Autologous Fat Grafting in Plastic and Reconstructive Surgery

An Historical Perspective

Domenico Costanzo; Antonella Romeo, MDM; Francesco Marena, MD

Disclosures

ePlasty. 2022;22(e4) 

In This Article

Abstract and Introduction

Abstract

Autologous fat grafting (AFG or lipofilling) is a common technique used in plastic and reconstructive surgery that involves the transfer of autologous fat tissue from one region of the body to another. The indications and techniques of AFG have changed dramatically over the years. We recount the historic milestones to the current state.

Introduction

Fat grafting, also known as lipofilling, is a surgical technique that involves the transfer of autologous fat tissue from one region of the body to another. The history of fat grafting spans 3 centuries and has been divided into 3 distinct periods:

  • the open-air period before the discovery of liposuction (1889–1977)—adipose tissue was obtained by surgical excision;

  • the second period (1977–1994) marked by the advent of liposuction, called non-purified or traumatic;

  • the purified or atraumatic period following Coleman's work (1994 to this day).[1]

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