Lymphedema Fat Graft: An Ideal Filler for Facial Rejuvenation
Identifieur interne : 002889 ( Main/Exploration ); précédent : 002888; suivant : 002890Lymphedema Fat Graft: An Ideal Filler for Facial Rejuvenation
Auteurs : Fabio Nicoli [Italie, Taïwan] ; Ram M. Chilgar [Taïwan] ; Stamatis Sapountzis [Taïwan] ; Davide Lazzeri [Italie] ; Matthew Yeo Sze Wei [Taïwan] ; Pedro Ciudad [Taïwan] ; Marzia Nicoli [Italie] ; Seong Yoon Lim [Taïwan] ; Pei-Yu Chen [Taïwan] ; Joannis Constantinides [Taïwan, Royaume-Uni] ; Hung-Chi Chen [Taïwan]Source :
- Archives of Plastic Surgery [ 2234-6163 ] ; 2014.
Abstract
Lymphedema is a chronic disorder characterized by lymph stasis in the subcutaneous tissue. Lymphatic fluid contains several components including hyaluronic acid and has many important properties. Over the past few years, significant research has been performed to identify an ideal tissue to implant as a filler. Because of its unique composition, fat harvested from the lymphedema tissue is an interesting topic for investigation and has significant potential for application as a filler, particularly in facial rejuvenation. Over a 36-month period, we treated and assessed 8 patients with lymphedematous limbs who concurrently underwent facial rejuvenation with lymphedema fat (LF). We conducted a pre- and post-operative satisfaction questionnaire survey and a histological assessment of the harvested LF fat. The overall mean general appearance score at an average of 6 months after the procedure was 7.2±0.5, demonstrating great improvement. Patients reported significant improvement in their skin texture with a reading of 8.5±0.7 and an improvement in their self-esteem. This study demonstrates that LF as an ideal autologous injectable filler is clinically applicable and easily available in patients with lymphedema. We recommend the further study and clinical use of this tissue as it exhibits important properties and qualities for future applications and research.
Url:
DOI: 10.5999/aps.2014.41.5.588
PubMed: 25276654
PubMed Central: 4179366
Affiliations:
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<front><div type="abstract" xml:lang="en"><p>Lymphedema is a chronic disorder characterized by lymph stasis in the subcutaneous tissue. Lymphatic fluid contains several components including hyaluronic acid and has many important properties. Over the past few years, significant research has been performed to identify an ideal tissue to implant as a filler. Because of its unique composition, fat harvested from the lymphedema tissue is an interesting topic for investigation and has significant potential for application as a filler, particularly in facial rejuvenation. Over a 36-month period, we treated and assessed 8 patients with lymphedematous limbs who concurrently underwent facial rejuvenation with lymphedema fat (LF). We conducted a pre- and post-operative satisfaction questionnaire survey and a histological assessment of the harvested LF fat. The overall mean general appearance score at an average of 6 months after the procedure was 7.2±0.5, demonstrating great improvement. Patients reported significant improvement in their skin texture with a reading of 8.5±0.7 and an improvement in their self-esteem. This study demonstrates that LF as an ideal autologous injectable filler is clinically applicable and easily available in patients with lymphedema. We recommend the further study and clinical use of this tissue as it exhibits important properties and qualities for future applications and research.</p>
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<author><name sortKey="Xu, X" uniqKey="Xu X">X Xu</name>
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<author><name sortKey="Zampell, Jc" uniqKey="Zampell J">JC Zampell</name>
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<li>Royaume-Uni</li>
<li>Taïwan</li>
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<region><li>Angleterre</li>
<li>Grand Londres</li>
<li>Latium</li>
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<name sortKey="Nicoli, Marzia" sort="Nicoli, Marzia" uniqKey="Nicoli M" first="Marzia" last="Nicoli">Marzia Nicoli</name>
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<name sortKey="Nicoli, Marzia" sort="Nicoli, Marzia" uniqKey="Nicoli M" first="Marzia" last="Nicoli">Marzia Nicoli</name>
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<country name="Taïwan"><noRegion><name sortKey="Nicoli, Fabio" sort="Nicoli, Fabio" uniqKey="Nicoli F" first="Fabio" last="Nicoli">Fabio Nicoli</name>
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<name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name>
<name sortKey="Chen, Pei Yu" sort="Chen, Pei Yu" uniqKey="Chen P" first="Pei-Yu" last="Chen">Pei-Yu Chen</name>
<name sortKey="Chilgar, Ram M" sort="Chilgar, Ram M" uniqKey="Chilgar R" first="Ram M." last="Chilgar">Ram M. Chilgar</name>
<name sortKey="Ciudad, Pedro" sort="Ciudad, Pedro" uniqKey="Ciudad P" first="Pedro" last="Ciudad">Pedro Ciudad</name>
<name sortKey="Constantinides, Joannis" sort="Constantinides, Joannis" uniqKey="Constantinides J" first="Joannis" last="Constantinides">Joannis Constantinides</name>
<name sortKey="Lim, Seong Yoon" sort="Lim, Seong Yoon" uniqKey="Lim S" first="Seong Yoon" last="Lim">Seong Yoon Lim</name>
<name sortKey="Sapountzis, Stamatis" sort="Sapountzis, Stamatis" uniqKey="Sapountzis S" first="Stamatis" last="Sapountzis">Stamatis Sapountzis</name>
<name sortKey="Sze Wei, Matthew Yeo" sort="Sze Wei, Matthew Yeo" uniqKey="Sze Wei M" first="Matthew Yeo" last="Sze Wei">Matthew Yeo Sze Wei</name>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Constantinides, Joannis" sort="Constantinides, Joannis" uniqKey="Constantinides J" first="Joannis" last="Constantinides">Joannis Constantinides</name>
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