Facial Plast Surg 2016; 32(04): 438-443
DOI: 10.1055/s-0036-1584236
Rapid Communication
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Effects of Deferoxamine on Fat Graft Survival

Gokhan Temiz
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Cevizli, Istanbul, Turkey
,
Hakan Sirinoglu
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Cevizli, Istanbul, Turkey
,
Nebil Yesiloglu
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Cevizli, Istanbul, Turkey
,
Deniz Filinte
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Cevizli, Istanbul, Turkey
2   Marmara University School of Medicine, Department of Pathology, Istanbul, Turkey
,
Caner Kaçmaz
1   Department of Plastic, Reconstructive and Aesthetic Surgery, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Cevizli, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
05 August 2016 (online)

Abstract

The most important problem in fat transplantation is the unpredictable rates of resorption. Deferoxamine (DFO) is an iron-chelating agent with many useful functions including stimulating angiogenesis and antioxidant nature. The purpose of the study is to evaluate the effects of DFO on fat graft viability in rat model. A total of 24 Wistar rats were divided into three groups and 0.5 g of the left inguinal fat pad was extracted. In control group, fat grafts were implanted to the parascapular area without performing any procedure. In sham group, they were implanted in 0.2 mL saline solution followed by serial saline injections for 1 month. In the study group, fat grafts were implanted in 0.2 mL saline solution and 300 mg DFO followed by serial DFO injections for 1 month. At the postoperative second month, fat grafts were taken back and sent for histopathologic examination. The weight measurements of biopsy specimens in the study group demonstrated significantly higher than in the other two groups. Inflammation and fibrosis rates were also found to be significantly higher in the study group compared with the other groups; however, no significant difference in the apoptosis rates was detected between the groups. Fat grafts enriched with DFO showed significant increase in fatty tissue content in the study group compared with the control and sham groups. DFO increases the fat graft survival in rats and it may be a useful addition in autologous fat grafting procedures to increase fat graft viability and obtain maximal long-term durability.

 
  • References

  • 1 Xie Y, Zheng DN, Li QF , et al. An integrated fat grafting technique for cosmetic facial contouring. J Plast Reconstr Aesthet Surg 2010; 63 (2) 270-276
  • 2 Chan CW, McCulley SJ, Macmillan RD. Autologous fat transfer—a review of the literature with a focus on breast cancer surgery. J Plast Reconstr Aesthet Surg 2008; 61 (12) 1438-1448
  • 3 Eser C, Temiz G, Dulgar AG, Gencel E, Yavuz M. Reconstruction of acquired breast hypoplasia by subcutaneous scar releasing and repeated fat grafting combination. Plast Reconstr Surg Glob Open 2015; 3 (6) e408
  • 4 Gassling VL, Douglas T, Wiltfang J, Warnke PH. Unilateral atrophy of the cheek: autologous fat injection as treatment of choice. J Craniofac Surg 2009; 20 (2) 423-425
  • 5 Anderson OA, Tumuluri K, Francis ND, Olver JM. Periocular autologous Coleman fat graft survival and histopathology. Ophthal Plast Reconstr Surg 2008; 24 (3) 213-217
  • 6 Locke MB, de Chalain TM. Current practice in autologous fat transplantation: suggested clinical guidelines based on a review of recent literature. Ann Plast Surg 2008; 60 (1) 98-102
  • 7 Smith P, Adams Jr WP, Lipschitz AH , et al. Autologous human fat grafting: effect of harvesting and preparation techniques on adipocyte graft survival. Plast Reconstr Surg 2006; 117 (6) 1836-1844
  • 8 Kaufman MR, Bradley JP, Dickinson B , et al. Autologous fat transfer national consensus survey: trends in techniques for harvest, preparation, and application, and perception of short- and long-term results. Plast Reconstr Surg 2007; 119 (1) 323-331
  • 9 Pu LL, Coleman SR, Cui X, Ferguson Jr RE, Vasconez HC. Autologous fat grafts harvested and refined by the Coleman technique: a comparative study. Plast Reconstr Surg 2008; 122 (3) 932-937
  • 10 Farberg AS, Jing XL, Monson LA , et al. Deferoxamine reverses radiation induced hypovascularity during bone regeneration and repair in the murine mandible. Bone 2012; 50 (5) 1184-1187
  • 11 Park K, Chung KY, Sung SH, Kim BR, Kim YS. Protective effect of desferrioxamine during canine liver transplantation: significance of peritransplant liver biopsy. Transplant Proc 2003; 35 (1) 117-119
  • 12 Shen X, Wan C, Ramaswamy G , et al. Prolyl hydroxylase inhibitors increase neoangiogenesis and callus formation following femur fracture in mice. J Orthop Res 2009; 27 (10) 1298-1305
  • 13 Wan C, Gilbert SR, Wang Y , et al. Activation of the hypoxia-inducible factor-1 alpha pathway accelerates bone regeneration. Proc Natl Acad U S A 2008; 105 (2) 686-691
  • 14 Langlois A, Bietiger W, Mandes K , et al. Overexpression of vascular endothelial growth factor in vitro using deferoxamine: a new drug to increase islet vascularization during transplantation. Transplant Proc 2008; 40 (2) 473-476
  • 15 Khater R, Atanassova P, Anastassov Y, Pellerin P, Martinot-Duquennoy V. Clinical and experimental study of autologous fat grafting after processing by centrifugation and serum lavage. Aesthetic Plast Surg 2009; 33 (1) 37-43
  • 16 Rose Jr JG, Lucarelli MJ, Lemke BN , et al. Histologic comparison of autologous fat processing methods. Ophthal Plast Reconstr Surg 2006; 22 (3) 195-200
  • 17 Tezel E, Numanoğlu A, Bayramiçli M, Sav A. Fat prefabrication using a fascial flap in the rat model. Br J Plast Surg 2000; 53 (2) 155-160
  • 18 Clauser L, Polito J, Mandrioli S, Tieghi R, Denes SA, Galiè M. Structural fat grafting in complex reconstructive surgery. J Craniofac Surg 2008; 19 (1) 187-191
  • 19 Illouz YG. Illouz's technique of body contouring by lipolysis. Clin Plast Surg 1984; 11 (3) 409-417
  • 20 Burnouf M, Buffet M, Schwarzinger M , et al. Evaluation of Coleman lipostructure for treatment of facial lipoatrophy in patients with human immunodeficiency virus and parameters associated with the efficiency of this technique. Arch Dermatol 2005; 141 (10) 1220-1224
  • 21 Atik B, Oztürk G, Erdoğan E, Tan O. Comparison of techniques for long-term storage of fat grafts: an experimental study. Plast Reconstr Surg 2006; 118 (7) 1533-1537
  • 22 Bilkay U, Tokat C, Özek C, Alper M, Songür E, Çağdaş A. Yağ Enjeksiyonu ile Vücut Kontür Deformitelerinin Düzeltilmesi. Turk Plast Surg 2004; 12: 39-44
  • 23 Fontdevila J, Guisantes E, Martínez E, Prades E, Berenguer J. Double-blind clinical trial to compare autologous fat grafts versus autologous fat grafts with PDGF: no effect of PDGF. Plast Reconstr Surg 2014; 134 (2) 219e-230e
  • 24 Seyhan N, Alhan D, Ural AU, Gunal A, Avunduk MC, Savaci N. The effect of combined use of platelet-rich plasma and adipose-derived stem cells on fat graft survival. Ann Plast Surg 2015; 74 (5) 615-620
  • 25 Jiang A, Li M, Duan W, Dong Y, Wang Y. Improvement of the survival of human autologous fat transplantation by adipose-derived stem-cells-assisted lipotransfer combined with bFGF. Scientific World Journal 2015. Available at: http://www.hindawi.com/journals/tswj/2015/968057/
  • 26 Phipps KD, Gebremeskel S, Gillis J, Hong P, Johnston B, Bezuhly M. Alternatively activated M2 macrophages improve autologous fat graft survival in a mouse model through induction of angiogenesis. Plast Reconstr Surg 2015; 135 (1) 140-149
  • 27 Topcu A, Aydin OE, Ünlü M, Barutcu A, Atabey A. Increasing the viability of fat grafts by vascular endothelial growth factor. Arch Facial Plast Surg 2012; 14 (4) 270-276
  • 28 Medina III MA, Nguyen JT, Kirkham JC , et al. Polymer therapy: a novel treatment to improve fat graft viability. Plast Reconstr Surg 2011; 127 (6) 2270-2282
  • 29 Park B, Kong JS, Kang S, Kim YW. The effect of epidermal growth factor on autogenous fat graft. Aesthetic Plast Surg 2011; 35 (5) 738-744
  • 30 Kuramochi D, Unoki H, Bujo H , et al. Matrix metalloproteinase 2 improves the transplanted adipocyte survival in mice. Eur J Clin Invest 2008; 38 (10) 752-759
  • 31 Ikeda Y, Tajima S, Yoshida S , et al. Deferoxamine promotes angiogenesis via the activation of vascular endothelial cell function. Atherosclerosis 2011; 215 (2) 339-347
  • 32 Ikeda Y, Ozono I, Tajima S , et al. Iron chelation by deferoxamine prevents renal interstitial fibrosis in mice with unilateral ureteral obstruction. PLoS ONE 2014; 9 (2) e89355
  • 33 Najafi R, Sharifi AM. Deferoxamine preconditioning potentiates mesenchymal stem cell homing in vitro and in streptozotocin-diabetic rats. Expert Opin Biol Ther 2013; 13 (7) 959-972