Micro-autologous fat transplantation for rejuvenation of the dorsal surface of the aging hand.

Early human evidence such as case series or small samples is exploring possible benefits.

• Level A · Stronger Clinical Evidence
• Level B · Emerging clinical evidence with positive signals
• Level C · Early human research exploring benefits
• Level D · Scientific groundwork from lab and animal studies
• Emerging · Emerging topic under active research

Abstract (original English)

Background Rejuvenation of the dorsal surface of the hand for various conditions, such as cutaneous dyschromia, fine wrinkling, skin laxity, visible extensor tendons, and varicosities appear vital to prevent wrist and digit flexion resulting from hiding of the aged appearance of the hand. Numerous fillers have been applied to re-contour the aging dorsal surface of the hand and the results were variable. The micro-autologous fat transplantation (MAFT) technique, proposed by Lin et al. in 2006, has demonstrated its feasibility in facial rejuvenation. In this study, we applied the MAFT technique for the rejuvenation of the dorsal portion of the hand. Methods MAFT was performed in 68 female patients. Fat was harvested by performing liposuction, processed, and refined by centrifugation. Purified fat was micro-transplanted to the dorsal surface of the hand in parcels of small volume. Results The mean age of the patients was 56 years (range, 38-70 years). MAFT was completed in 72 min, on average. The average amount of delivered fat was 13.9 and 13.8 mL for the right and left hands, respectively. The mean follow-up period was 32 months (range, 10-64 months). The 5-point Likert scale revealed that 58.8% of patients were very satisfied and 39.7% were satisfied about their outcome. Conclusions MAFT has changed the concept of fat grafting, from an operation with unpredictable clinical resu

Evidence level

Early human evidence such as case series or small samples is exploring possible benefits.

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