Evidence map›Paper›PMID 29616164›Full record

ArticlePlastic and reconstructive surgery. Global open2018

The Impact of Recipient Site External Expansion in Fat Grafting Surgical Outcomes.

Carlo M Oranges, Julia Striebel, Mathias Tremp, Srinivas Madduri, Daniel F Kalbermatten, Dirk J Schaefer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Large-Volume Breast Autologous Fat Transfer Entirely Under Tumescent Anesthesia: Experience With 87 Patients Over 6 Years.Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2026
    Article
  2. Review
  3. Article
  4. [Research progress of external volume expansion assisted autologous fat grafting for breast reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022
    Review
  5. Fat Grafting: Basic Science, Techniques, and Patient Management.Plastic and reconstructive surgery. Global open · 2022
    Review
  6. Fat Processing Techniques.Seminars in plastic surgery · 2020
    Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Carlo M OrangesDepartment of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
Julia StriebelDepartment of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
Mathias TrempDepartment of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
Srinivas MadduriDepartment of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
Daniel F KalbermattenDepartment of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.
Dirk J SchaeferDepartment of Plastic, Reconstructive, Aesthetic, and Hand Surgery, Basel University Hospital, Basel, Switzerland; Department of Biomedicine, University of Basel, Basel, Switzerland; and Department of Biomedical Engineering, University of Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe fat grafting process includes the 4 phases of tissue harvesting, processing, recipient-site preparation, and reinjection. Among them, the preparation of the recipient site has never been exhaustively reviewed. We aim to provide a comprehensive overview of the methods to prepare the recipient site through external expansion with the resulting outcomes.

methodsPubMed/Medline database was searched for studies on fat grafting recipient site preparation by applying the following algorithm: ((fat grafting) OR (lipofilling) OR (lipograft) AND (recipient site)). A priori criteria were used to review the resulting articles and identify those dealing with external expansion.

resultsFourteen studies published from 2008 through 2016 met inclusion criteria (4 case reports, 6 retrospective, and 4 prospective studies), representing 1,274 treated patients. Two devices for preexpansion were used with different protocols: BRAVA system and Kiwi VAC-6000M with a PalmPump. The 13 studies that applied the BRAVA system reported large fat volume transplantation to the breast (average > 200 cc). The most common complications were localized edema (14.2%), temporary bruising, and superficial skin blisters (11.3%), while the most serious was pneumothorax (0.5%). The majority of the studies reported enhancement of fat graft survival, which ranged between 53% and 82% at 6 months to 1 year follow-up, and high satisfaction of patients and surgeon.

conclusionsExternal expansion and fat grafting is a promising technique for breast reconstruction and augmentation. However, due to the overall low level of evidence of the available studies, further research is needed to validate the procedure.

Identifiers

PMID29616164
PMCPMC5865941

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.