Lipofilling. The review of the technique. Modern opportunities and prospects for dermal scar correction
https://doi.org/10.35401/2500-0268-2019-15-3-62-67
Abstract
Since of the invention lipofilling, there was a significant change in ideas of the role used autologous fat tissue (Auto Fat) from natural filler of defects to the product for stimulating regeneration. There was a considerable evolution in technology of liposuction and Auto Fat processing, material and methodical providing of the procedure was improved. Opening and studying role of the stromal-vascular fraction (SVF) of the adipose tissue, in particular mesenchymal stem cells of the adipose tissue (MSC FT), promoted considerable extension of indications while using this method in aesthetic medicine. During experience accumulation of lipofilling application new concepts of application of Auto Fat in combination with MSC FT, platelet-enriched plasma (PRP) and growth factors were developed for scar correction. Understanding of a key role recipient area in succesful engrafting Auto Fat on scars resulted in development of transcutaneous aponeurotomy in a combination with a lipofilling (riggotomy). The procedure of a nanolipofilling which can be considered an attempt of the isolated use of lipofilling for regeneration stimulation and remodeling of cicatricial tissue was developed. However, despite the achieved success, carrying out further researches which would allow to confirm this method efficacy from the point of view evidence-based medicine and develop clear clinical guidelines about its application for treatment of dermal scars would be necessary.
About the Authors
Yu. A. Sergeeva
Kuban State Medical University; Klinika Solnechnaya
Russian Federation
Russian Federation
Sergeeva Yulia A. – Postgraduate Student, Department of Common and Clinical Pathophysiology; maxillofacial surgeon
Krasnodar
A. Kh. Kade
Kuban State Medical University
Russian Federation
Russian Federation
Kade Azamat Kh. – Dr. of Sci. (Med.), Head of Department of Common and Clinical Pathophysiology
Krasnodar
S. B. Bogdanov
Kuban State Medical University; Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Bogdanov Sergey B. – Dr. of Sci. (Med.), Head of the Burns Center; Professor of the Department of Orthopedics, Traumatology and Military Field surgery
Krasnodar
A. I. Trofimenko
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Trofimenko Artem I. – Cand. of Sci. (Med.), Researcher, Scientific Department
350086, Krasnodar, 1st May str., 167
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Review
For citations:
Sergeeva Yu.A., Kade A.Kh., Bogdanov S.B., Trofimenko A.I. Lipofilling. The review of the technique. Modern opportunities and prospects for dermal scar correction. Innovative Medicine of Kuban. 2019;(3):62-67. (In Russ.) https://doi.org/10.35401/2500-0268-2019-15-3-62-67
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