title: [Autologous fat grafting in children].
abstract: Lipofilling or fat grafting transfer is defined as a technique of filling soft tissue by autologous fat grafting. The basic principle of lipofilling is based on a harvest of adipose tissue, followed by a reinjection after treatment. Lipofilling main objective is a volume defect filling, but also improving cutaneous trophicity. Lipofilling specificities among children is mainly based on these indications. Complications of autologous fat grafting among children are the same as those in adults: we distinguish short-term complications (intraoperative and perioperative) and the medium and long-term complications. The harvesting of fat tissue is the main limiting factor of the technique, due to low percentage of body fat of children. Indications of lipofilling among children may be specific or similar to those in adults. There are two types of indications: cosmetic, in which the aim of lipofilling is correcting a defect density, acquired (iatrogenic, post-traumatic scar) or malformation (otomandibular dysplasia, craniosynostosis, Parry Romberg syndrom, Poland syndrom, pectus excavatum…). The aim of functional indications is correcting a velar insufficiency or lagophthalmos. In the paediatric sector, lipofilling has become an alternative to the conventional techniques, by its reliability, safety, reproducibility, and good results.
authors.affiliation: Service de chirurgie plastique et réparatrice, hôpital La-Conception, 147, boulevard Baille, 13005 Marseille, France. Electronic address: drclaire.baptista@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Baptista
authors.affiliation: Service de chirurgie plastique et réparatrice, hôpital La-Conception, 147, boulevard Baille, 13005 Marseille, France. Electronic address: baptiste.bertrand@ap-hm.fr.
authors.forename: B
authors.initials: B
authors.lastname: Bertrand
authors.affiliation: Service de chirurgie plastique, hôpital Nord, chemin des Bourrely, 13015 Marseille, France. Electronic address: cecile.philandrianos@ap-hm.fr.
authors.forename: C
authors.initials: C
authors.lastname: Philandrianos
authors.affiliation: Service de chirurgie plastique pédiatrique, hôpital La Timone Enfants, 264, rue Saint-Pierre, 13385 Marseille, France. Electronic address: nathalie.degardin@ap-hm.fr.
authors.forename: N
authors.initials: N
authors.lastname: Degardin
authors.affiliation: Service de chirurgie plastique et réparatrice, hôpital La-Conception, 147, boulevard Baille, 13005 Marseille, France. Electronic address: dominique.casanova@ap-hm.fr.
authors.forename: D
authors.initials: D
authors.lastname: Casanova
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000293:Adolescent; D002648:Child; D002921:Cicatrix / Q000601:surgery; D000013:Congenital Abnormalities / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D016462:Mammaplasty / Q000379:methods; D014182:Transplantation, Autologous; D014947:Wounds and Injuries / Q000601:surgery
keywords: Autologous fat grafting; Craniosténose; Craniosynostosis; Dysplasie otomandibulaire; Injection tissu graisseux autologue; Lipofilling; Otomandibular dysplasia; Scar tissue; Tissu cicatriciel