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Haut-Unterhaut-Fett-Faszien

Banale Strukturen oder komplexe architektonische Einheiten?

Cutis-subcutis-subcutaneous fat fasciae

Simple structures or complex architectural units?

  • Leitthema
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Journal für Ästhetische Chirurgie Aims and scope

Zusammenfassung

Das Integumentum mit seinen dermalen und subkutanen Komponenten hat in den letzten Jahren ein enormes Interesse in Forschung und Klinik hervorgerufen. Die Adipositas hat sich epidemieartig mit allen ihren Problemen in der Ersten Welt als Seuche etabliert. Andererseits hat sich die Fettabsaugung mit allen ihren Indikationen zum häufigsten ästhetischen Eingriff entwickelt. Als Nebenprodukt dieser Methode hat sich das Fett als sehr potente Quelle für die Gewinnung von mesenchymalen Stammzellen für die regenerative Medizin gezeigt. Diese Stammzellen sind anatomischen Nischen zugeordnet und sorgen hier für die Aufrechterhaltung, Reparatur und Neubildung des Gewebes.

Abstract

The common integument (skin) with its dermal and subcutaneous components has aroused enormous interest in research and clinical aspects in recent years. Obesity with all the associated problems has become established in industrial countries as a form of epidemic. On the other hand liposuction with all the various indications has developed into the most commonly applied aesthetic intervention. As a byproduct of this method adipose tissue has proven to be a very potent source of mesenchymal stem cells for regenerative medicine. These stem cells are assigned as anatomical niches and are important for the maintenance, repair and regeneration of tissue.

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Literatur

  1. Anderhuber F (2003) Die Anatomie des Fettgewebes. Wintersymposium der AACS Radstadt

  2. Avelar JM (2002) Abdominoplasty Hipocrates Sao Paulo

  3. Benjamin M (2009) the fascia oft he limbs and back – areview. J Anat 214(1):1–18

    Article  PubMed Central  PubMed  Google Scholar 

  4. Driskell RR, Jahoda CA et al (2014) Defining dermal adipose tissue. Exp Dermatol 23(9):629–631

    Article  PubMed Central  PubMed  Google Scholar 

  5. Festa E et al (2011) Adipocyte lineage cells contribute to the skin stem cell niche to drive hair cyling cell. Cell 146(5):761–771

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  6. Gaullaudet BB (1931) A description oft he planes of fascia oft he human body with special reference tot he fascias oft he abdomen, pelvis und perineum. Columbia University Press, New York

    Google Scholar 

  7. Gimble JM et al (2003) Adipose-derived adult stem cells: isolation, characterization and differentiation potential. Cytotherapy 5:362–369

    Article  PubMed  Google Scholar 

  8. Huttunen P et al (1981) The occurrence of brown adipose tissue in outdoor workers. Eur J Appl Physiol Occup Physiol 46:339–345

    Article  CAS  PubMed  Google Scholar 

  9. Junghyo J et al (2009) Hypertrophy and/or hyperplasia: dynamics of adipose tissue growth. PLoS Comput Biol. doi:10.1371/journal.pcbi.1000324. (Published online 2009 Mar 27)

  10. Kiefer FW et al (2012) Retinaldehyde dehydrogenase 1 regulates a thermogenic program in white adipose tissue. Nat Med 18:918–925

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  11. Klein JA (2000) Tumescent Technique: tumescent Anesthesia & Microcannular Liposuction. Mosby, St. Louis. (p.xvi, 470p ISBN 0-8151-5205-1)

    Google Scholar 

  12. Lee P et al (2013) Functional thermogenic beige adipogenesis is inducible in human neck fat. 2013. Int J Obes (Lond). doi:10.1038

  13. Sandhofer M, Schauer P (2015) Nischenspezifische Fettransfer im Gesich. J Ästh Chir. doi:10.1007/s12631-015-0014-3

  14. Sandhofer M, Schauer P, Anderhuber F (2013) Der ästhetische Oberarm: Zur Anatomie und Klassifikation des lipodysmorphen Oberarmes. Kosmet Med 2 13:56–61

    Google Scholar 

  15. Scadden DT (2006) The stem-cell niche as an entity of action. Nature 441(7097):1075–1079

    Article  CAS  PubMed  Google Scholar 

  16. Schleip et al (2014) Lehrbuch Faszien: Grundlagen, Forschung, Behandlung. Abb. PP15,17. Elsevier, München. ISBN Nr. 978-3-437-55306-6

  17. Schleip et al (2014) Lehrbuch Faszien: Grundlagen, Forschung, Behandlung. Farbtafel 1.2.1 Elsevier, München. ISBN Nr. 978-3-437-55306-6

  18. Schmidt BA, Horsley V (2013) Intradermal adipocytes mediate fibroblast recruitment during skin wound healing. Development 140(7):1517–1527

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  19. Singer E (1935) Fascia oft he human body and their relations tot he organs they envelop. Williams & Wilkins, Philadelphia

    Google Scholar 

  20. Spalding KL, Arner E, Westermark PO (2008) Dynamics of fat cell turnover in humans. Nature 453:783–787

    Article  CAS  PubMed  Google Scholar 

  21. Stecco C (2015) Functional Atlas of the human fascial system. Churchill Livingstone, S 32. Elsevier, Edinburgh

  22. Thiel W (2003) Photographischer Atlas der Praktischen Anatomie, 2. Aufl. Springer, Berlin

  23. Wu J et al (2012) Beige adipocytes are a distinct type of thermogenetic fal cell in mouse and human. Cell 150:266–276

    Google Scholar 

  24. Ye L et al (2013) Fat cells directly sense temperature to activate thermogenesis. Proc Nat Acad Sci USA 110:12480–12485

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  25. Young B et al (2006) Wheater’s functional histology, 5. Aufl. Churchill Livingstone Elsevier Limited, Philadelphia, S 183

    Google Scholar 

  26. Zuk PA et al (2001) Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Eng 7(2):211–228

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Starhembergstr. 12, 4020, Linz, Österreich

    M. Sandhofer

  2. Bahnhofstr. 8, 94032, Passau, Österreich

    P. Schauer

  3. Harrachstr. 21, 8010, Graz, Österreich

    F. Anderhuber

Authors
  1. M. Sandhofer
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  2. P. Schauer
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  3. F. Anderhuber
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Corresponding author

Correspondence to M. Sandhofer.

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Interessenkonflikt

M. Sandhofer, P. Schauer und F. Anderhuber geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Sandhofer, M., Schauer, P. & Anderhuber, F. Haut-Unterhaut-Fett-Faszien. J Ästhet Chir 8, 151–156 (2015). https://doi.org/10.1007/s12631-015-0024-1

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  • DOI: https://doi.org/10.1007/s12631-015-0024-1

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