Fat Grafting: Current Concept, Clinical Application, and Regenerative Potential, Part 2

Kotaro Yoshimura, MD, Editor

Sydney R. Coleman, MD, Editor

Although fat grafting had a “bad reputation” in the past, it has become one of the most commonly performed procedures in both aesthetic and reconstructive plastic surgery. It started as autologous filler for facial rejuvenation, but now it has been used not only for facial rejuvenation but also for breast surgery, body contouring surgery, and other aspects of aesthetic and reconstructive surgery. Until recently, fat grafting has showed its regenerative potential and has been used to treat some of the difficult clinical problems facing plastic surgeons. As we know more about fat grafting, its mechanisms of how fat grafts survive, and their regenerative features, fat grafting as a relatively noninvasive procedure can gradually replace many aesthetic and reconstructive procedures in the future. It becomes a major armamentarium for plastic surgeons to rejuvenate aged tissues, to reconstruct a missing part of tissues, to reverse the disease process, and to treat certain pathologic conditions.

Because fat grafting has become a rapidly growing field in plastic surgery with much new advancement for aesthetic and reconstructive surgery, several visionary leaders, including the three editors of this issue, have formed a brand new international society, named International Society of Plastic and Regenerative Surgery (ISPRES), in 2011. This young, dynamic international society has gathered many talented plastic surgeons with primary interests and expertise in fat grafting. This issue and the April 2015 issue of Clinics in Plastic Surgery represent members of this young international organization and their excellent work being presented during the previous world congresses in Rome, Italy, Berlin, Germany, and Miami, USA. Part II starts with fat grafting for facial filling and regeneration followed by fat grafting for primary breast augmentation and composite breast augmentation with an implant and fat grafts. The role of fat grafting in breast reconstruction and breast reconstruction with fat grafting and Brava are well presented in this issue. This is followed by the best summary on safety considerations of fat grafting to the breast. Fat grafting as a regenerative approach to a number of difficult clinical programs, such as chronic ulcer or scar, scleroderma, velopharyngeal insufficiency, and Dupytren contracture, is also presented in this issue. In the last two articles, management of complications related to fat grafting and future perspective of fat grafting is included for the completion of this special issue.

We sincerely hope that you will enjoy reading this special issue of Clinics in Plastic Surgery . It represents a true team effort from worldwide experts of the ISPRES. We would like to express our heartfelt gratitude to all of the contributors for their expertise, dedication, and responsibility to produce such a world class issue of plastic surgery. It is certainly our privilege to work with these respected authors in this exciting field of plastic surgery. We would also like to express our appreciation to the publication team at Elsevier, who put this remarkable issue together with the highest possible standard.

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