BACKGROUND The application of a new approach is presented, percutaneous aponeurotomy and lipofilling, which is a minimally invasive, incisionless alternative to traditional flap reconstructions. METHODS The restrictive subdermal cicatrix and/or endogenous aponeurosis is punctured, producing staggered nicks. Expansion of the restriction reconstructs the defect and creates a vascularized scaffo...

BACKGROUND Among the different parameters that influence fat graft survival and lipofilling success, the use of local anesthetic and the way to process the fat before injection have often been pointed out. Likewise, we evaluated different techniques for processing adipose tissue before its injection and analyzed the quality of the grafts. METHODS Adipose tissue from the same patient was gentl...

DEAR EDITOR Coleman classically described four phases in fat grafting including harvesting, refinement, transfer and placement. The harvesting phase can be simplified by using the “trap device” instead of the conventional 10-cc Luer-Lock syringes. The “trap device” for harvesting fat by Power Assisted Liposuction and Medinorm tank is a convenient, wholly sterile, time saving method to provide f...

Abstract Introduction Free flap reconstruction is a routine procedure with more than 99% success rates. Yet, vascular complications may occur leading to failure. Thus, early detection of compromise crucial for salvage. Vascular be detected using Infrared Spectroscopy Tissue Oximetry (NIRS) parameter changes. This method can distinguish changes caused by arterial and venous thrombosis before sur...

Abstract Introduction Low-BMI patients are candidates for both implant and free autologous tissue breast reconstruction. However, deep inferior epigastric perforators (DIEP) flaps not a popular option among thin women. The objective of this study was to evaluate patient reported outcomes patient’s population. Method A retrospective chart review conducted all the DIEP-based reconstruction perfor...