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Keren et al.                                                                                                                                                                           NMR for human fat graft assessment

           fat mass. The advantage of the NMR analyzer is in   NMR analysis. Most mice demonstrated a consistent
           its ability to characterize the water content, lean body   decrease in fat graft weight (34 ± 7%) with only 1
           mass, and fat mass into separate measurements.     mouse demonstrating an 80% decrease in fat weight
                                                              7 weeks following transplantation.
           The distribution of the human fat within the tested
           mice is demonstrated in  Figure 4. Although prior to   DISCUSSION
           transplantation  all  mice  demonstrated  variable  fat
           content with the most lean mouse having 2.2 gr of   Autologous  fat  transplantation  was  first  described
           fat and the most obese mouse having 4.6 gr of fat   a  century  ago,  but  only  in  the  past  decade  has  it
           content (average of 3.7 gr with standard deviation of   gained  attention  as  an  ideal  filler  for  soft  tissue
           0.8), 1 day following fat transplantation the average   reconstruction. [21]  Because of the unpredictable
           transplanted  fat  content  (calculated  as  fat  content   outcomes  associated  with  autologous  fat
           1 day post transplantation minus fat content 1 day   transplantation, clinical scientists and physicians
           before transplantation) was much less variable (2.2 gr   have  experimented  with  various  methods  to  find
           with standard deviation of 0.2).                   ways  to increase  the  viability  of  injected  fat while
                                                              reducing its rate of reabsorption. [22]  Researchers
           Figure 5 demonstrates a 40% decrease in fat        have evaluated how the fat is harvested, prepared,
           graft  weight  with  an  average  weight  of  2.2  ±  0.3  gr   and  injected,  and  if the fat  can be  treated  with
           following  transplantation  and  1.3  ±  0.1  gr  7  weeks   different  compounds  in  order  to  improve  survival.
           following transplantation, as was observed by the   This includes compounds to increase angiogenesis

                        A                                      B


















                         Before transplantation    Day 1             7 weeks  Before transplantation  Day 1            7 weeks
                                         Post-transplantation                    Post-transplantation
                        C                                      D


















                            Before transplantation    Day 1              7 weeks  Before transplantation   Day 1             7 weeks
                                            Post-transplantation                 Post-transplantation
           Figure 3: (A) Fat content as determined by nuclear magnetic resonance (NMR) analysis; (B) percent of fat absorption at the study end
           point; (C) fat/lean ratio (NMR analysis); (D) standard digital weight assessment of mice at different time points. NS: not significant (as
           compared to control mice before transplantation)
            100                                                                                             Plastic and Aesthetic Research ¦ Volume 4 ¦ June 27, 2017
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