Cellulite Research Today is a free monthly online journal that collates and summarizes the latest research about Cellulite, including details on treatment, reduction, removal, cures.

Combined Skeletal and Soft Tissue Reconstruction for Severe Parry-Romberg Syndrome.

Hu J, Yin L, Tang X, Gui L, Zhang Z

From the Maxillofacial Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing, PR China.

Parry-Romberg syndrome is an acquired facial deformity that manifests as progressive hemifacial atrophy that has unknown cause. Many surgical techniques to address it have been reported, such as fat transplantation and use of free flaps. Undoubtedly, the results of such techniques can be satisfactory for mild hemifacial atrophy after soft tissue restoration. But in severe cases, except for large-scale soft tissue atrophy, the osseous framework is involved, rendering their management difficult, and the results are often inadequate.On the basis of the severity of facial soft tissue atrophy and the extent of involvement of the osseous framework, we classified the deformities into 3 groups: (1) Mild: the facial atrophic area is confined to a small region and is located in the lateral face, the nasal ala and upper lip are normal, and there is no deviation of the oral commissure, and the occlusal plane is horizontal. (2) Moderate: there are large areas of soft tissue atrophy, and the nasal ala and upper lip are also affected; the oral commissure is deviated; the bony framework is nearly normal; and the occlusal plane is nearly horizontal or slightly deviated. (3) Severe: moderate form of soft tissue atrophy and serious bone framework atrophy, involving the zygoma, maxilla, and mandible; the chin and occlusal plane have deviated extensively to the affected side.In this article, we report our experience in successfully treating 23 patients with severe Parry-Romberg syndrome, according to our classification; mild and moderate cases were not included in this series. Microsurgical flap transplantation, lipoinjection, liposuction revision, dermis grafting, and cross-lip flap were used to correct soft tissue deformities, and bone augmentation using the MEDPOR implant, orthognathic surgery, bone grafting, and mandibular distraction were performed to reconstruct the bone framework.

Published 11 May 2011 in J Craniofac Surg.
Full-text of this article is available online (may require subscription).

Articles on Cellulite published 10 May 2011:

Correction of Liposuction Sequelae by Autologous Fat Transplantation.   Aesthetic Plast Surg.

BACKGROUND: In many countries, liposuction is the most frequently performed aesthetic procedure. Although liposuction has been considered a safe surgical procedure, reports indicate that it can have significant sequelae. Irregularities ranging from "oversuctioning" to bumpy skin and asymmetries result from inadequate experience of the surgeon. METHODS: A total of 57 consecutive female patients were operated on from June 2005 to June 2007. The age distribution of the patients ranged ... [Abstract] [Full-text]

Articles on Cellulite published 6 May 2011:

Overview of gynecomastia in the modern era and the leeds gynaecomastia investigation algorithm.   Breast J, 17(3): 246-55.

Gynecomastia is a benign enlargement of male breast glandular tissue. At least a third of males are affected at some time during their lifetime. Idiopathic causes exceed other etiologies and relate to an imbalance in the ratio of estrogen to androgen tissue levels or end-organ responsiveness to these hormones. Assessment must include a thorough history and clinical examination, specific blood investigations and usually tissue sampling and/or breast imaging. Management consists of a combination ... [Abstract] [Full-text]

Articles on Cellulite published 4 May 2011:

Tumescent Liposuction: Partitioning of Lidocaine at a Lower Dose (252 mg/l).   Dermatology.

Background: The popularity of large-volume liposuction and the toxicity of lidocaine have led to a reduction of lidocaine dosage in tumescent liposuction. We have gradually reduced the concentration of lidocaine from 500 to 252 mg/l over the past decade. Objective: To evaluate the partitioning and the recovery of lidocaine at a lower concentration in tumescent liposuction. Methods: 10 consecutive patients' aspirate samples were analysed for the lidocaine concentration in the fat and the fluid ... [Abstract] [Full-text]

Articles on Cellulite published 3 May 2011:

Isolation of human capillary endothelial cells from abdominal adipose tissue.   Cold Spring Harb Protoc, 2011(5).

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Articles on Cellulite published 2 May 2011:

Autologous Cell-Enriched Fat Grafting for Breast Augmentation.   Aesthetic Plast Surg.

Autologous fat grafting for breast augmentation has faced some historical hurdles. However, in recent years it has been gaining acceptance from the medical community. This prospective, nonrandomized open-label study of 20 Japanese women supports the use of autologous fat grafting in breast augmentation and explores enhancement of fat graft tissue with autologous adipose-derived regenerative cells (ADRCs). After adipose harvesting using syringe liposuction, the tissue is processed in the ... [Abstract] [Full-text]

Articles on Cellulite published 27 April 2011:

In vitro concurrent endothelial and osteogenic commitment of adipose-derived stem cells and their genomical analyses through CGH array: novel strategies to increase the successful engraftment of a tissue engineered bone grafts.   Stem Cells Dev.

In the field of tissue engineering, adult stem cells are increasingly recognized as an important tool for in vitro reconstructed tissue-engineered grafts. In the world of cell therapies, mesenchymal stem cells from bone marrow or adipose tissue are undoubtedly the most promising progenitors for tissue engineering applications. In this setting, adipose-derived stem cells (ADSC) are generally similar to those derived from bone marrow and are most conveniently extracted from tissue removed in ... [Abstract] [Full-text]

Articles on Cellulite published 25 April 2011:

Objective assessment of change in apparent age after facial rejuvenation surgery.   J Plast Reconstr Aesthet Surg.

BACKGROUND: Facial "rejuvenation" procedures make an implicit claim to provide a more youthful appearance. However, any benefit from such procedures has not been objectively evaluated and validated. This study was undertaken to investigate the effectiveness of facial rejuvenation using a deep-plane facelift and other cosmetic procedures. METHODS: Seventy-five patients were included in the study - 71 consecutive patients who met the study criteria and four controls. Inclusion criteria ... [Abstract] [Full-text]

Objective assessment of change in apparent age after facial rejuvenation surgery.   J Plast Reconstr Aesthet Surg.

BACKGROUND: Facial "rejuvenation" procedures make an implicit claim to provide a more youthful appearance. However, any benefit from such procedures has not been objectively evaluated and validated. This study was undertaken to investigate the effectiveness of facial rejuvenation using a deep-plane facelift and other cosmetic procedures. METHODS: Seventy-five patients were included in the study - 71 consecutive patients who met the study criteria and four controls. Inclusion criteria ... [Abstract] [Full-text]

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