Gluteal fat injection with platelet-rich plasma using the water-assisted liposuction method
Keywords:
gluteal fat injection, platelet-rich plasma, Body-Jet equipment.Abstract
Introduction: Body fat is an increasingly popular choice from among filler materials worldwide. Numerous techniques and methods have been used to remodel the gluteal contour in order to achieve permanence of the fat graft.
Objective: To assess the effectiveness of gluteal fat injection with platelet-rich plasma using the water-assisted liposuction method with Body-Jet equipment.
Methods: An observational, descriptive, prospective and longitudinal study was carried out. The universe consisted of patients who attended the plastic surgery office with a diagnosis of hypotrophy. The sample consisted of sixty patients who met the inclusion criteria.
Results: The predominant age group was 20-29 years old, together with the female sex, mainly patients with normal weight. The total postoperative gluteal volume according to ultrasonography was greater than 300 mL in both buttocks. The permanence of the infiltrated fat volume was between 80 % and 100 % in more than 75 % of both buttocks. An average decrease of one gram of hemoglobin was observed in the immediate postoperative period, which was recovered after three months. Complications were little significant (1.8 %), fat graft permanence was higher than 90 %, and the aesthetic outcomes of the procedure after one year were rated as good in 68.3%.
Conclusions: The method of liposculpture assisted by pressurized water with the Body-Jet equipment offers significant advantages, reduces the operative time and is more comfortable for the patient and the surgeon.
Downloads
References
Kalaaji A, Dreyer S, Vadseth L, Maric I, Jönsson V, Haukebøe TH. Gluteal Augmentation With Fat: Retrospective Safety Study and Literature Review. Aesthet Surg J. 2019;39 (3):292-305. DOI: https://doi.org/10.1093/asj/sjy153
Rodríguez Flores J, Palomar Gallego MA, Torres García DJ. Plasma rico en plaquetas: fundamentos biológicos y aplicaciones en cirugía maxilofacial y estética facial. Rev Esp Cirugía Oral Maxilo Facial. 2012 [acceso: 17/07/2021];34(1):8-17. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-05582012000100002
Arquero P. Plasma Rico en plaquetas en cirugía estética. Rev AECEP. 2009 [acceso: 17/07/2021];42-48. Disponible en: https://aecep.es/wp-content/uploads/2018/04/revista_aecep_n12_2010.pdf
Aytaç S. Submuscular Gluteal Augmentation and Lipoplasty for Buttock Beautification. Plast Reconstr Surg Glob Open. 2021;9(5):e3576. DOI: https://doi.org/10.1097/GOX.0000000000003576
Nomoto S, Ogawa R. Removal of Aquafilling Using Body-jet: Waterjet-assited Liposuction Device. Plast Reconstr Surg Lob Open. 2021;9(6):e3451. DOI: https://doi.org/10.1097/GOX.0000000000003451
Taha S. Adipose-derived stem/progenitor cells from lipoaspirates: A comparison between the Lipivage200-5 liposuction system and the Body-Jet liposuction system. J Plastic Reconstr Aesthet Surg. 2020;73(1):166-75. DOI: https://doi.org/10.1016/j.bjps.2019.06.025
Escobar H. Gluteoplastia de aumento con injerto graso autólogo y plasma rico en plaquetas activado. Acta Médica. 2021 [acceso: 17/07/2021];22(3):e190. Disponible en: http://www.revactamedica.sld.cu/index.php/act/article/view/190
General Assembly of the World Medical Association. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. J Am Coll Dent. 2014 [acceso: 17/07/2021];81:14-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25951678/
Castellanos A. Lipoescultura corporal y lipoinyección por medio del equipo Body-jet. Cirug Plast Avanz. 2012 [acceso: 17/07/2021]. Disponible en: http://cirugiaplasticaavanzada.blogspot.com/2012/07/la-lipoabdominoplastia-con-equipo-body.html
Wu, Coombs DM, Gurunian R. Liposuction: Concepts, safety, and techniques in body-contouring surgery. Cleve Clin J Med. 2020;87(6):367-375.
Araco A, Gravante G, Araco F, Delogu D, Cervelli V. Comparison of power water-assisted and traditional liposuction: a prospective randomized trial of postoperative pain. Aesthetic Plast Surg. 2007;31(3):259-65.
Peprah K, MacDougall D. Liposuction for the Treatment of Lipedema: A Review of Clinical Effectiveness and Guidelines. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health. 2019;7.
Velazco H. Evolución del injerto graso con seguimiento ultrasonográfico en los surcos nasogenianos. [Tesis de curso]. La Habana: Universidad de Ciencias Médicas; 2000.
Cansancao AL, Condé Green A, David JA, Vidigal RA. Subcutaneous-Only Gluteal Fat Grafting: A Prospective Study of the Long-Term Results with Ultrasound Analysis. Plast Reconstr Surg. 2019;143(2):447-51. DOI: https://doi.org/10.1097/PRS.0000000000005203
Wells J, Hurvitz K. An evidence-based approach to liposuction. Plast Reconstr Surg. 2011:949-54. DOI: https://doi.org/10.1097/PRS.0b013e318204afaf
Serra RJ, Muñoz JL, Gonzalo CC. Uso de factores de crecimiento plaquetario unidos a injertos de grasa para lipofilling facial en ritidectomía. Cir Plast Iberolatinoam. 2006:1918. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922006000300006
Escobar Vega H, Zaldain Ramos D, Morales Novo J, Tamayo Carbon AM, Expósito Jalturin A. Aplicaciones del plasma rico en plaquetas en cirugía estética. Acta Médica. 2020 [acceso: 20/06/2021];21(2). Disponible en: http://www.revactamedica.sld.cu/index.php/act/article/view/101
Martínez A, Ruiz F, García J. Platelet-rich plasma: myth or reality?. Radiología (Engl Ed). 2018;60(6):465-75. DOI: https://doi.org/10.1016/j.rx.2018.08.006
Che DH, Xiao ZB. Gluteal Augmentation with Fat Grafting: Literature Review. Aesthetic Plast Surg. 2021;45(4):1633-41. DOI: https://doi.org/10.1007/s00266-020-02038-w
Downloads
Published
How to Cite
Issue
Section
License
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).
