Wound Care

Fatgrafting wounds

The enormous effect of autologous lipotransfer on wound healing – a relatively easy-to-perform, cost-effective, and well tolerated procedure
In a new study published in PRS 2015*, the authors T. Stasch et al. investigated the use of autologous lipotransfer for treatment of chronic diabetic and other foot and lower limb ulcers. “Twenty-six patients with non-healing wounds were treated with surgical débridement and autologous lipotransfer (using the débridement and autologous lipotransfer method). The mean age of the wounds before intervention was 16.7 months. Wound size after débridement averaged 5.1 ± 2.6 cm2. On average, 7.1 ± 3.3 cc of lipoaspirate was transferred into the wound area.”

Results: “Twenty-two of 25 wounds (88 percent) healed completely within a mean of 68.0 ± 33.0 days. A reduction of wound size by 50 percent was achieved after an average of 4 weeks. In one patient with an ulcer within particularly scarred tissues on the lower limb, a repeated session of lipotransfer led to complete wound healing after another 4 weeks.”
Conclusion: “The authors describe a simple and useful technique to improve wound healing in diabetic feet and chronic lower limb ulcers with a background of peripheral vascular disease, where other interventional options to achieve wound healing have failed.”

Problem wounds on the lower extremity responding to lipotransfer

Diabetic feet
Pressure sores
Peripheral vascular disease
Chronic scars
Burn wounds
Post surgical wounds
Post traumatic wounds

Why does fatgrafting to chronic wounds work?

Adipose-derived stem cells which are contained within the transplanted fat have been shown to have a positive impact on wound healing, as they not only release growth factors and wound-healing peptides, but also induce new blood vessel formation and fibroblasts, in addition to inhibiting the production of inflammatory cytokines and stimulation of the production of antiinflammatory cytokines.

Fatgrafting wounds works:

Debridement and Autologous Lipo-Transfer can heal chronic wounds/ulcers very effectively
Chronic lower limb and foot ulcers can be DEALT with to form stable tissue
Viable fat tissue with high content of adipose stem cells is harvested with conventional liposuction techniques
Protect granulation tissue (limited weight bearing/use of special orthopedic shoes or inlays)
Repeat lipofilling when no further progression observed
Wounds > 10 cm2 can be skin grafted when reepithelization takes too long

    
 
 
        
   Winnie Garang 
 19 December 2023
 
 
  The customer service is wonderful and everyone is very nice and Kind. Doctor Tilman is very knowledgeable and a wonderful surgeon.I feel lighter, happier and very grateful to him and the team. My experience from the word go has been amazing.
  
 
       
   Ekeno Ntabo 
 13 December 2023
 
 
  Dr. Stasch has changed my life. I am happier, more confident and grateful that cosmetic services are locally available. He was very professional, and i especially apreciate the care i got during my procedure, both before and after. Highly recommended.
  
 
       
   chrissie W 
 13 December 2023
 
 
  I could not be more happy with my results. Dr. Stasch is a genuinely kind person and his staff is helpful .
  
 
       
   sharon odera 
 30 November 2023
 
 
  My appreciation to Dr Stasch from my consultant period to successful leg grafting  surgeries. I would highly recommend him and his team for their impeccable services. I would definitely do this again if I need to.
  
 
       
   solanna camille 
 6 November 2023
 
 
  I had a liposuction and tummy tuck. Dr. Stasch is super friendly, very professional.The surgery went well, recovery as well. The staffs are super nice very professional, always willing to help. I would highly recommend vitality clinic to anyone
  
 
       
   Adhiambo Okumu 
 17 October 2023
 
 
  My breast reduction is a dream come true and no longer a manifestation. And I could not think of a better doctor for the procedure than Dr. Tilman having consulted 8 years earlier and to now finally go through with it.  I felt cared for and supported before, during and post op by Dr. Stasch and the team
I interacted with at Vitality. I am super pleased with the results and my new breast size is beyond my expectations: no more back pains, my posture is improved, dresses fit better and most importantly the unexplainable joy. Truly life changing. Asante Dr. Tilman.
  
 
       
   M. S. S. 
 21 September 2023
 
 
  I went to Dr. Stasch`s marvellous Vitality Fountain clinic today. I went there for recurrent mole mapping, Microneedling treatment and a also vitamin drip i. V.
Feeling like new. This is how Spa and health procedures should be done.
Definitely warm recommendation and will for sure come again!
  
 
       
   Munish Mehta 
 18 September 2023
 
 
  I came with no hope as my wound was  really bad. Some docs told me it would not be possible to stitch. Dr Tilman took me in and over a few weeks worked on my wound and stitched it !! Now I’m pain free and the wound has healed !! Thankyou Dr Tilman and your team
  
 
       
   Nadia Chaudhry 
 11 September 2023
 
 
  Good service and very friendly staff. Highly recommended for I magic drips
  
 
       
   AHK Transport 
 7 September 2023
 
 
  Hat's Off to the treatment and care I was given at vitality fountain clinic. They gave me a new life and healed my wounded toe, which I almost lost. God bless them all a million fold over ..
  
 
  
  
 
 
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