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RESULTS Average downtime was 3–5 days, with minimum to
moderate inflammation.
The study included, 48 women (age range: 37–58 years, Follow-up was performed for a minimum of
mean: 49 years) and 12 men (age range: 32–34 years, 6 months (range: 6–12 months) [Figures 2–4].
mean: 33 years).
Satisfaction questionnaires showed high test
Full facial differential fat grafting procedure last between scores at 5 days (mean: 16.42, standard error: 0.26,
1.5 and 2.5 h, and was performed under local anaesthesia median: 16, mode: 15, and standard deviation: 1.93).
and minor sedation in the majority.
Slight descent trend in the test scores were seen at
Average volume harvested manually was 21 mL (mean: 6 months (median: 16, standard error: 0.29, median:
21 mL; median: 21.5 mL; standard error: 0.61 mL; range: 16, mode: 16, and standard deviation: 2.1). Global
18 mL) (of fine parcels fat) and automatically 35 mL (mean: patient test scores and trend lines are shown in
35.02 mL; median: 35 mL; standard error: 0.635 mL; range: Figure 5. Satisfaction scores evaluations were defined
25 mL) (of thick parcels fat). Average fat infiltrated was as excellent 89% (n = 193), good 8.8% (n = 19), minor
45 mL (mean: 45.14 mL; median: 45 mL; standard error: 1.85% (n = 4).
0.995 mL; range: 35 mL). Adverse events like lumps or irregularities were not

Harvesting sites were: abdominal (50%), outer thighs (20%), evidenced.
back (10%), triceps (10%), inner thighs, and knee (10%). Dissatisfaction was referred by 2 patients for under
ASC filter was used only in six cases, which did not allow correction in the buccal region (1 patient) and temporal
us to statistically analyse the data. area (1 patient).
Skin improvements were mild to moderate and were
Table 2: Patient satisfaction questionnaire, for often referred spontaneously by the patients.
satisfaction assessment at 7 days, 1 month, Both patient and physician satisfaction rate was excellent
3 months and 6 months
in 81.5% (n = 44) of the cases.
Parameter evaluated Score
Downtime or discomfort DISCUSSION
No downtime or discomfort 4
Very slight discomfort (downtime 24 h) 3 Traditionally Coleman lipostructure has promoted fat
Average discomfort (downtime 2–5 days) 2 harvesting with 2 mm port cannulas, followed by a
Moderate to severe discomfort (downtime 5–10 days) 1 strong centrifugation (3,000 rpm for 3 min), removal of
Severe discomfort (downtime > 10 days) 0 the supra and infranadant, and final reinfiltration with
[1]
Skin benefi ts the aid of 16 G cannulas. The former has permitted
Excellent (improves in tone, elasticity and texture) 4 to achieve gross good aesthetic improvements with long
Moderate improvement 3 lasting results. Nevertheless, extensive discomfort and
Slight improvement 2 healing time (15 days), unpredictable reabsorption, need
None 1 of overcorrections, frequent retouches and lower lid
Worsening of skin quality (acne lesions, scars, etc.,) 0 complications have made the technique less attractive
[2]
Volume restoration outcome for patients and physicians. Therefore, efforts have
Very satisfi ed 4 been made to find a more predictable and forgiving
Moderately satisfi ed 3 technique.
Slightly satisfi ed 2
Not satisfi ed 1
Dissatisfi ed (important over or under corrections) 0
Reabsorption rate estimated (%)
0–20 4
20–30 3
30–50 2
50–70 1
> 70 0
Overall evaluation
Very satisfi ed 4
Moderately satisfi ed 3
Slightly satisfi ed 2
Not satisfi ed 1
Dissatisfi ed (important overcorrections or under corrections) 0
Total possible score for fat grafting procedure 20
Satisfaction was defi ned as: excellent (20–15 points), good (14–10 points), Figure 2: Clinical case 1. Patient before, intra operatory design, and
minor (9–5 points), and scarse (< 5 points) 6 months postoperative

Plast Aesthet Res || Vol 1 || Issue 3 || Dec 2014 105