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Invited Response on: Letter-to-the-Editor: The Global Prevalence of Seroma After Abdominoplasty: A Systematic Review and Meta-Analysis

Salari N, Fatahi B, Bartina Y, Kazeminia M, Heydari M, Mohammadi M, et al.

Aesthetic Plast Surg, 2021 Aug 27.
PMID: 34453194 DOI: 10.1007/s00266-021-02547-2
Invited Response on: Letter to the Editor: The Global Prevalence of Seroma After Abdominoplasty-A Systematic Review and Meta-Analysis

Salari N, Fatahi B, Bartina Y, Kazeminia M, Heydari M, Mohammadi M, et al.

Aesthetic Plast Surg, 2022 Feb;46(1):571-572.
PMID: 34173027 DOI: 10.1007/s00266-021-02423-z
The Global Prevalence of Seroma After Abdominoplasty: A Systematic Review and Meta-Analysis

Salari N, Fatahi B, Bartina Y, Kazeminia M, Heydari M, Mohammadi M, et al.

Aesthetic Plast Surg, 2021 12;45(6):2821-2836.
PMID: 34080041 DOI: 10.1007/s00266-021-02365-6

BACKGROUND: Abdominoplasty is one of the most common cosmetic surgeries performed worldwide. Seroma is also the most common local complication associated with abdominoplasty, which increases care costs, reduces patient satisfaction, and has serious complications for patients. Results of previous studies report different levels of seroma prevalence after abdominoplasty. The aim of this study is to standardize the statistics of the prevalence of seroma after abdominoplasty using meta-analysis.
METHODS: In this systematic review and meta-analysis study, data from studies conducted on the global prevalence of seroma after abdominoplasty was extracted using the keywords "Prevalence, Epidemiology, Complications, Abdominoplasty, Seroma, and Lipo abdominoplasty" in the databases of Science, Scientific Information Database, MagIran, Embase, Scopus, PubMed, Web of Science, and Google Scholar search engine without time limit until October 2020. The random-effects model was used to analyze the eligible studies, and the heterogeneity of the studies was investigated with the I2 index. Data analysis was performed using Comprehensive Meta-Analysis software (Version 2).
RESULTS: In reviewing 143 studies (five studies related to Asia, 55 studies related to Europe, three studies related to Africa, and 80 studies related to the Americas) with a total sample size of 27834 individuals, the global prevalence of seroma after abdominoplasty was obtained as 10.9% (95% CI: 9.3-3.6.6%) and the highest prevalence of seroma was related to the Europe continent with 12.8% (95% CI: 10.15-3.9%). The results from meta-regression showed a declining trend in the global prevalence of seroma after abdominoplasty with an increase in the sample size, age of study participants, and the year of study (p
Buccal Fat Pad: An Effective Option for Facial Reconstruction and Aesthetic Augmentation

Kim JT, Sasidaran R

Aesthetic Plast Surg, 2017 Dec;41(6):1362-1374.
PMID: 28849246 DOI: 10.1007/s00266-017-0962-4

INTRODUCTION: Autogenous grafting with lipoaspirate and dermo-fat grafting are popular techniques employed by plastic surgeons for correcting small volume facial defects and contour deformities. These techniques however present certain disadvantages. In this article, we present the use of the buccal fat pad graft as an alternative method of correcting such facial deformities.
PATIENTS AND METHODS: Free buccal fat pad grafting was carried out in 15 patients in our institution. All were harvested using an intraoral approach. The buccal fat pad graft was used to correct periorbital contour depressions, nasal tip deformities, as a camouflage graft over exposed silicon nasal implants and as a filler in the depression deformity after mass excision.
RESULTS: All 15 patients demonstrated good contour deformity correction without a significant graft resorption up to 3 years of follow-up. There were no donor site complications. The amount used ranged from 1 to 5 cc in volume as a spacer or barrier for the moderate-sized volume defect or depression, even though more than 5 cc of fat graft could be harvested if required.
CONCLUSION: In conclusion, the buccal fat pad graft represents an easy, expedient and exceptional tool for the correction of contour deformities, volume replacement or for aesthetic augmentation.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .