The Effects of Facial Lipografting on Skin Quality: A Systematic Review

Autologous lipografting for improvement of facial skin quality was first described by Coleman in 2006. The current dogma dictates that adipose tissue-derived stromal cells that reside in the stromal vascular fraction of lipograft contribute to skin rejuvenation (e.g., increased skin elasticity), a m...

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Vydané v:Plastic and reconstructive surgery (1963) Ročník 144; číslo 5; s. 784e
Hlavní autori: van Dongen, Joris A, Langeveld, Mirte, van de Lande, Lara S, Harmsen, Martin C, Stevens, Hieronymus P, van der Lei, Berend
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States 01.11.2019
Predmet:
Adipose Tissue - transplantation
Esthetics
Face - surgery
Follow-Up Studies
Graft Survival
Humans
Lipectomy - methods
Rhytidoplasty - methods
Risk Assessment
Skin Aging - physiology
Skin Physiological Phenomena
Skin Pigmentation - physiology
Stromal Cells - transplantation
Transplantation, Autologous - methods
Treatment Outcome
ISSN:1529-4242, 1529-4242
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Popis
Shrnutí:Autologous lipografting for improvement of facial skin quality was first described by Coleman in 2006. The current dogma dictates that adipose tissue-derived stromal cells that reside in the stromal vascular fraction of lipograft contribute to skin rejuvenation (e.g., increased skin elasticity), a more homogenous skin color, and softening of skin texture. Nowadays, many studies have been reported on this "skin rejuvenation" effect of autologous fat grafting. This systematic review was undertaken to assess the efficacy of autologous lipografting on skin quality. The MEDLINE, Embase, Cochrane Central, Web of Science, and Google Scholar databases were searched for studies evaluating the effect of autologous lipografting on facial skin quality (May 11, 2018). Outcomes of interest were skin texture, color, and elasticity in addition to histologic outcomes and number of complications. Nine studies were included, with 301 patients treated in total. No meta-analysis could be performed because of heterogeneity of the metrics and outcomes. Eight studies reported increased skin elasticity; improvement in skin texture; and a more homogeneous skin color after treatment with lipografting, cellular stromal vascular fraction, or nanofat. One study reported no increased skin elasticity after lipografting. Histologic improvement was seen after lipografting and adipose tissue-derived stromal cell injections. However, in general, the level of evidence of the included studies was low. No serious complications were reported. Autologous facial lipografting and cellular stromal vascular fraction and adipose tissue-derived stromal cell injections hardly seem to improve facial skin quality but can be considered a safe procedure.
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ISSN:1529-4242
1529-4242
DOI:10.1097/PRS.0000000000006147