Autologous Fat Grafting
别名: fat transfer, lipofilling, fat injection, 자가지방 이식, 지방이식
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.
Where is the fat harvested from for fat grafting?
Fat is usually harvested by liposuction from the abdomen, flanks, thighs or buttocks, chosen by the amount of fat available and the patient's contour goals. A 2026 systematic review examined whether donor site affects graft survival in breast fat transfer. The donor area is treated like any liposuction site, with its own recovery and risks.
关键事实
| 属性 | 值 | 来源 |
|---|---|---|
| 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截至 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)截至 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截至 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)截至 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截至 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 |
概述
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.
已验证服务机构
付费展示均有标注。验证与付费无关。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.
查看机构参考来源
独立来源比例 100% (5/5)- 等级 C · organizationFat Transfer Breast Augmentation — American Society of Plastic Surgeons · 访问于 2026年9月20日 · 证据页
- 等级 B · journalAutologous Fat Grafting in Plastic and Reconstructive Surgery: An Historical Perspective (Costanzo D, Romeo A, Marena F; Eplasty 22:e4) — Eplasty / PubMed Central · 访问于 2026年9月20日 · 证据页
- 等级 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 · 访问于 2026年9月20日 · 证据页
- 等级 C · organizationGluteal Fat Grafting Safety Advisory — The Aesthetic Society · 访问于 2026年9月20日 · 证据页
- 等级 B · academicPubMed record: Current applications and safety of autologous fat grafts: a report of the ASPS fat graft task force — PubMed (NIH/NLM) · 访问于 2026年9月20日 · 证据页