Advertisement

Aesthetic Plastic Surgery

, Volume 20, Issue 5, pp 409–416 | Cite as

Fat grafting of the buttocks and lower limbs

  • Luiz Haroldo Pereira
  • Henrique N. Radwanski
Article

Abstract

This article presents the senior author's experience in fat grafting for the treatment of contour deformities of the buttocks and lower limbs. This method has been termedliposculpture and consists in removal of adipose tissue by cannula and syringe and cleaning of the aspirated material with saline. All external contact is thus carefully avoided, preventing contamination. Fat grafting is done in multiple tunnels in a deep plane. Total of 140 patients were treated over the last 5 years and results were considered uniformly satisfactory. Fat absorption was estimated by clinical evaluation to be less than 20% volume. A low rate of complications (less than 3%) supports the authors' opinion that this is an efficient and safe procedure to correct or enhance contour deformities of the lower limbs.

Key words

Liposuction Fat grafting Body contouring 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Aboudib JHC, Cardoso de Castro C, Gradel J: Hand rejuvenescence by fat filling. Ann Plast Surg28:559, 1992Google Scholar
  2. 2.
    Carpaneda C, Ribeiro M: Percentage of graft viability versus injected volume in adipose autotransplants. Aesth Plast Surg18:17, 1994Google Scholar
  3. 3.
    Chajchir A, Benzaquen I: Liposuction fat grafts in face wrinkles and hemifacial atrophy. Aesth Plast Surg10:115, 1986CrossRefGoogle Scholar
  4. 4.
    Coleman SR: Long-term survival of fat transplants: controlled demonstrations. Aesth Plast Surg19:421, 1995CrossRefGoogle Scholar
  5. 5.
    Ersek RA: Transplantation of purified autologous fat: a 3-year follow-up is disappointing. Plast Reconstr Surg87:219, 1991PubMedGoogle Scholar
  6. 6.
    Ersek RA: Editorial. “Whither goest lipoplasty?” or, “Go, or Whither.” Aesth Plast Surg19:409, 1995Google Scholar
  7. 7.
    Fournier PF: Liposculpture: ma technique. Paris: Arnette, 1989Google Scholar
  8. 8.
    Fredericks S: Transplantation of purified autologous fat: a 3-year follow-up is disappointing [Discussion]. Plast Reconstr Surg87:228, 1991Google Scholar
  9. 9.
    Guerrero-Santos J: Grafting for cervical augmentation. Xth International Congress of I.S.A.P.S., Zurich, Switzerland, 1989Google Scholar
  10. 10.
    Hinderer UT, del Rio L: Erich Lexer's mammaplasty. Aesth Plast Surg16:101, 1992CrossRefGoogle Scholar
  11. 11.
    Illouz YG: Une nouvelle technique pour less lipodystrophies localises. Rev Chir Esthet Langue Franç6:19, 1980Google Scholar
  12. 12.
    Illouz YG: Body contouring by lipolysis: a 5-year experience over 3,000 cases. Plast Reconstr Surg72:591, 1983PubMedGoogle Scholar
  13. 13.
    Illouz YG, Fournier P: La technique d'Illouz. Cah Chir46: 1983Google Scholar
  14. 14.
    Illouz YG: The fat cell “graft”: a new technique to fill depressions. Plast Reconstr Surg78:122, 1986PubMedGoogle Scholar
  15. 15.
    IIlouz YG: Present results of fat injections. Aesth Plast Surg12:175, 1988Google Scholar
  16. 16.
    Illouz YG: Fat injection: a four-year clinical trial. In: Hetter GP (ed): Lipoplasty: The Theory and Practice of Blunt Suction Lipectomy. Boston: Little & Brown Co., 1990Google Scholar
  17. 17.
    Matsudo PK, Toledo LS: Experience of injected fat grafting. Aesth Plast Surg12:35, 1988CrossRefGoogle Scholar
  18. 18.
    Neuber F: Fettransplantation. Bericht über die Verhandlungen der Deutschen Gesellschaft für Chirurgie. Zbl Chir22:66, 1893Google Scholar
  19. 19.
    Peer LA: Loss of weight and volume in human fat grafts, with postulation of a “cell survival theory.” Plast Reconstr Surg5:217, 1950Google Scholar
  20. 20.
    Pereira LH: Liposculpture in lower limbs. XIIth International Congress of I.S.A.P.S., Paris, France, 1993Google Scholar
  21. 21.
    Pereira LH: Liposculpture in lower limbs. XIIth International Congress of I.S.A.P.S., New York, USA, 1995Google Scholar
  22. 22.
    Pitanguy I, Corrêa VVE, Salgado F, Kauak L, Solinas R: Present aspects of treatment for trochanteric and interfemoral lipodystrophy. Rev Bras Cir77:195, 1987Google Scholar
  23. 23.
    Pitanguy I, Torres E, Iglesias MC, Lessa S: Fat injection in facial grooves. Rev Bras Cir78:106, 1988Google Scholar
  24. 24.
    Pitanguy I, Radwanski HN, Bushkin SC: Body contouring. In: Braverman MH, Tawes RL (eds) Surgical Technology International II. San Francisco: Surgical Technology International, 1993Google Scholar
  25. 25.
    Teimourian B: Repair of soft-tissue contour deficit by means of semi-liquid fat graft. Plast Reconstr Surg78:122, 1986Google Scholar
  26. 26.
    Toledo LS: Syringe liposculpture: a two-year experience. Aesth Plast Surg15:321, 1991CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • Luiz Haroldo Pereira
    • 1
  • Henrique N. Radwanski
    • 1
  1. 1.Rio de JaneiroBrazil

Personalised recommendations