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A COMPARATIVE STUDY TO KNOW THE GRAFT SURVIVAL BETWEEN FAT HARVESTED FROM MEDIAL THIGH AND ABDOMEN FOR FACIAL CONTOUR MALFORMATION

Dr. Haris Javed, Dr Taimoor Ali, Zainab Amin

Aim: To compare graft survival between fat harvested from abdominal and medial thigh for facial contour distortion. Study design: A Randomized Control Trial. Place and duration of the study: In the Department of Plastic Surgery, Allied Hospital Faisalabad for two-year duration from March 2017 to February 2019. Methodology: Patients meeting the inclusion criteria were randomly divided into two groups. Fat was harvested from medial thigh in Group A and from abdomen in Group B and the results were compared for fat survival. Average fat survival at the start of the study, in the first and twelfth week. Fat survival> 6.00 mm over the past 12 weeks was considered excellent. ANOVA and chi-square test were used to compare the average fat thickness (mm) between groups. Complications between groups with statistical significance p <0.05. Results: The average age of the respondents was 27 + 7.44 years (range from 12 to 60 years). The average final fat thickness in group A was 6030 +0.095 mm and 4.989 ± 1.094 mm in group B (p = 0.001). Thirty patients (76.9%) in group A, none in group B. showed an excellent response (p = 0.001). Conclusion: Transplant survival with medial thigh fat better outcome than results from abdominal fat. Key words: Fat injection, fat grafting, Romberg's disease, fat survival, donor site, transplant survival.