Evidence map›Paper›PMID 42864544›Full record

ArticleAesthetic plastic surgery2026

Influence of Cannula Design on Lipoaspirate Architecture: A Double-Blind, Split-Body Trial Comparing Basket, Accelerator, and Candy Cane Cannulas.

Yanko Castro-Govea, Roberto Martínez-Mejorada, Cynthia M Gonzalez-Cantu, Luis Rodrigo Gomez-Alvarez, Pedro Emiliano Ramos-Morales, Luis Adrian Alvarez-Lozada, Everardo Valdés-Flores

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Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yanko Castro-GoveaDepartment of Plastic, Aesthetic and Reconstructive Surgery, School of Medicine and Hospital, Universitario "Dr. José Eleuterio González", Universidad Autonoma de Nuevo Leon, Ave. Madero y Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, NL, Mexico.
Roberto Martínez-MejoradaDepartment of Plastic, Aesthetic and Reconstructive Surgery, School of Medicine and Hospital, Universitario "Dr. José Eleuterio González", Universidad Autonoma de Nuevo Leon, Ave. Madero y Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, NL, Mexico.
Cynthia M Gonzalez-CantuDepartment of Plastic, Aesthetic and Reconstructive Surgery, School of Medicine and Hospital, Universitario "Dr. José Eleuterio González", Universidad Autonoma de Nuevo Leon, Ave. Madero y Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, NL, Mexico.
Luis Rodrigo Gomez-AlvarezDepartment of Plastic, Aesthetic and Reconstructive Surgery, School of Medicine and Hospital, Universitario "Dr. José Eleuterio González", Universidad Autonoma de Nuevo Leon, Ave. Madero y Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, NL, Mexico. luisrodrigo.gmz@gmail.com.ORCID http://orcid.org/0000-0001-9917-3953
Pedro Emiliano Ramos-MoralesSchool of Medicine, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico.
Luis Adrian Alvarez-LozadaDepartment of Plastic, Aesthetic and Reconstructive Surgery, School of Medicine and Hospital, Universitario "Dr. José Eleuterio González", Universidad Autonoma de Nuevo Leon, Ave. Madero y Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, NL, Mexico.
Everardo Valdés-FloresDepartment of Plastic, Aesthetic and Reconstructive Surgery, School of Medicine and Hospital, Universitario "Dr. José Eleuterio González", Universidad Autonoma de Nuevo Leon, Ave. Madero y Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, NL, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutologous fat grafting is widely used in reconstructive and esthetic surgery; however, variability in graft retention remains a major limitation. Cannula design may influence the mechanical trauma inflicted during fat harvesting, potentially affecting adipocyte architecture and tissue integrity. This study aimed to evaluate the macroscopic and histologic characteristics of adipose tissue harvested using three different suction cannulas. MATERIALS AND

methodsA double-blind, non-randomized, split-body clinical trial was conducted. Adipose tissue was harvested from the abdominal region of sixteen patients undergoing elective liposuction using three 4-mm diameter cannulas (Basket, Accelerator [ACC], and Candy Cane). Lipoaspirate samples were processed to separate aqueous, adipose, and oily phases. Macroscopic parcel area was measured using stereoscopic imaging, and histologic evaluation assessed adipocyte alterations, septal connective tissue disorganization, and debris presence. Statistical analysis aimed to determine differences from each characteristic per cannula design.

resultsA total of 48 adipose tissue samples were analyzed. The ACC cannula produced the largest adipose parcels and exhibited greater parcel size heterogeneity, whereas the Candy Cane and Basket cannulas generated smaller and more uniform parcels. No significant differences were observed among cannula types in the proportions of aqueous, adipose, or oily phases. Histologic analysis showed no significant association between cannula type and adipocyte alterations, septal disorganization, or debris presence. Patient age demonstrated significant correlations with adipose-phase volume and parcel size across cannula types.

conclusionCannula geometry influences the macroscopic architecture of harvested adipose tissue but does not appear to significantly affect histologic integrity or phase distribution when standardized harvesting conditions are applied. Patient-related factors, particularly age, may contribute to variability in adipose tissue characteristics at the time of harvest. LEVEL OF EVIDENCE II: 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 tissue architectureFat graftingLiposuction cannulaPlastic surgery

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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.