Autologous Fat Transplantation Versus Adipose-Derived Stem Cell–Enriched Lipografts: A Study

Sterodimas, Aris; Faria, Jose de; Nicaretta, Beatriz; Boriani, Filippo

doi:10.1177/1090820x11415976

Cited by 130 publications

(97 citation statements)

References 41 publications

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“…10,29,30 Cell-assisted lipotransfer, a procedure in which stromal vascular fraction cells are isolated and then mixed with adipose-tissue before re-injection, has been suggested to improve graft take. 31 However, the process to isolate ASCs from adipose tissue by collagenase digestion cannot be considered as "minimal manipulation" and requires compliance with good manufacturing process technical standards and regulatory limitations. 32 In this respect, lipotransfer is less expensive and time consuming and can be performed in a single surgical procedure.…”

Section: Discussionmentioning

confidence: 99%

Facial skin rejuvenation by autologous dermal microfat transfer in photoaged patients: Clinical evaluation and skin surface digital profilometry analysis

Trivisonno¹,

Rossi²,

Monti³

et al. 2017

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Please cite this article as: Trivisonno, A.; Rossi, A.; Monti, M.; Di Nunno, D.; Desouches, C.; Cannistra, C.; Toietta, G. Facial skin rejuvenation by autologous dermal microfat transfer in photoaged patients: Clinical evaluation and skin surface digital profilometry analysis. Journal of Plastic Reconstructive and Aesthetic Surgery 2017, 70, 1118-1128. DOI: 10.1016/j.bjps.2017 http://www.sciencedirect.com/science/article/pii/S1748681517301559 M A N U S C R I P T A C C E P T E D M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 2 SUMMARYCumulative, long-term exposure to solar ultraviolet radiation promotes premature skin aging characterized by wrinkle formation and reduced skin elasticity. In this study, we assessed whether microfat transfer could improve dermal and subcutaneous tissue thickness loss associated with photoaging. Twenty one patients affected by facial photoaging (photodamage grade II-IV; age range 35-62 years; 19 females, 2 males; all of Caucasian origin) were treated using minimally-invasive autologous dermal white fat transfer harvested with a recently designed microcannula. The results were determined by clinical assessment, patient self-evaluation and quantified by the Antera 3D ® dermal digital device for non-invasive, objective, reliable and accurate assessment of facial skin texture, color and wrinkle characteristics. Compared with the pretreatment condition, the increment in soft tissue volume and improvement in skin quality and texture was assessed by a dermatologist after treatment. In addition, instrumental evaluation by digital skin profilometry of the treated areas revealed:a 41% reduction in average wrinkle depth (7.29 ± 1.04 x 10 -2 mm pre-treatment vs. 4.31 ± 1.16 x 10 -2 mm at 90 days post-treatment; p < 0.001), improved skin texture, more homogeneous and uniform skin color and declined facial hemoglobin and melanin concentrations. The majority of patients (above 90%) reported improvements in self-perception. No significant complications were reported throughout the study. In conclusion, by using digital profilometry analysis as an objective and innovative tool to determine the outcome of treatment, we demonstrated that autologous microfat transfer is a safe and well-tolerated procedure with measurable beneficial effects on facial skin aging.

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Section: Discussionmentioning

confidence: 99%

Facial skin rejuvenation by autologous dermal microfat transfer in photoaged patients: Clinical evaluation and skin surface digital profilometry analysis

Trivisonno¹,

Rossi²,

Monti³

et al. 2017

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…Recently, adipose-derived stem cells (ADSCs) have been isolated in the aspirates (Sterodimas et al 2011). These are pluripotent mesenchymal stem cells that are similar to bone marrow-derived mesenchymal stem cells (Sterodimas et al 2011;Tiryaki et al 2011;Park et al 2008).…”

Section: Introductionmentioning

confidence: 99%

“…These are pluripotent mesenchymal stem cells that are similar to bone marrow-derived mesenchymal stem cells (Sterodimas et al 2011;Tiryaki et al 2011;Park et al 2008). Indeed, ADSCs are able to differentiate in mature adipose cells or other adult mesenchymal cells after paracrine or autocrine hormonal stimulations (Yang et al 2010;Takeda et al 2015;Wang et al 2015;Salibian et al 2013).…”

Section: Introductionmentioning

confidence: 99%

“…This characteristic of ADSCs would allow the regeneration and, therefore, a longer survival of the implanted tissues (Ryu et al 2013;Ellenbogen et al 2005). Unfortunately, with the standard techniques for liposuction, the vast majority of ADSCs are lost during the procedure (Sterodimas et al 2011). In fact, suctioned adipose tissue by means of centrifugation and vacuum pressure is divided in two portions: a fatty portion that consists of shredded adipose tissue and a fluid portion composed by the saline solution pre-injected into the site of suction, peripheral blood and cells derived from adipose tissue (Sterodimas et al 2011;Tiryaki et al 2011).…”

Section: Introductionmentioning

confidence: 99%

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Characterization of adipose-derived stem cells freshly isolated from liposuction aspirates performed with Prolipostem®

Savoia¹,

Perna

Pasquale³

et al. 2017

biomed dermatol

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Background: Lipofilling is a cosmetic surgical procedure that consists in the withdrawal of a small quantity of fat tissue from a suitable anatomic area and the reimplantation of this tissue in another corporeal district in the same individual, so as to obtain a filling effect. Recently, adipose-derived stem cells (ADSCs) have been isolated in the aspirates. These are pluripotent mesenchymal stem cells that are able to differentiate in mature adipose cells or other adult mesenchymal cells after paracrine or autocrine hormonal stimulations, thus favoring a longer survival of the implanted tissues. Methods: In this article, we have defined a new method for liposuction (Prolipostem®), where the ADSCs are recovered and mixed with the suctioned adipose tissue derived from the abdominal fat, before the reimplantation. Results: We have demonstrated by immunocytochemistry the presence of ADSCs in the adipose tissue taken with Prolipostem® from the abdominal fat and the ability of these ADSCs to differentiate in mature adipose cells in vitro. Conclusions: The possibility to enrich the tissue to be implanted with ADSCs would assure a longer survival of the cells implanted and a regeneration of the host tissue thanks to growth and angiogenic stimuli induced by the ADSCs.

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“…Sterodimas et al (18) compared CAL technology with autologous fat transplantation. In that study, 20 patients with congenital or acquired facial tissue defects were randomly divided into two groups.…”

Section: Cal For Clinical Treatment Of Facial Deformitymentioning

confidence: 99%

Cell-assisted lipotransfer in the clinical treatment of facial soft tissue deformity

Wen

Jian

et al. 2015

CAN J PLAST SURG

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Autologous Fat Transplantation Versus Adipose-Derived Stem Cell–Enriched Lipografts: A Study

Abstract: Adipose-derived stem cell-enriched lipografts produced aesthetically-acceptable results without the need for repeat treatment sessions, which are necessary with autologous fat transplantation. Further long-term studies are necessary to confirm the favorable results seen in this study.

Cited by 130 publications

References 41 publications

Facial skin rejuvenation by autologous dermal microfat transfer in photoaged patients: Clinical evaluation and skin surface digital profilometry analysis

Facial skin rejuvenation by autologous dermal microfat transfer in photoaged patients: Clinical evaluation and skin surface digital profilometry analysis

Characterization of adipose-derived stem cells freshly isolated from liposuction aspirates performed with Prolipostem®

Cell-assisted lipotransfer in the clinical treatment of facial soft tissue deformity

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