Expert Opinion on Biological Therapy ( IF 3.6 ) Pub Date : 2020-09-02 , DOI: 10.1080/14712598.2020.1815703 Pietro Gentile 1 , Aris Sterodimas 2 , Claudio Calabrese 3 , Barbara De Angelis 1 , Angelo Trivisonno 4 , Jacopo Pizzicannella 5 , Laura Dionisi 6 , Domenico De Fazio 7 , Simone Garcovich 8
ABSTRACT
Objectives
The aim of this study was to evaluate the safety and efficacy of the use of FG-SVFs in face rejuvenation for esthetic improvement.
Methods
33 female patients affected by face’s soft-tissue defects with loss of volume, study group (SG), were treated with FG-SVFs, comparing results with a control group (CG) (n = 30) treated with fat graft not enhanced (FG). Clinical evaluation, a photographic assessment, magnetic resonance imaging (MRI), and ultrasound (US) were performed. Post-operative follow-up was performed at 1, 3, 7, 12, 24, 48, weeks, and then annually.
Results
SG patients showed 61% maintenance of the contour restoring and of volume after 3 years compared with the CG treated with FG, who showed 31% maintenance. 60.7% (n = 20) of SG patients, presented an increase of 6.6 mm in the soft tissue volume after 36 months, which was reported in only 33,3% (n = 10) of the CG. Volumetric persistence in the SG was higher than that in the CG (p <. 0001 vs. CG). MRI and US moreover confirmed the absence of important side effects, as fat necrosis, and cytosteatonecrotic areas.
Conclusions
The use of FG-SVFs was safe and effective in this series of a case treated.
中文翻译:
基质血管部分细胞的再生应用增强了脂肪移植物的维持:面部年轻化的临床评估。
摘要
目标
这项研究的目的是评估FG-SVF在面部修复中改善美学的安全性和有效性。
方法
研究组(SG)对33例因面部软组织缺损而体积减少的女性患者进行了FG-SVFs治疗,并将结果与未进行脂肪移植(FG)的对照组(CG)(n = 30)进行了比较)。进行了临床评估,照相评估,磁共振成像(MRI)和超声(US)。术后随访分别在第1、3、7、12、24、48周进行,然后每年进行一次。
结果
与FG治疗的CG患者相比,SG患者3年后的轮廓恢复和体积维持了61%的维持率,而FG治疗的CG患者显示了31%的维持率。60.7%(n = 20)的SG患者在36个月后软组织体积增加了6.6 mm,据报道只有CG的33,3%(n = 10)。SG中的体积持久性高于CG(p <.0001 vs. CG)。此外,MRI和US证实不存在重要的副作用,如脂肪坏死和细胞甾体坏死区域。
结论
在此系列病例中,使用FG-SVF是安全有效的。