Certain regions of the body with the least mobility and best blood supply offer the highest rates of fat graft
survival, especially the cheeks and temples.
Kotaro Yoshimura, MD, associate professor in the department of surgery at the University of Tokyo School of Medicine, developed the technique of cell-augmented lipotransfer (CAL) to increase the concentration of stem cells in the fat graft
Saliba has designated "HAFGM" (Hyaluronic Acid Fat Graft
Myringoplasty), requires only basic materials: a scalpel, forceps, a probe, a small container of hyaluronic acid, a small amount of fat taken from behind the ear and a local anesthetic.
In some cases, prior to transplantation, the fat is processed to enrich the stem cell content - the naturally occurring regen-erative cells found within the fat - with the aim of improving the prospects of the fat graft
By enriching transplanted fat with stem cells using this procedure, the survival rates of the fat graft
is enhanced and postoperative atrophy reduced.
A lateral dural puncture site was chosen so that the puncture site would fall against the remaining bone, and a fat graft
was placed over the puncture site.
The defendants argued that the fat graft
was not compressing the patient's nerves and therefore, they were not negligent in failing to perform a decompression surgery.
In the fat graft
group, average maximum incisal opening (MIO) was 26.
Kai Pinkernel, its head of research and development, said: "The 'supercharged' fat graft
survives really well and fills in the volume defect left by partial mastectomy.
In fact, says Shulman, a traditional fat graft
alone already contains some mature stem cells, "which can help explain its benefits.
An abdominal fat graft
was then placed over the onlay graft and secured with fibrin glue (figure 3, C).
Although fat grafting has been practiced for over 100 years, consensus on a standardized method for harvesting and fat graft
survival has yet to emerge.