Lipofilling or silicone implants: composite correction of lower legs

Marinicheva E.A.

Pirogov Russian National Research Medical University;
MedLaz NJSC

Marinicheva I.G.

Peoples’ Friendship University of Russia;
MedLaz NJSC

Manturova N.E.

Pirogov Russian National Research Medical University;
Institute of Plastic Surgery and Cosmetology

SPIN RSCI: 5232-0412
Scopus AuthorID: 55461712100
ORCID: 0000-0003-4281-1947

Ganshin I.B.

Peoples’ Friendship University of Russia

ORCID: 0000-0001-5766-9416

Lipofilling or silicone implants: composite correction of lower legs

Authors:

Marinicheva E.A., Marinicheva I.G., Manturova N.E., Ganshin I.B.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2022;(4): 10‑17

DOI: 10.17116/plast.hirurgia202204110

Downloaded: 49

To cite this article:

Marinicheva EA, Marinicheva IG, Manturova NE, Ganshin IB. Lipofilling or silicone implants: composite correction of lower legs. Plastic Surgery and Aesthetic Medicine. 2022;(4):10‑17. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202204110

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OBJECTIVE

To compare silicone implants and lipofilling, as well as their combination regarding stable long-term results.

MATERIAL AND METHODS

Silicone implants alone were used in 509 patients (mean implant volume 132±26 ml). Maximum soft tissue augmentation by 1.3±0.3 cm was obtained in the middle third of the leg. In the upper third, increment was 0.4±0.4 cm. After 6 months, width of the leg in the middle third additionally increased by 0.3±0.2 cm. Implant contouring requiring correction was observed in 6 (1.2%) patients. Isolated lipofilling of medial surface of the lower leg was performed in 45 patients (mean volume 76±22 ml on each side). Maximum postoperative soft tissue augmentation by 1.2±0.4 cm was observed in the upper third of the lower leg (popliteal depression area). In the middle third, increment was 1.1±0.3 cm. After 6 months, middle third of the leg decreased by 0.7±0.3 cm. At the level of popliteal depression, width decreased by 0.1±0.2 cm. Nine (20%) patients experienced transient focal inflammation at injection sites. Combination of silicone implants and lipofilling was performed in 144 patients (mean implant volume 88±20 ml, fatty tissue volume 38±13 ml on each side). Lipofilling was used mainly in the area of popliteal depression. Soft tissue augmentation at the level of popliteal depression was 1.2±0.5 cm, in the middle third — 1.2±0.3 cm. After 6 months, width of the upper third of the leg decreased by 0.1±0.2 mm. In the middle third, soft tissue augmentation was 0.2±0.1 mm.

CONCLUSION

We recommend a combination of corrective methods to improve the long-term results of lower leg contouring.

Keywords:

lipofilling

implant

lower leg

Authors:

Marinicheva E.A.

Pirogov Russian National Research Medical University;
MedLaz NJSC

Marinicheva I.G.

Peoples’ Friendship University of Russia;
MedLaz NJSC

Manturova N.E.

Pirogov Russian National Research Medical University;
Institute of Plastic Surgery and Cosmetology

SPIN RSCI: 5232-0412
Scopus AuthorID: 55461712100
ORCID: 0000-0003-4281-1947

Ganshin I.B.

Peoples’ Friendship University of Russia

ORCID: 0000-0001-5766-9416

Received:

18.07.2022

Accepted:

17.08.2022

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