The authors provide a thorough investigation into the variables affecting adipocyte viability ahead of graft transplantation.1 While several reports have examined individual components of techniques used for fat harvest, processing, and injection in relation to adipocyte survival and fat graft retention, there is a lack of systematic and objective evaluation integrating all of these factors in one study. This study is novel in its inclusion of many such variables and it is certainly unique in its integration of them into a single study involving almost fifty patients. The authors evaluated low vs high pressure lipoaspiration, decantation vs centrifugation, high vs low gravitational force centrifugation, serial syringe transfer among dissimilar calibers, ambient air exposure, and use of local anesthetic. Of particular interest is the inclusion of findings illuminating the relative frailty of the hypertrophic adipocytes of obese individuals. Moreover, their findings regarding ASC enrichment corroborate the body of knowledge extoling the benefits of cell assisted lipotransfer in graft retention.2 Similar …
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