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One more big evolution in the field of BC has been also safe procedure and trying to reduce at least the use
given by the structural fat graft. of prothesis: “less is more” and “don’t throw anything
away” seems to be paradigmatics. An appropriate
Fat grafting is characterized by a simple concept, fat preoperative plan is mandatory to get the best! However,
removal where it is in excess and re-injection of it in areas surgeons have also to encourage patients, after BC, to
that need to be augmented: also with this technique have an healthy life style, get sport and follow a right
“don’t throw anything away”! dietary; only with a good surgeon and a good patient,
unbelievable result can be achieved!
However, fat grafting isn’t a “novel technique”; in 1912,
Joseph, a German surgeon, for the first time published Financial support and sponsorship
[13]
photographic documentation of natural appearing Nil.
changes after infiltration of fat into 2 patients with facial
lipoatrophy; in 1926, Miller described his experience Conflict of interest
[14]
with infiltration of fatty tissue through cannulas on 36 There are no conflicts of interest.
cases correcting cicatricial contraction on the face and
neck; however, this technique never became widely used. REFERENCES
In the 1980s, Illouz [15,16] described great results 1. The American Society for Aesthetic Plastic Surgery. Cosmetic Surgery
for iatrogenic liposuction deformities and facial National Data Bank Statistics. Available from: http://www.surgery.org/
lipodystrophies, although his later reports were sites/default/files/Stats2015.pdf. [Last Accessed on June 20, 2016].
discouraging and claimed that grafted fat had a survival 2. Callia WEP. Dermolipectomia abdominal. Sao Paulo, Brazil: Carlo Erb;
similar to that of injectable collagen. Later on similar 3. 1963.
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plastic surgeon Coleman, who firstly described and 6. Huger WE Jr. The anatomic rationale for abdominal lipectomy. Am Surg
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performed routinely in plastic surgery, often and often as Lipoabdominoplasty without undermining. Aesthet Surg J 2001;21:518-26.
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outlining how great is this surgical procedure, with a Livros; 2004.
resorption that tends to be uniform in the first 3 to 6 11. Saldanha OR. Lipoabdominoplasty. 1st ed. Rio de Janeiro, Brazil: Di-
Livros; 2006.
post operative months; in fact patient are told that the 12. Aly AS. Body Contouring after Massive Weight Loss. St. Louis, MO:
final results are not fully evident until that time and, if Quality Medical Publish-ing, Inc; 2005.
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Esthetic Surgery. Chicago: The Oak Press; 1926.
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refinements that have been described in BC in last 18. Ersek RA, Chang P, Salisbury MA. Lipo layering of autologous fat:
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now, year after year, and will also changes a lot in the 20. Coleman RS. Structural fat grafting: more than a permanent filler. Plast
future, fundamental concepts are represented by doing Reconstr Surg 2006;118:S108-20.
272 Plast Aesthet Res || Volume 3 || August 12, 2016