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21.06.2017 | Original Article | Ausgabe 5/2017

Aesthetic Plastic Surgery 5/2017

What About the Rheological Properties of PRP/Microfat Mixtures in Fat Grafting Procedure?

Zeitschrift:
Aesthetic Plastic Surgery > Ausgabe 5/2017
Autoren:
R. Ghazouane, B. Bertrand, C. Philandrianos, J. Veran, M. Abellan, P. Francois, M. Velier, C. Orneto, P. Piccerelle, J. Magalon
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1007/​s00266-017-0905-0) contains supplementary material, which is available to authorized users.

Abstract

Background

Fat grafting has emerged as a reference procedure in daily plastic surgery practice. Unpredictable fat resorption is the main clinical problem. For this purpose, the addition of PRP to enhance fat revascularization is now an easy and popular procedure. However, no consensus exists regarding the respective volume of fat and PRP used to obtain the ideal mixture. This study investigated the rheological properties of microfat mixed with different proportions of PRP. Results obtained were compared with commercialized hyaluronic acid fillers.

Methods

Microfat and PRP preparations were performed using standardized techniques. Lipoaspirate residue and blood were obtained from six patients undergoing aesthetic facial microlipofilling. Elastic modulus G’ and tan δ (proportion of elasticity versus fluidity) were obtained for the following conditions: microfat alone and microfat mixed with 10, 30 or 50% of PRP.

Results

An expected decrease in elastic modulus was observed by adding increase volumes of PRP. Two groups of products with different rheological properties were considered based on statistical differences highlighted regarding the value of G’. Mean tan δ varied from 0.20 ± 0.04 (microfat alone) to 0.28 ± 0.08 (50% microfat/50% PRP). Microfat mixed with 10% of PRP presents consistency comparable to stiffer fillers, whereas microfat mixed with 30 or 50% corresponds to softer fillers.

Conclusion

Rheological differences were highlighted given the proportion of PRP added to the microfat. Further studies assessing the impact of increased doses of platelets in microfat/PRP mixtures on clinical outcomes should also be investigated. Our findings will help clinicians to choose a mixture that meets their specific needs for a given indication.

No Level Assigned

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Zusatzmaterial
Supplementary material 1 (DOCX 13 kb)
266_2017_905_MOESM1_ESM.docx
Literatur
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