CAJ | 학술논문

结构性脂肪移植一直被认为是美容手术中进行软组织填充的一种行之有效的方式,而移植效果却往往较差或不可预测,且其治疗效果主要依靠外科医师的个人经验.脂肪移植的这种不理想的治疗效果可能是由于缺乏“良好的”外科手术技术.笔者对当前此领域的文献资料进行了回顾性分析,并结合自己的临床研究经验,认为脂肪移植技术可以分为4个基本步骤,包括如何选择脂肪供区以及如何获取、加工并移植脂肪.我们越来越清楚的认识到,要使病人获得最佳的手术效果,需要在既定的脂肪移植技术中遵循一些有科学支持的基础依据,包括选择合适的供区,采用微创技术获取脂肪,以适当转速离心处理移植脂肪,及用特有方式进行脂肪的移植.
결구성지방이식일직피인위시미용수술중진행연조직전충적일충행지유효적방식,이이식효과각왕왕교차혹불가예측,차기치료효과주요의고외과의사적개인경험.지방이식적저충불이상적치료효과가능시유우결핍“량호적”외과수술기술.필자대당전차영역적문헌자료진행료회고성분석,병결합자기적림상연구경험,인위지방이식기술가이분위4개기본보취,포괄여하선택지방공구이급여하획취、가공병이식지방.아문월래월청초적인식도,요사병인획득최가적수술효과,수요재기정적지방이식기술중준순일사유과학지지적기출의거,포괄선택합괄적공구,채용미창기술획취지방,이괄당전속리심처리이식지방,급용특유방식진행지방적이식.
Structural fat grafting has been considered as a valid option for soft-tissue augmentation in cosmetic surgery.However,its result has often been considered poor or unpredictable and is largely surgeon dependent.Less desirable outcome after fat grafting is probably due to lack of "good" surgical technique.In order to help plastic surgeons to gain more insight to this valid fat grafting technique,the author conducted a critical review of the current literature in this subject.To better address the findings of the study,the fat grafting technique was arbitrarily classified into 4 essential steps to determine how the donor sites should be selected and how the fat grafts should be harvested,processed,and placed.It becomes clear that several basics in an established fat grafting technique have gained much of scientific support and should be followed in order to achieve an optimal outcome for our patients.These basics include the proper selection of donor sites,to harvest fat grafts with an atraumatic technique,to process fat grafts with centrifugation in an appropriate setting,and to place fat grafts with a unique fashion.