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Autologous fat transfer for hand rejuvenation: A systematic review on technique and outcome
BACKGROUND: Age-related changes to the dorsum of the hand present as dyschromia, soft-tissue atrophy, and volume loss, resulting in wrinkles and prominent deep structures. Volume augmentation by means of autologous fat transfer (AFT) is one of the options to rejuvenate the hand; theoretically, autol...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9018121/ https://www.ncbi.nlm.nih.gov/pubmed/35449731 http://dx.doi.org/10.1016/j.jpra.2022.03.001 |
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author | Vermeersch, Nicolas De Fré, Maxime Verhoeven, Veronique Hunter, Judith E. Tondu, Thierry Thiessen, Filip E.F. |
author_facet | Vermeersch, Nicolas De Fré, Maxime Verhoeven, Veronique Hunter, Judith E. Tondu, Thierry Thiessen, Filip E.F. |
author_sort | Vermeersch, Nicolas |
collection | PubMed |
description | BACKGROUND: Age-related changes to the dorsum of the hand present as dyschromia, soft-tissue atrophy, and volume loss, resulting in wrinkles and prominent deep structures. Volume augmentation by means of autologous fat transfer (AFT) is one of the options to rejuvenate the hand; theoretically, autologous fat is the ideal filler because of durability and biocompatibility. OBJECTIVE: This systematic review aims to summarize and describe the current evidence on the technique, effectiveness, and safety of AFT in hand rejuvenation. METHODS: Three major databases, PubMed, Embase, and Web of Science, were systematically searched up to November 2020 for studies reporting on AFT and hand rejuvenation. RESULTS: A total of 10 articles were included, reporting on a total of 320 patients treated by AFT to improve the aesthetic appearance of the dorsum of the hand. Some degree of postoperative oedema was present in nearly all patients. Other complications were infection (0.67%), cysts/irregularities (1.3%), temporary dysesthesia (5.3%), and ecchymosis (7%). There were no major complications. Of all patients, 97.6% self-reported to be satisfied with the result. CONCLUSIONS: Overall, by combining the current evidence, AFT is considered a promising and safe technique to rejuvenate the aging hand with very high patient satisfaction. Future research, using validated patient questionnaires, objective volumetric measurements, and longer follow-up, is needed to confirm these results. LEVEL OF EVIDENCE: 3 |
format | Online Article Text |
id | pubmed-9018121 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-90181212022-04-20 Autologous fat transfer for hand rejuvenation: A systematic review on technique and outcome Vermeersch, Nicolas De Fré, Maxime Verhoeven, Veronique Hunter, Judith E. Tondu, Thierry Thiessen, Filip E.F. JPRAS Open Review Article BACKGROUND: Age-related changes to the dorsum of the hand present as dyschromia, soft-tissue atrophy, and volume loss, resulting in wrinkles and prominent deep structures. Volume augmentation by means of autologous fat transfer (AFT) is one of the options to rejuvenate the hand; theoretically, autologous fat is the ideal filler because of durability and biocompatibility. OBJECTIVE: This systematic review aims to summarize and describe the current evidence on the technique, effectiveness, and safety of AFT in hand rejuvenation. METHODS: Three major databases, PubMed, Embase, and Web of Science, were systematically searched up to November 2020 for studies reporting on AFT and hand rejuvenation. RESULTS: A total of 10 articles were included, reporting on a total of 320 patients treated by AFT to improve the aesthetic appearance of the dorsum of the hand. Some degree of postoperative oedema was present in nearly all patients. Other complications were infection (0.67%), cysts/irregularities (1.3%), temporary dysesthesia (5.3%), and ecchymosis (7%). There were no major complications. Of all patients, 97.6% self-reported to be satisfied with the result. CONCLUSIONS: Overall, by combining the current evidence, AFT is considered a promising and safe technique to rejuvenate the aging hand with very high patient satisfaction. Future research, using validated patient questionnaires, objective volumetric measurements, and longer follow-up, is needed to confirm these results. LEVEL OF EVIDENCE: 3 Elsevier 2022-03-11 /pmc/articles/PMC9018121/ /pubmed/35449731 http://dx.doi.org/10.1016/j.jpra.2022.03.001 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Review Article Vermeersch, Nicolas De Fré, Maxime Verhoeven, Veronique Hunter, Judith E. Tondu, Thierry Thiessen, Filip E.F. Autologous fat transfer for hand rejuvenation: A systematic review on technique and outcome |
title | Autologous fat transfer for hand rejuvenation: A systematic review on technique and outcome |
title_full | Autologous fat transfer for hand rejuvenation: A systematic review on technique and outcome |
title_fullStr | Autologous fat transfer for hand rejuvenation: A systematic review on technique and outcome |
title_full_unstemmed | Autologous fat transfer for hand rejuvenation: A systematic review on technique and outcome |
title_short | Autologous fat transfer for hand rejuvenation: A systematic review on technique and outcome |
title_sort | autologous fat transfer for hand rejuvenation: a systematic review on technique and outcome |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9018121/ https://www.ncbi.nlm.nih.gov/pubmed/35449731 http://dx.doi.org/10.1016/j.jpra.2022.03.001 |
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