Abul Hassan, A., Kadry, H., Ghanem, L., Maamoun, M., Nour El Din, A., AbulHassan, H. (2018). Facial Cell Assisted Lipograft Comparing Mechanical and Enzymatic Preparation of the Stromal Vascular Fraction: A Comparative Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 193-203. doi: 10.21608/ejprs.2018.215088
Aly Hussein Saber Abul Hassan; Hamed Mohammad Kadry; Lobna Yousef Ghanem; Maamoun Ismail Maamoun; Ahmed Adel Nour El Din; Hussein Saber AbulHassan. "Facial Cell Assisted Lipograft Comparing Mechanical and Enzymatic Preparation of the Stromal Vascular Fraction: A Comparative Study". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 193-203. doi: 10.21608/ejprs.2018.215088
Abul Hassan, A., Kadry, H., Ghanem, L., Maamoun, M., Nour El Din, A., AbulHassan, H. (2018). 'Facial Cell Assisted Lipograft Comparing Mechanical and Enzymatic Preparation of the Stromal Vascular Fraction: A Comparative Study', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 193-203. doi: 10.21608/ejprs.2018.215088
Abul Hassan, A., Kadry, H., Ghanem, L., Maamoun, M., Nour El Din, A., AbulHassan, H. Facial Cell Assisted Lipograft Comparing Mechanical and Enzymatic Preparation of the Stromal Vascular Fraction: A Comparative Study. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 193-203. doi: 10.21608/ejprs.2018.215088
Facial Cell Assisted Lipograft Comparing Mechanical and Enzymatic Preparation of the Stromal Vascular Fraction: A Comparative Study
1The Department of Plastic & Reconstructive Surgery, Faculties of Medicine, Alexandria & University
2The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Cairo University and
3The Department of Clinical Pathology, Theodor Bilharz Institute
4The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Cairo University
5The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Alexandria University
Abstract
Background: For more than a century, clinicians have attempted to use fat for the treatment of tissue deficiencies and contour abnormalities with variable outcome and fate of the transferred fat. Autologous fat transfer for facial contouring has become popular in plastic surgery only in the past 20 years. In fact, surgeons have understood that ageing of the face is not attributable to gravity-induced ptosis alone, but is also a consequence of volume loss caused by tissue atrophy. Thus, volume replacement using fat transfer is the aim of the hereby presented treatment. Aim of the Study: To evaluate the effect of two types of isolation of lipograft in the face and their persistence and the changes they will produce. Material and Methods: This study was conducted on 50 patients complaining of facial ageing and facial scars whether post traumatic or post burn from the period between January 2013 and December 2014. The sample population was divided into two groups: • Group A: Underwent fat processing using the mechanical mesh/gauze to separate the SVF (39 patients) in order to obtain micro and nanofat grafts. • Group B: Underwent fat processing using the enzymatic /collagenase technique to separate the SVF (11 patients).
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