Preconditioning Strategies for Improving the Outcome of Fat Grafting

Saved in:
Bibliographic Details
Title: Preconditioning Strategies for Improving the Outcome of Fat Grafting
Authors: Bonomi, Francesca, Limido, Ettore, Weinzierl, Andrea, Harder, Yves, Menger, Michael D, Laschke, Matthias W
Contributors: University of Zurich, Laschke, Matthias W
Source: Tissue Engineering Part B: Reviews. 31:94-108
Publisher Information: Mary Ann Liebert Inc, 2025.
Publication Year: 2025
Subject Terms: 1303 Biochemistry, Transplantation Conditioning, 1502 Bioengineering, fasting, hypoxia, 2502 Biomaterials, 2204 Biomedical Engineering, 610 Medicine & health, survival, adipose tissue, Adipose Tissue, preconditioning, Humans, Animals, 10266 Clinic for Reconstructive Surgery, Ischemic Preconditioning, fat grafting
Description: Autologous fat grafting is a common procedure in plastic, reconstructive, and aesthetic surgery. However, it is frequently associated with an unpredictable resorption rate of the graft depending on the engraftment kinetics. This, in turn, is determined by the interaction of the grafted adipose tissue with the tissue at the recipient site. Accordingly, preconditioning strategies have been developed following the principle of exposing these tissues in the pretransplantation phase to stimuli inducing endogenous protective and regenerative cellular adaptations, such as the upregulation of stress-response genes or the release of cytokines and growth factors. As summarized in the present review, these stimuli include hypoxia, dietary restriction, local mechanical stress, heat, and exposure to fractional carbon dioxide laser. Preclinical studies show that they promote cell viability, adipogenesis, and angiogenesis, while reducing inflammation, fibrosis, and cyst formation, resulting in a higher survival rate and quality of fat grafts in different experimental settings. Hence, preconditioning represents a promising approach to improve the outcome of fat grafting in future clinical practice. For this purpose, it is necessary to establish standardized preconditioning protocols for specific clinical applications that are efficient, safe, and easy to implement into routine procedures.
Document Type: Article
Other literature type
File Description: ZORA_267540.pdf - application/pdf
Language: English
ISSN: 1937-3376
1937-3368
DOI: 10.1089/ten.teb.2024.0090
DOI: 10.5167/uzh-267540
DOI: 10.22028/d291-45617
Access URL: https://pubmed.ncbi.nlm.nih.gov/38818802
https://www.zora.uzh.ch/id/eprint/267540/
https://doi.org/10.5167/uzh-267540
Rights: Mary Ann Liebert TDM
Accession Number: edsair.doi.dedup.....ca47e8e8de4ae4d3e6b0d8d6039f8e36
Database: OpenAIRE
Description
Abstract:Autologous fat grafting is a common procedure in plastic, reconstructive, and aesthetic surgery. However, it is frequently associated with an unpredictable resorption rate of the graft depending on the engraftment kinetics. This, in turn, is determined by the interaction of the grafted adipose tissue with the tissue at the recipient site. Accordingly, preconditioning strategies have been developed following the principle of exposing these tissues in the pretransplantation phase to stimuli inducing endogenous protective and regenerative cellular adaptations, such as the upregulation of stress-response genes or the release of cytokines and growth factors. As summarized in the present review, these stimuli include hypoxia, dietary restriction, local mechanical stress, heat, and exposure to fractional carbon dioxide laser. Preclinical studies show that they promote cell viability, adipogenesis, and angiogenesis, while reducing inflammation, fibrosis, and cyst formation, resulting in a higher survival rate and quality of fat grafts in different experimental settings. Hence, preconditioning represents a promising approach to improve the outcome of fat grafting in future clinical practice. For this purpose, it is necessary to establish standardized preconditioning protocols for specific clinical applications that are efficient, safe, and easy to implement into routine procedures.
ISSN:19373376
19373368
DOI:10.1089/ten.teb.2024.0090