Gutiérrez GC

Language: Spanish
References: 17
Page: 85-91
PDF size: 192.68 Kb.

ABSTRACT

Free fat grafts have been employed since 1889 using the open ceiling technique and later liposuction; however, reabsorption of the fat has been a problem that has given occasion to the description of different procedures to minimize this phenomenon. In 1994 began the era of the “atraumatic purified” technique proposed by Coleman, who was one that showed better results in preserving volume due to greater viability of the adipose tissue with long lasting results. The popularity of this procedure has increased due to the ease of this technique, the absence of large scars, low morbidity and low cost. In the last 9 years we have used an epidural cannula to inject fat in the face of 73 patients between 5 and 61 years old, with an average of 28.3 years: 55 women (75.4%) and 18 men (24.6%). The etiology of the deformity was caused by Parry Romberg Syndrome in 52 (71.2%), Morphea in 6 (8.2%), trauma sequel in 4 (5.4%), Lupus in 3 (4.1%), hemifacial microsomia 3 (4.1%), post tumor resection sequels in 3 (4.1%), Number 7 facial cleft in 1 (1.3%) and an aftermath of embolization of vascular malformation in 1 (1.3%). The number of procedures performed was 132, with an average of 1.8 per patient. In 73 patients 4775 mL of adipocytes were injected, which represents an average of 65.4 mL per patient. The most frequent complications were sub correction in 14 cases (19.1%), visible irregularities in 5 (6.8%), oral mucus perforation in 2 (2.7%), fat migration in 2 (2.7%), and granuloma in 1 (1.3%). A few representative cases with long-term follow-up are presented. The conclusion is the use of this cannula is reliable, safe and reproducible.

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