КОРРЕКЦИЯ ДЕФЕКТОВ МЯГКОЙ ТКАНИ ПОСРЕДСТВОМ АУТОЛОГИЧЕСКОЙ ТРАНСПЛАНТАЦИИ ЖИРОВОЙ ТКАНИ ПОСЛЕ ОПЕРАЦИИ ПО ЛИПОКСАЦИИ

Abstract

The aim of considered the implementation of soft tissue defects correction by means of autologous adipose tissue transplantation after liposuction surgery. Materials and methods . The study was conducted by the authors from 2016 to 2020 and included 26 consecutive operations in female patients. The age limits of the patients ranged from 20 to 59 years. The preoperative body mass index of the patients was 17.4–26.5 kg/m 2 , on average 21.6 kg/m 2 and was determined during the first application. Liposuction surgery was performed 1–3 times on all patients included in the study. The total amount of transplanted autologous adipose tissue was 20–200 ml. Results . Over 24 months, 58.8 % of patients rated their appearance after autologous adipose tissue transplantation as «very good» and «excellent» and 29.4 % rated their appearance as «good». Only 11.8% of patients felt that their appearance was good at first, and then worsened. Discussion . In order to obtain a predictable result, the surgeon must inject adipose tissue into living tissue under sterile conditions and refrain from external contact in order to prevent infection. Transplants with a high percentage of components, such as blood and local factors, reduce the ability to predict accurate body volume. Conclusion . Have shown that the degree of satisfaction observed in patients after autologous adipose tissue grafting gives aesthetically acceptable results in terms of correction of deformities after liposuction. With the acceptance of aesthetic surgery in general and the increasing number of liposuction patients, it is clear that plastic surgeons in the future will face patients seeking secondary contouring surgery. Successful autologous adipose tissue transplantation is based on the appropriate technique, awareness of limitations and understanding of the patient's goals.