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Abstract

Fat grafting has become a popular procedure due to its wide range of clinical applications. Several fat grafting techniques have been described to increase the survival rate of the grafted fat. This article presents carbon dioxide (CO₂) pneumodissection to improve the biological microenvironment of the recipient site. A total of 40 patients were treated with CO₂ pneumodissection for aesthetic and reconstructive indications. The known effects of carboxitherapy such as vasodilation, enhanced Bohr effect, and neoangiogenesis are applied to facilitate the grafting procedure and in the search for higher rate of graft uptake. Tissue pneumodissection has demonstrated reduced pain due to the fat injection process, and reduces the sedation requirements and local anesthesia infiltration requirements.

Keywords

fat graft carboxitherapy receptor area graft survival lipofilling fat graft enhancement pneumodissection

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References

Hayashi

Yamada

Kumada

Matsuo

Toriyama

Kawahara

. Immersing feet in carbon dioxide-enriched water prevents expansion and formation of ischemic ulcers after surgical revascularization in diabetic patients with critical limb ischemia. Ann Vasc Dis. 2008;1(2):111-117.

Ito

Moore

Koss

. Topical application of CO2 increases skin blood flow. J Invest Dermatol. 1989;93(2):259-262.

Schnizer

Erdl

Schops

Seichert

. The effects of external CO2 application on human skin microcirculation investigate by laser Doppler flowmetry. Int J Microcirc Clin Exp. 1985;4(4):343-350.

Irie

Tatsumi

Takamiya

. Carbon dioxide–rich water bathing enhances collateral blood flow in ischemic hindlimb via mobilization of endothelial progenitor cells and activation of NO-cGMP system. Circulation. 2005;111:1523-1529.

Varlaro

Manzo

Mugnaini

. Carboxytherapy: effects on microcirculation and its use in the treatment of severe lymphedema. Acta Phlebol. 2007;8(2):79-92.

Houssay

. Fisiologia Humana. Rio de Janeiro, Brazil: Guanabara Kooga; 1984.

Brockow

Hausner

Dillner

Resch

. Clinical evidence of subcutaneous CO2 insufflations: a systematic review. J Altern Complement Med. 2000;6(5):391-403.

Brandi

D’Aniello

Grimaldi

. Carbon dioxide therapy in the treatment of localized adiposities: clinical study and histopathological correlations. Aesthetic Plast Surg. 2001;25(3):170-174.

Brandi

Campana

Russo

. Carbon dioxide: maybe not the only one but an efficient and secure gas for treating local adiposities. Aesthetic Plast Surg. 2012;36(1):218-219.

10.

Brandi

D’Aniello

Grimaldi

Caiazzo

Stanghellini

. Carbon dioxide therapy: effects on skin irregularity and its use as a complement to liposuction. Aesth Plast Surg. 2004;28(4):222-225.

11.

Ochiai

Takeda

Noguchi

Ohgami

Ishii

. Subcutaneous carbon dioxide insufflation does not cause hypercarbia during endoscopic thyroidectomy. Anesth Analg. 2000;90(3):760-762.

12.

Lee

SMC

Sicolnofi

. Carbon dioxide and water vapor production at rest and during exercise: a report on data collection for the crew and thermal system division. Houston, TX: NASA Technical Paper 3500; 1994.

13.

Smith

. Carbon dioxide embolism during pneumoperitoneum for laparoscopic surgery: a case report. AANA J. 2011;79(5):371-373.

Carbon Dioxide–Assisted Pneumodissection in Fat Grafting

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