Sorry, you need to enable JavaScript to visit this website.

抽脂補臀後,植入的脂肪會被吸收嗎? Plastic & Reconstructive Surgery. 114(6):1606-1614, November 2004.

Buttock Augmentation: Case Studies of Fat Injection Monitored by Magnetic Resonance Imaging.
Plastic & Reconstructive Surgery. 114(6):1606-1614, November 2004.
Murillo, William L. M.D.

162位患兩側臀部各植入1260 c.c.歷時7年以核磁共振追蹤結果,證明植入脂肪有約65~80%存活

Abstract:
This article examines the injection of megavolumes of autologous fat cells as a means of buttock augmentation in 162 patients over a 7-year period. The author documents the use of magnetic resonance imaging in six patients to visualize the intramuscular location, integration, and duration of the injected fat. With the patient under epidural or general anesthesia, fat cells were harvested with a 5-mm blunt cannula and then stored in an empty sterile intravenous bag or bottle trap. Decantation was the only process used to separate the fat cells from the saline and serosanguineous components. Up to 1260 cc of fat cells were been injected into each buttock, the largest amount of fat grafting ever reported. Clinical assessment estimated a 20 percent loss of augmentation effect during the first 4 months. Patients were generally pleased with the final shape and volume of the buttock contour. In follow-up evaluation, magnetic resonance imaging supported the clinical indicators that the injection of large quantities of fat cells appears to be a safe and effective method for buttock enhancement. This process has inherent advantages; nevertheless, further research is required to clarify our understanding of the predictability and longevity of this technique.

(C)2004American Society of Plastic Surgeons

本篇文獻發表於美國整形與重建外科雜誌,200411月出版.內容分析162位脂肪注射豐臀的患者,以核磁共振照影追蹤七年的結果,發現所注入的脂肪細胞,在四個月之內約折損20%,也就是約有80%的存活比率.長期追蹤則目前尚無文獻報導.

本診所所相同手術的追蹤結果,證實脂肪細胞注射於臀大肌後,滿四個月時大致趨於穩定,臨床上追蹤滿一年以上的案例,約有超過65%以上的存活機率與效果.

討論區:

回應

Article Navigation Article Navigation JOURNAL ARTICLE Safety Considerations of Fat Grafting in Buttock Augmentation Rebecca C O’Neill, MD, Summer E Hanson, MD, PhD, FACS, Edward Reece, MD, MBA, FACS, Sebastian Winocour, MD, MSc, FACS Aesthetic Surgery Journal, Volume 41, Issue Supplement_1, June 2021, Pages S25–S30, https://doi.org/10.1093/asj/sjab092 Published: 18 May 2021 Article history pdfPDF Views Cite Permissions Icon Permissions Share Icon Share Abstract Autologous fat grafting for buttock augmentation is one of the fastest growing plastic surgery procedures, but has also received significant publicity for the relatively high mortality rate secondary to fat emboli. The literature has grown exponentially in the past 5 years on this subject, helping to clarify our knowledge and providing recommendations to minimize risks, including avoiding intramuscular injections, placing the patient in the jackknife position, and utilizing larger-bore cannulas. Since the application of these recommendations, the rate of pulmonary fat embolism has decreased from 0.097% to 0.04%, with a current mortality of 1 in 14,921, making it statistically safer than abdominoplasty. Despite the evolution in our knowledge, techniques, and outcomes, it remains of utmost importance to properly select and educate patients about the safety of fat grafting for buttock augmentation.

Article Navigation Article Navigation JOURNAL ARTICLE Safety Considerations of Fat Grafting in Buttock Augmentation Rebecca C O’Neill, MD, Summer E Hanson, MD, PhD, FACS, Edward Reece, MD, MBA, FACS, Sebastian Winocour, MD, MSc, FACS Aesthetic Surgery Journal, Volume 41, Issue Supplement_1, June 2021, Pages S25–S30, https://doi.org/10.1093/asj/sjab092 Published: 18 May 2021 Article history pdfPDF Views Cite Permissions Icon Permissions Share Icon Share Abstract Autologous fat grafting for buttock augmentation is one of the fastest growing plastic surgery procedures, but has also received significant publicity for the relatively high mortality rate secondary to fat emboli. The literature has grown exponentially in the past 5 years on this subject, helping to clarify our knowledge and providing recommendations to minimize risks, including avoiding intramuscular injections, placing the patient in the jackknife position, and utilizing larger-bore cannulas. Since the application of these recommendations, the rate of pulmonary fat embolism has decreased from 0.097% to 0.04%, with a current mortality of 1 in 14,921, making it statistically safer than abdominoplasty. Despite the evolution in our knowledge, techniques, and outcomes, it remains of utmost importance to properly select and educate patients about the safety of fat grafting for buttock augmentation.