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Acute Adipocyte Viability After Third-Generation Ultrasound-Assisted Liposuction
Journal article   Open access   Peer reviewed

Acute Adipocyte Viability After Third-Generation Ultrasound-Assisted Liposuction

Mark E. Schafer, Kevin C. Hicok, Daniel C. Mills, Steve R. Cohen and James J. Chao
Aesthetic surgery journal, v 33(5), pp 698-704
01 Jul 2013
PMID: 23718978
url
https://doi.org/10.1177/1090820x13485239View
Published, Version of Record (VoR)Open Access (License Unspecified) Open
url
https://doi.org/10.1177/1090820X13485239View
Published, Version of Record (VoR) Open

Abstract

Life Sciences & Biomedicine Science & Technology Surgery
Background: Although clinical evidence of successful autologous fat transfer (AFT) using third-generation ultrasound-assisted liposuction (UAL) is readily available, no study has quantified adipocyte viability using standardized methods. Objectives: The authors assess acute adipocyte viability following fat aspiration as a first step in determining the overall efficacy of using third-generation UAL for AFT. Methods: Lipoaspirate samples were collected from patients who underwent elective liposuction procedures at multiple surgery centers. Patients with a history of bleeding disorders, diabetes, human immunodeficiency virus, or lipoatrophy disorders were excluded. The UAL system (VASER; Sound Surgical Technologies, Inc, Louisville, Colorado) was set at 60% amplitude in pulsed mode with vacuum aspiration of 15 in Hg or less. Laboratory analysis included free lipid volume, viability via lipolysis and propidium iodide staining, and cytological analysis, including cell surface protein examination and hematoxylin and eosin staining. Results: The lipolysis assay revealed metabolically active adipocytes with a mean (SD) correlative viability of 85.1% (11%). Direct measures of acute viability via propidium iodide staining resulted in a mean (SD) viability measure of 88.7% (3.5%). Both mean values are within the historical range reported from syringe and vacuum-assisted lipoaspiration. Aqueous and lipid contents were favorably reduced after washing and filtering (Puregraft system; Cytori Therapeutics, Inc, San Diego, California). Cellular phenotypes identified were primarily white blood cells or vascular endothelial and vascular associated cells. Conclusions: Adipose tissue acquired via third-generation UAL is viable at harvest and is potentially a suitable source for autologous fat grafts. These results confirm reported clinical successes utilizing third-generation ultrasound lipoaspirate for AFT.

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Collaboration types
Domestic collaboration
Web of Science research areas
Surgery
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