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Surgeons propose fat grafting guide

Arlington Heights, Ill. — Plastic surgeons are proposing a new approach to classifying fat grafting, as the procedure becomes more common in aesthetic procedures.

Surgeons Daniel Del Vecchio, M.D., of Boston, and Rod Rohrich, M.D., of Dallas, suggest placing an emphasis on matching the correct fat grafting procedure to the appropriate situation, according to their report.

According to the American Society of Plastic Surgeons, the report proposes categorizing and matching techniques to applications, based on the method of fat harvesting, the method of cell processing, the method of fat transplantation and management of the recipient site.

The ASPS states different grafting techniques may be warranted depending on the state of the tissue in the recipient area, and that these factors, among others, can impact the technique used to process the fat after harvesting.

“Not all fat grafting is the same,” the authors wrote. “Fat grafting, once thought to be a simple technique with variable results, is a much more complex procedure with at least four definable subtypes. As the true physiology of un-manipulated and stem-cell-enriched fat grafts become better delineated, our choices for technical solutions will better fit the clinical problems we face.”

The report was published in the September issue of Plastic and Reconstructive Surgery.

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