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Aesthetic Plastic Surgery

, Volume 38, Issue 1, pp 78–82 | Cite as

Simplified Lipostructure: A Technical Note

  • Guido PaoliniEmail author
  • Matteo Amoroso
  • Benedetto Longo
  • Michail Sorotos
  • Dimitrios Karypidis
  • Fabio Santanelli di Pompeo
Innovative Techniques Aesthetic

Abstract

Background

The Coleman technique is universally recognized as the gold standard for fat transfer, but although effective, it is tedious, time consuming, and costly. This report proposes a new and more efficient method of fat grafting (simplified lipostructure).

Methods

This report introduces a modification of the standard Coleman transfer and injection technique, performed by connecting a 10-ml syringe to a 1-ml syringe and to a blunt infiltrating cannula through a “three-way stopcock valve.” The study retrospectively evaluated two groups of patients who had undergone either Coleman or simplified lipostructure, comparing surgical staff, operative time, volume of infiltrated fat, cosmetic outcome, and complications. Statistical analyses were conducted using the Wilcoxon rank sum test and Spearman’s rank-order correlation.

Results

The simplified lipostructure group compared with Coleman lipostructure showed a reduced operative staff (1 vs. 2 members), a reduced operative time (66 vs. 74.2 min) (α = 0.0035), and an increased volume of infiltrated fat (167.2 vs. 138.7 ml) (p < 0.0001) while retaining comparable cosmetic results (7.45 vs. 7.25; visual analog scale 0–10), and only minor complications.

Conclusion

The three-way stopcock valve system appears to be a smart technical solution that eases syringe refilling, improves fat transplantation times, and reduces costs. The findings show this technical modification to be easy and effective. The authors therefore recommend it to all surgeons performing fat transfer.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords

Lipostructure Lipofilling Lipografting Fat transplant Adipose tissue Coleman technique 

Notes

Conflict of interest

The authors declare they have no conflict of interest.

Supplementary material

Use of the three-way stopcock connector to perform lipostructure in a post-mastectomy breast reconstruction case. Supplementary material 1 (MOV 9766 kb)

References

  1. 1.
    Fournier PF (1996) Liposculpture: my technique. Arnette-Blackwell, ParisGoogle Scholar
  2. 2.
    Flynn TC, Coleman WP, Field LM, Klein JA, Hanke CW (2000) History of liposuction. Dermatol Surg 26:515–520PubMedCrossRefGoogle Scholar
  3. 3.
    Illouz YG (1996) History and current concepts of lipoplasty. Clin Plast Surg 23:721–730PubMedGoogle Scholar
  4. 4.
    Coleman SR (1995) Long-term survival of fat transplants: controlled demonstrations. Aesthetic Plast Surg 19:421–425PubMedCrossRefGoogle Scholar
  5. 5.
    Butterwick KJ, Nootheti PK, Hsu JW, Goldman MP (2007) Autologous fat transfer: an in-depth look at varying concepts and techniques. Facial Plast Surg Clin North Am 15:99–111PubMedCrossRefGoogle Scholar
  6. 6.
    Ferguson RE, Cui X, Fink BF, Vasconez HC, Pu LL (2008) The viability of autologous fat grafts harvested with the LipiVage system: a comparative study. Ann Plast Surg 60:594–597PubMedCrossRefGoogle Scholar
  7. 7.
    McArdle C, Feehily A, Allison KP (2013) The Ellik evacuator: a modified technique for autologous fat collection during fat harvest. J Plast Reconstr Aesthet Surg 66:737–738PubMedCrossRefGoogle Scholar
  8. 8.
    Neuber G (1893) Über die Wiederanheilung vollständig vom Körper getrennter, die ganze Fettschicht enthaltender Hautstücke, in Zbl f. Chirurgie 30:16Google Scholar
  9. 9.
    Nguyen PS, Desouches C, Gay AM, Hautier A, Magalon G (2012) Development of micro-injection as an innovative autologous fat graft technique: the use of adipose tissue as dermal filler. J Plast Reconstr Aesthet Surg 65:1692–1699PubMedCrossRefGoogle Scholar
  10. 10.
    Pignatti M, Bruti M, Rigotti G (2001) Saving one step in lipostructure: M-AGO (magic needle). Plast Reconstr Surg 108:1833–1834PubMedCrossRefGoogle Scholar
  11. 11.
    Ueberreiter K, von Finckenstein JG, Cromme F, Herold C, Tanzella U, Vogt PM (2010) BEULI, a new and easy method for large-volume fat grafts. Handchir Mikrochir Plast Chir 42:379–385PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2014

Authors and Affiliations

  • Guido Paolini
    • 1
    Email author
  • Matteo Amoroso
    • 1
  • Benedetto Longo
    • 1
  • Michail Sorotos
    • 1
  • Dimitrios Karypidis
    • 2
    • 3
  • Fabio Santanelli di Pompeo
    • 1
  1. 1.Plastic Surgery Unit, Faculty of Medicine and Psychology, Sant’Andrea Hospital“Sapienza” University of RomeRomeItaly
  2. 2.Plastic Surgery Unit, “Andrea Sygros” Hospital, School of MedicineUniversity of AthensAthensGreece
  3. 3.II Level Master on Breast Reconstruction, Faculty of Medicine and Psychology“Sapienza” University of RomeRomeItaly

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