| 0211-987 Butterwick
Butterwick KJ.
Lipoaugmentation for aging hands: a comparison of the longevity and aesthetic
results of centrifuged versus noncentrifuged fat. Dermatol Surg. 2002 Nov;28(11):987-91.
PMID: 12460290
Dermatology Associates of San Diego County, Inc., La Jolla, California, USA.
info@dermassociates.com
BACKGROUND: Fat augmentation has long been utilized by cosmetic surgeons for
volume restoration of the face and hands. However, it is not clear which methods
of fat preparation optimize survival and aesthetic results. The need for
centrifugation of the fat prior to augmentation has been debated in the
literature. OBJECTIVE: To evaluate the long-term efficacy of fat transplantation
to the hands using centrifuged versus noncentrifuged fat. METHODS: Fourteen
patients underwent fat augmentation to the hands utilizing 10 ml of centrifuged
fat in one hand and 10 ml of noncentrifuged fat in the contralateral hand in a
randomized, double-blind comparison study. Evaluation intervals were at 1, 3,
and 5 months at which time aesthetic results, vein prominence, and depth of
metacarpal space were evaluated. RESULTS: At 1 month the subjective and
objective preference was the hand with the noncentrifuged fat in 75% of
patients, even though vein prominence and depth of metacarpal space were higher
in that group. By 3 months the preferred result was centrifuged fat in 62.5% of
patients; 25% had equal results and 12.5% preferred the noncentrifuged fat. By 5
months the subjective and objective preference was for the centrifuged fat in
100% of patients. This preference was supported by a lower score in vein
prominence and depth of metacarpal space in that group. CONCLUSION: This
preliminary study supports the use of centrifuged fat compared to noncentrifuged
fat for longevity and improved aesthetic results at 3 and 5 months for fat
augmentation of the aging hands.
Publication Types:
Clinical Trial
Randomized Controlled Trial
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