随访17例39个部位。 13 个月至 37 个月（平均 22.8 个月）。注射的脂肪块沉积成功，增加的体积保持良好。影响注射脂肪包成功沉积的因素包括吸脂和注射过程中脂肪细胞机械损伤的程度、净化程序的应用、术后固定以及受区的养血情况。术后并发症包括矫正不足、矫正过度、脂肪量小、不均匀或不规则等。结论：引进的净化注射技术为面部重塑治疗提供了一种相对简单可靠的方法。通过控制胖包沉积的影响因素，可以成功地增加局部交易量。
Background: Facial contour deformities usually result from congenital abnormalities, trauma, and the aging process. All depressions in the face, including glabella wrinkles and mild retrogression of chins, fall in this category. Local injection of autogenous fat parcels has been introduced for correction of these facial deformities for almost 20 years.Method: Using common materials (gauzes and cotton sticks), a simple technique was used by us to purify syringe-suctioned fat parcels followed by a multilayered injection of the purified fat tissue into implantation sites to treat the facial contour deformities in 152 sites of 50 cases with successful outcomes.Results: Thirty-nine sites in 17 cases were followed up from 13 months to 37 months (average, 22.8 months). The injected fat parcels deposited successfully and the increasing volume maintained well. The impact factors on the successful deposit of the injected fat parcels included the extent of mechanical injuries to the fat cells during liposuction and lipoinjection, application of the purification procedure, and postsurgery immobilization as well as the blood-nourishing situation of recipient sites. Postoperative complications included undercorrection, overcorrection, small fat mass, unevenness, or irregularity.Conclusion: The introduced purification and injection techniques provided a comparative simple and reliable method in facial recontouring treatment. The local volume could be increased successfully by means of controlling the influencing factors of fat parcel deposit.