Autologous Fat Grafting
別名: 自家脂肪移植, 脂肪注入, 脂肪移植, 自家脂肪注入, 自己脂肪注入, ファットグラフティング, リポフィリング
Autologous fat grafting (fat transfer) is a procedure in which fat is removed from one area of the body by liposuction, processed, and injected into another area to add volume.
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지방성형은 자기 지방을 이용해 몸의 윤곽을 바꾸는 시술을 아우르는 말입니다. 크게 지방을 빼는 지방흡입과, 뺀 지방을 다른 부위에 옮겨 볼륨을 채우는 지방이식(자가지방이식)으로 나뉩니다. 지방이식은 가슴, 얼굴, 엉덩이, 손등 등 부위별로 나뉘고, 지방을 처리하는 방식에 따라 일반 지방이식, SVF를 더한 줄기세포 지방이식, PRP 병용 등으로 구분합니다. 이식한 지방의 일부는 흡수되며, 최종 결과는 최대 6개월 뒤에 판단합니다.
主要な事実
| 項目 | 値 | 出典 |
|---|---|---|
| Definition | A transplant of the patient's own fat tissue from a donor site to a recipient site to restore volume or correct contour defects | [2]journalAutologous Fat Grafting in Plastic and Reconstructive Surgery: An Historical Perspective (Costanzo D, Romeo A, Marena F; Eplasty 22:e4)Eplasty / PubMed Central |
| First reported fat graft | 1893: Neuber moved fat from the arm to the orbit (eye socket) to correct depressed scars left by osteomyelitis | [2]journalAutologous Fat Grafting in Plastic and Reconstructive Surgery: An Historical Perspective (Costanzo D, Romeo A, Marena F; Eplasty 22:e4)Eplasty / PubMed Central |
| Standardised technique | Coleman technique (published 1992): low-pressure harvest through a 3-mm blunt cannula, centrifugation, and injection in aliquots of 0.1 mL or less per pass | [2]journalAutologous Fat Grafting in Plastic and Reconstructive Surgery: An Historical Perspective (Costanzo D, Romeo A, Marena F; Eplasty 22:e4)Eplasty / PubMed Central |
| Typical uses | Breast reconstruction, scar revision, burn after-effects, neuropathic pain, chronic wounds, facial contouring時点 2022年1月1日 | [2]journalAutologous Fat Grafting in Plastic and Reconstructive Surgery: An Historical Perspective (Costanzo D, Romeo A, Marena F; Eplasty 22:e4)Eplasty / PubMed Central |
| US regulatory status (FDA) | Fat removed and reimplanted in the same person during the same surgical procedure may qualify for the 21 CFR 1271.15(b) exception if processing is limited to rinsing, cleansing, sizing and shaping (FDA final guidance, November 2017)時点 2017年11月17日 | [3]governmentSame Surgical Procedure Exception under 21 CFR 1271.15(b): Questions and Answers Regarding the Scope of the Exception – Guidance for IndustryU.S. Food and Drug Administration |
| Processed adipose cell products (US) | The FDA considers processing that isolates cellular components from fat, such as enzymatic digestion, to go beyond the same surgical procedure exception時点 2017年11月17日 | [3]governmentSame Surgical Procedure Exception under 21 CFR 1271.15(b): Questions and Answers Regarding the Scope of the Exception – Guidance for IndustryU.S. Food and Drug Administration |
| Gluteal safety advisory | Inject fat only into the subcutaneous space above the gluteal fascia; real-time ultrasound guidance recommended (ASPS, PSF, The Aesthetic Society, ASERF)時点 2022年8月18日 | [4]organizationGluteal Fat Grafting Safety AdvisoryThe Aesthetic Society |
| ASPS Fat Graft Task Force report | Gutowski KA; ASPS Fat Graft Task Force. Plast Reconstr Surg 2009;124(1):272-280 (PMID 19346997); task force formed in 2007 to assess safety and efficacy, especially for the breast時点 2009年7月1日 | [5]academicPubMed record: Current applications and safety of autologous fat grafts: a report of the ASPS fat graft task forcePubMed (NIH/NLM) |
| Steps | Harvest by liposuction → processing (washing/centrifugation/filtration) → injection in small aliquots | [1]organizationFat Transfer Breast AugmentationAmerican Society of Plastic Surgeons |
| Common risks | Lumps, oil cysts, calcification, asymmetry, resorption; rarely infection or fat embolism | [1]organizationFat Transfer Breast AugmentationAmerican Society of Plastic Surgeons |
概要
Autologous fat grafting (also called fat transfer or lipofilling) is a surgical procedure. The patient's own fat is removed, usually by liposuction, then processed and injected elsewhere in the body to add volume or correct contour defects. Neuber first reported it in 1893, and the Coleman technique standardised it in the 1990s. It is used for breast reconstruction and augmentation, facial contouring, scar and burn revision, and buttock (gluteal) augmentation. How much of the graft survives varies, and long-term evidence is limited because studies measure outcomes in different ways. In the US, fat that is only minimally processed and reinjected during the same operation may fall under an FDA exception. Isolating cellular components does not qualify. Gluteal grafting carries a documented risk of fatal fat embolism. Readers should check the surgeon's credentials, the injection depth and the facility's accreditation.
検証済みプロバイダー
有料掲載は明示されます。検証は支払いと無関係です。SC301의원
SC301의원 (SC301 Clinic) is a plastic surgery clinic in Gangnam, Seoul, South Korea whose official site presents SVF (stromal vascular fraction) fat grafting for the breast and face, liposuction, lifting and cell banking as its main services.
プロバイダーを見る参考文献
独立出典比率 89% (8/9)- レベル C · organizationFat Transfer Breast Augmentation — American Society of Plastic Surgeons · 閲覧日 2026年11月12日 · 根拠ページ
- レベル B · journalAutologous Fat Grafting in Plastic and Reconstructive Surgery: An Historical Perspective (Costanzo D, Romeo A, Marena F; Eplasty 22:e4) — Eplasty / PubMed Central · 閲覧日 2026年11月10日 · 根拠ページ
- レベル A · governmentSame Surgical Procedure Exception under 21 CFR 1271.15(b): Questions and Answers Regarding the Scope of the Exception – Guidance for Industry — U.S. Food and Drug Administration · 閲覧日 2026年11月10日 · 根拠ページ
- レベル C · organizationGluteal Fat Grafting Safety Advisory — The Aesthetic Society · 閲覧日 2026年11月11日 · 根拠ページ
- レベル B · academicPubMed record: Current applications and safety of autologous fat grafts: a report of the ASPS fat graft task force — PubMed (NIH/NLM) · 閲覧日 2026年11月12日 · 根拠ページ
- organization乳房への脂肪移植術の治療手順（第2版・2025年6月作成） — 日本乳房オンコプラスティックサージャリー学会 脂肪移植WG · 閲覧日 2026年11月12日 · 根拠ページ
- レベル B · academicDegeneration, regeneration, and cicatrization after fat grafting: dynamic total tissue remodeling during the first 3 months (Kato H, … Yoshimura K; Plast Reconstr Surg 2014) — Plastic and Reconstructive Surgery · 閲覧日 2026年11月12日 · 根拠ページ
- レベル B · academicLong-Term Volume Retention of Breast Augmentation with Fat Grafting Depends on Weight Changes: A 3-Year Prospective Magnetic Resonance Imaging Study (Ørholt M, … ; Plast Reconstr Surg 2025;155(6):947-954) — Plastic and Reconstructive Surgery · 閲覧日 2026年11月10日 · 根拠ページ
- レベル B · academicFat survival following autologous fat transfer to the native breast: A systematic review and meta-analysis (Giannas E, … ; J Plast Reconstr Aesthet Surg 2026;115:146-156) — Journal of Plastic, Reconstructive & Aesthetic Surgery · 閲覧日 2026年11月10日 · 根拠ページ