Regenerative Approach to Scleroderma with Fat Grafting

Clin Plast Surg. 2015 Jul;42(3):353-64, viii-ix. doi: 10.1016/j.cps.2015.03.009.

Abstract

Grafted fat has many qualities of ideal filler; it is autologous, easily available, and naturally integrated into the host tissues. From a lipoaspirate, the adipose-tissue-derived stromal vascular fraction can be isolated, which is an excellent source of stem/stromal cells, endothelial progenitors, and immune cells. Fat grafting is being increasingly applied in autoimmune diseases, and this article focuses on systemic sclerosis, a rare autoimmune disease characterized by skin fibrosis and microvascular damage. The authors' approach of using fat graft in the face and adipose-tissue-derived stromal vascular fraction for hands is presented as innovative and promising therapy for patients with systemic sclerosis.

Keywords: Adipose tissue; Autologous fat graft; Cell therapy; Fat grafting; Microfat injection; Stromal vascular fraction; Systemic sclerosis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adipocytes / transplantation
  • Adipose Tissue / physiology
  • Adipose Tissue / transplantation*
  • Face / pathology
  • Face / physiopathology
  • Face / surgery*
  • Fibrosis
  • Hand / pathology
  • Hand / physiopathology
  • Hand / surgery*
  • Humans
  • Regeneration*
  • Scleroderma, Systemic / complications
  • Scleroderma, Systemic / physiopathology
  • Scleroderma, Systemic / surgery*
  • Skin / pathology
  • Skin / physiopathology
  • Stem Cell Transplantation
  • Tissue and Organ Harvesting
  • Transplantation, Autologous