Only in recent years new available technologies, the redefinition and refining of intervention techniques, and clinical research studies have widened the spectrum of fat applications in aesthetic and reconstructive surgery. Fat grafting is nowadays one of the most used techniques in plastic reconstructive surgery, as primary method or as an ancillary procedure. The optimized ratio of fat survival has led to standardized techniques followed by most practitioners.

The aim of this book is to present up-to-date technologies used for fat extraction, and fat harvesting: latest tools are evaluated examining pros and cons. All recent techniques in aesthetic and reconstructive surgery and their outcomes are described in a clear, comprehensive manner; chapters present the latest research results in stem cell and regenerative medicine, their application to plastic and reconstructive surgery, in particular for hand surgery, ulcer, and capsule contractures in post breast augmentation procedures. Related specific techniques as breast fat transfer, breast hybrid implant, fat transfer and butk fat transfer are also discussed. Safety issues in fat transfer procedures are examined accurately, particularly those involving butk fat transfer. Each procedure is completed by a scientific analysis of the main reasons for complications, how to prevent them and the safety guidelines recommended as golden standard to be followed. The surgical part contains clinical cases related to each chapter topic, videos, and all chapters have a box with take home messages. An invaluable tool for correct decision-making for clinicians, fellows and residents in plastic surgery, Fat Transfer in Plastic Surgery focuses on indications, applications and surgical techniques for each individual body district, and safe and reliable procedures in the application of latest technology.


Part I. General Concepts
1. Safety in Body Contouring
2. Gluteal Fat Transfer: A Scientific Validation
3. Large Volume and Combined Fat Grafting Surgery in Postbariatric Patients: Safety Profile
4. Fat Transfer During the Pandemic COVID-19 Time
5. Fat Grafting as an Ancillary Treatment for Burns, Other Complex Wounds, and Their Sequelae
6. Efficacy and Safety of Cell-Enriched Fat Grafting in the Breast
7. Enrichment of the Fat Graft with Vascular Stem Cells
8. Volumetric and Regenerative Components of Fat Graft: Positioning in the Fat-Nanofat Spectrum
9. Fat Transfer to Improve Results after Breast Surgery and in Breast Abnormalities
10. N.I.L. Nutational Infrasonic Liposculpture. Lipo and Lipofilling
Part II. Technologies
11. Stromal-Enriched Lipograft : Combining Chemical Automatic Cell Station and Mechanical Lipocube for Supercharged Fat Graft
12. The Legacy of Micro-Autologous Fat Transplantation: A Reality from Evidence-Based Medicine
13. Ultrasound-Assisted Liposuction (UAL) with VASER Technology in Body Contouring
Part III. Surgery
14. New Concepts for Safe Gluteal Fat Grafting
15. Gluteal Fat Grafting: Technology, Techniques, and Safety
16. Buttock Reshaping: Principles and Techniques Using Vaser Device and Fat Grafting
17. Anatomy of the Male Torso in Relation to Body Contouring: Abdomen, Flanks, and Arms
18. Body Fat Grafting Contouring in the Male Patient
19. Body Fat Grafting Contouring in the Female Patient
20. Three-Dimensional Thigh Contouring the Role of Fat Grafting
21. Breast Augmentation with Fat. Patient Selection and Guidelines
22. Total Breast Reconstruction with Deflating Technique
23. Total Fat Grafting Breast Augmentation for a Harmonious Reshaping
24. Breast Fat Augmentation. Step-by-Step Technique and Ultrasound Assisted Liposuction for Contouring of Donor Area
25. Postmastectomy Total Breast Reconstruction by Serial Lipografting
26. Hybrid Fat Transfer, Breast Implants, and Fat
27. Percutaneous Fasciotomy and Fat Grafting for the Correction of the Tuberous Breast Deformity
28. Postbariatric Breast Reshaping and Fat Grafting
29. Brachioplasty in Overweight Patients: The Fat Grafting Role
30. Lower Eyelid Blepharoplasty and Midface: Liposculpture and Biorevitalization
31. Fat Grafting to Treat Genital Lichen Sclerosus
32. Female Genital Mutilation: A Surgical Approach to Reshaping
33. Periocular Fat Grafting
34. Head and Neck Reconstruction with Autologous Fat: The Versatility of Autologous Fat Graft in Correction of Facial Deformities and Functional Head and Neck Disorders
35. Reverse Expansion Technique for Breast Reconstruction After Skin-Sparing and Nipple-Sparing Mastectomy
36. Simultaneous Body Liposuction and Breast Remodelling by Fat
37. Penis Enhancement and Reshaping with Autologous Fat
38. Total Facial Rejuvenation Through Lipofilling: Anatomic and Regenerative Fat Grafting
39. Autologous Fat Grafting in Hand Surgery: From Osteoarthritis and Pain Management to Remodeling After Trauma and Rejuvenation
40. Complications and Pitfalls
41. Enhancing Body Anatomy with Fat Grafting
42. Male Upper Arm Definition with Fat Transfer
43. Autologous Fat Grafting Applications for Functional and Aesthetic Purposes in Gynecology
44. Breast Reconstruction with Fat Derived by Laser-Assisted Liposuction
45. The Use of Real-Time Ultrasound Scan Imaging in Gluteal Lipofilling as an Added Safety Measure
46. Expansion Vibrating Lipofilling (EVL) in Buttocks Body Contouring: A Review of 50 Consecutive Cases