본원 <페이스 리모델링/지방이식> 전문 김성민 원장이 연세대학교 의과대학 성형외과학교실과 공동으로 연구한 <안면부 지방이식 합병증에 대한분석>이란 주제의 논문이 엄격한 심사를 거쳐 성형외과 분야에서 세계적으로 가장 권위있는 Plastic & Reconstructive Surgery 저널, 2012년 6월호에 게재되었습니다. 김성민 원장님이 제 1저자로 모든 연구를 주관하였습니다.
본 아이미 성형외과는 지난 12년간 지방이식 분야에 선구적인 위치에서 지방이식을 연구 발전시켜 왔으며 그 간의 수 많은 임상증레를 통해서 합병증이 없는 안전한 지방이식을 위하여 많은 연구를 해 왔습니다.그 결실로 본 연구성과가 세계적인 학술지인 PRS에 게재 되었습니다.
본 논문의 주제인 <지방이식 합병증의 분석 및 해결 방안>은 무수한 지방이식의 경험과 임상 케이스가 뒷받침 되어야 가능한 연구 주제 입니다. 그런견지에서 본 아이미 성형외과는 지방이식 분야에 최고 권위있는 병원으로 그 사명을 다하고 있습니다.
Kim, Sung Min M.D.; Kim, Young Seok M.D.; Hong, Jong Won M.D.; Roh, Tai Suk M.D.; Rah, Dong Kyun M.D.
From IMI Plastic Surgical Clinic and the Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine.
Received for publication February 15, 2010; accepted June 13, 2011.
Disclosure: The authors have no conflict of interest to declare in relation to the content of this article.
Jong Won Hong, M.D.; Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Gangnam Severance Hospital, 211 Eonjuro, Gangnam-gu, Seoul 135-720, Korea, firstname.lastname@example.org
Background: Recently, fat injection has been performed across the globe and has several advantages. However, there have not been many studies regarding the relationship between complications and contributing factors. The authors analyzed factors present when complications occurred during fat injections into the face.
Methods: A retrospective chart review was performed for 62 patients who had moderate complications among the 1261 persons who had received full-face fat injection between April of 2004 and July of 2008. Complications included chronic edema, calcification, fibrosis, acne, headache, dysesthesia, drooping, and irregularity.
Results: There were no differences among the first, second, and third injection groups regarding age, body weight, height, or body mass index. However, there were statistically significant differences in injection amount and complication occurrence time (p < 0.0001). There were statistically significant differences in injection amount and complication occurrence time between the fresh and frozen fat (p < 0.0001). There were statistically significant differences regarding age, injection amount, and complication occurrence time according to the complication groups (p < 0.0001). There was also a difference between timing of the injection and the complication frequency (Fisher's exact test, p < 0.0001) and between fat status and the complication frequency (Fisher's exact test, p = 0.005).
Conclusions: Chronic edema, calcification, fibrosis, acne, headache, dysesthesia, drooping, and irregularity after full-face fat injection were observed as moderate complications. Although further study will be needed for the effective analysis of complications according to the number of injection or fat status, the authors found significant differences in age, complication occurrence time, and injection amount between some complication groups.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.