Evidence map›Paper›PMID 40140087›Full record

ArticleAesthetic plastic surgery2025

Immunohistochemical Analysis of Nanofat Membrane, Solid PRF, and Stromal Vascular Fraction Gel.

Nabil Fakih-Gomez, Shahriar Nazari, Fatemeh Azadi, Mohammad Reza Pourani, Paula Martin-Marfil

Abstract read
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Nabil Fakih-GomezDepartment of Facial Plastic and Cranio-Maxillo-Facial Surgery, Fakih Hospital, Khaizaran Main Street, Sea Road Saida-Sour, Khaizaran, Lebanon. info@drnabilfakih.com.ORCID 0000-0003-4464-8258
Shahriar NazariDepartment of ENT and Head and Neck Surgery, BMI hospital, Tehran, Iran.
Fatemeh AzadiDepartment of Pathology, Bank Meli Hospital, Tehran, Iran.
Mohammad Reza PouraniDepartment of Dermatology, Shohada-E Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Paula Martin-MarfilDepartment of Endocrinology and Medical Nutrition, Salamanca University Hospital, Salamanca, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPlatelet-rich fibrin (PRF) and nanofat have emerged as promising autologous biomaterials in tissue regeneration and facial rejuvenation. Both serve as vehicles for cellular growth factors that promote wound healing and tissue remodeling. This study aims to investigate the presence of endothelial and stem cell markers in nanofat membranes through immunohistochemical analysis. MATERIALS AND

methodsEleven patients (nine women, two men) with a mean age of 36.82 ± 5.79 were included in this case-series study. Tissue samples were obtained using a mixture of nanofat and injectable PRF, with two different concentration ratios (2:1 and 1:1), in addition to solid PRF and stromal vascular fraction (SVF) gel membrane for comparison. The samples were fixed in 10% formaldehyde, processed into paraffin blocks, and sectioned (2-5 μm). Immunohistochemical staining was performed using markers CD31 (endothelial cells), CD34 (hematopoietic and adipose-derived stem cells, and endothelial cells), CD163 (macrophages), ERG (endothelial marker), S100 (adipocyte marker), and CD10 (adipose-derived stem cells). Histopathologic examination evaluated endothelial and stem cell presence as well as macrophage infiltration.

resultsHistopathological analysis revealed fragmented adipose tissue with vascular proliferation, as well as platelet and fibrin deposition. Immunohistochemical staining showed the presence of endothelial markers (CD31: 36.82%, CD34: 22.73%, ERG: 19.09%) in the nanofat membrane, indicating vascularization. CD163 staining highlighted macrophages, although they were sparse in the nanofat membrane (<1% of cells). The SVF gel membrane exhibited substantial platelet aggregation but lacked evidence of cellular differentiation. CD34 staining confirmed the presence of adipose-derived stem cells (ADSCs), though in lower-than-expected quantities.

conclusionThis study demonstrates the presence of endothelial cells and limited macrophages within the nanofat membranes, suggesting potential for vascular neoformation and tissue remodeling. However, the lack of detection of significant adipose-derived stem cells highlights the need for more advanced immunohistochemical markers to fully evaluate regenerative potential. The nanofat membrane provides a viable scaffold for tissue regeneration, with further research needed to optimize protocols for enhanced clinical outcomes. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .

Indexed as

Adipose TissuePlatelet-Rich FibrinStromal Vascular FractionAdultFemaleGelsHumansImmunohistochemistryMaleMiddle AgedGelsCD163CD31CD34Endothelial markersFat membraneImmunohistochemistryNanofat membraneStem cells

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.