Mustafa Biomy and Eslam M. Ibrahim
Tamer Alsaied Alnaimy , Tamer Rushdy Elalfy and Mohammed A.Elkilany
Ahmed Mahmoud Hussein1 M.D.; Ahmed Abd Alaziz Mohammad1 M.D.; Ahmed Mohammed Ahmed Nasser2 M.Sc.
Sherif Essam Eldin Tawfik, MD; Abdelrahman Mohamed Salem, MD
Abdelrahman Mohammed, MD, Ahmed Kamal Gabr, MD, Sherif Essam Eldin Tawfik, MD
Ashraf Elsebaie MD, Ahmed Abdelsalam Hafiz MD, Ahmed Maher MD, Rasha Abdelkader MD
Ahmed M.S.M Marzouk, Haitham S. Omar
Hany F. Habashy
Maged Rihan, MD, MRCS
Karim Sabry (MD, MRCS) , Wael A Jumuah (MD) ,Yasser El Ghamrini (MD)
Ahmed Shoka, MD, MRCS, Fady Makram, MD, FACS, Mohamed Matar, MD, FACS.
Mohammed Matar,1 MD, FACS, Ahmed Shoka,1 MD, MRCS, Heba Nader,2 MD
Mokhtar Abd Elrahman Bahbah, MD; Ehab M Oraby, MD.
Youssif Khachaba, Waleed Reda, Ahmed Abd El Salam, Ahmed Samy Saad Hussein, Nadeen Mohamed El Essawy, Ashraf El Sebaie
Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
Mahmoud Hamda MS, Naguib Abdelkreem ElAskary MD, Ahmed Osmane MD
Ahmed M.S.M. Marzouk
1Waleed AlBadry, MSc, MRCS;1Raafat Gohar, MD; 1Ashraf El-Sebaie; 2Mohamed Salah, MD;1Mohamed Ashraf El Meleigy, MD
Fat Harvesting from the Excised Dermolipectomy Flaps for Fat Augmentation in Various Individuals
Introduction: Autologous fat grafting has for cosmetic reasons shown great interest among operators and
has been the procedure of choice in certain scenarios as well as gaining popularity with patients. The
current study, reports the fat grafting experience in various patients presentations either  with limited
donor sites for fat or  not willing to have comorbidities in various body sites in patients undergoing
dermolipectomy. In addition detailed procedures concerning effectiveness and safe results of grafting
where evaluated. Methods: harvesting was performed using A 20-ml syringe connected to a 3- hole blunt
cannula with a diameter of 3 mm or less from the excised dermolipectomy flaps. After cleaning with the
harverst USING cool physiological saline solution to wash off blood cells , the fat was then processed
using the open method for concentration and to separate the fat globules from the fluids, oil, and debris.
A single hole 14-gauge blunt cannula was utilized for placement of the haevested graft via a 3-mm
incision in the recipient area. The fat was there after injected into the recipient area infiltrating from the
deep and MOVING towards the superficial tissue planes. Results: Twenty female patients have been
included in the current study utilizing this procedure. Most patients were those who had suffering from
fluctuations of weight resulting in abdominal apron. Ages ranged from 18 to 45 years, with a mean of 31.3
years. The volumes grafted ranged between 120-250 mL [average, 205 mL] per side in both breast and
buttocks injection and about 40cc in the face and in addressing post liposuction depressions. Most cases
had mild to moderate improvement in their recipient area regarding volume and shape in addition to the
suppleness and natural appearance of the RESULTs. Conclusions: Excised dermolipectomy flaps have
shown to be an alternative overlooked source of fat harvesting in cases that require an autologous
augmentation. This approach for soft tissue augmentation can be suitable in various patients requiring
mild to moderate volumes and requiring a dermolipectomy. While still peserving the fat of the excised
flaps and minimizing the patient co- morbidities of liposuction from alternative sites in the body. Excess
skin redundancy acts as a good source for fat harvesting during body excisional procedures especially
dermolipectomy flaps in  thin patients with limited donar area,  average built patients not willing to
undergo liposuction in available donar sites in an attempt to avoid more morbidities
[ecchymosis,seroma…etc] in these areas. Otherwise, alloplastic material used alone or following early
first stage 1fat transfer is advised if significant volume is required.
Key Words: autologous fat transfer, thin patients, dermolipectomy flaps, limited donor areas.