9808-857 Fulton
Fulton JE, Suarez M, Silverton K, Barnes T.
Small volume fat transfer. Dermatol Surg. 1998 Aug;24(8):857-65. PMID: 9723050
Fulton Skin Clinic, Newport Beach, California 92660, USA.
BACKGROUND: The use of autologous fat has been advocated for tissue augmentation
for over a century. However, this technique remains controversial and many
investigators have made suggestions to increase its potential. OBJECTIVES: To
develop a less traumatic method to collect, purify, and reinject fat to obtain
more dramatic augmentations for the cosmetic improvement of contours and tissue
defects. METHODS: Fat was collected from the donor site following tumescent
infiltration of tissue. A "vented" syringe with an atraumatic Mercedes tip was
used to collect the fat and, after washing with lactated Ringers or saline, the
fat was transferred to small syringes for controlled injections. Small filaments
of fat were placed in multi-layers throughout the area of the defect or area of
desired contour change. The unused fat was frozen for a second or third
injection session. RESULTS: The fat transfer method yielded augmentations of
40%-120% of injected volume in the 339 areas treated. After 45-60 days, the
implant was stabilized and remained for the length of our study (up to 10
years). In several cases excessive fat had to be removed. Other than slight
bruising, occasional divots at the donor site, and three cases of bacterial
infection, the autologous tissue transfer was an uncomplicated event.
CONCLUSION: Fat grafting has proven to be a safe and effective procedure for
correcting and enhancing tissue defects and contour deficiencies.
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