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首页> 外文期刊>Journal of Cutaneous and Aesthetic Surgery >Gentle Is Better: The Original “Gentle Technique” for Fat Placement in Breast Lipofilling
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Gentle Is Better: The Original “Gentle Technique” for Fat Placement in Breast Lipofilling

机译：温柔更好：乳房脂肪灌装中脂肪放置的原始“温柔技术”

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Context: Breast lipofilling usually involves three different stages (harvesting, processing, and placement), and in each of these phases, adipocyte cells can be damaged. Our technique of fat placement is quite different from the others as we focus our attention on the last stage of fat graft procedure, which could explain the better results in graft survival. Aims: Our method is focused on eliminating any unnecessary manipulation of the graft so as to optimize graft retention and clinical outcomes: Controlled movement and slow rate of fat injection are the cornerstone of our technique and guarantee a nontraumatic fat transfer and a greater survival rate of adipocytes. Settings and Design: This was a retrospective cohort study. Materials and Methods: Of 120 patients (average age 41,5 years) affected by breast soft tissue defects, 60 were managed with the lipofilling procedure using fat graft injected by “Gentle technique.” To establish the effects of the injection’s procedure, we compared the results obtained in fat graft maintenance with a control group made up of 60 patients, treated with fat graft injection according to Coleman procedure. Statistical Analysis Used: Values are expressed as mean plus standard error and analyzed using Student’s t test. Results: In patients treated with Gentle technique, we observed a 60.5% + 12.5% maintenance of contour restoring and three-dimensional volume after 1 year ( P 0.0001 vs. control group); we compared the results obtained with only 39% + 4.4% of the control group treated with fat graft injected according to Coleman. Conclusions: Controlled 26 movement and slow rate of fat injection are the cornerstone of our technique and guarantee a nontraumatic fat transfer and a greater 27 survival rate of adipocytes.
机译：背景：乳房充脂通常涉及三个不同阶段（收获，加工和放置），并且在每个阶段中，脂肪细胞都可能受到损害。我们的脂肪植入技术与其他技术大不相同，因为我们将注意力集中在脂肪移植手术的最后阶段，这可以解释移植物存活的更好结果。目的：我们的方法着眼于消除对移植物的任何不必要的操作，以优化移植物保留和临床结果：受控的运动和缓慢的脂肪注射速度是我们技术的基石，并确保非创伤性脂肪转移和更高的存活率。脂肪细胞。设置与设计：这是一项回顾性队列研究。材料和方法：在120例受乳腺软组织缺损影响的患者（平均年龄41.5岁）中，有60例通过“温和技术”注射的脂肪移植物进行了注脂手术。为了确定注射程序的效果，我们将维持脂肪移植的结果与由60名患者组成的对照组进行了比较，对照组按照Coleman程序进行了脂肪移植注射治疗。使用的统计分析：值表示为平均值加标准误差，并使用Student t检验进行分析。结果：在接受Gentle技术治疗的患者中，我们观察到1年后轮廓恢复和三维体积的维持率为60.5％+ 12.5％（与对照组相比，P <0.0001）;我们比较了根据Coleman注射脂肪移植物治疗的对照组中仅39％+ 4.4％获得的结果。结论：控制的26运动和缓慢的脂肪注射速度是我们技术的基础，并确保非创伤性脂肪转移和更高的27脂肪细胞存活率。

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