The Task Force, comprised of board-certified plastic surgeons, identified factors that either added risk or proved to be protective and/or preventative techniques associated with the procedure. These findings were published in the Aesthetic Surgery Journal and have led to the adoption of the following recommendations:
Avoid injecting fat into the deep muscle
Use a >4.1 mm single hole injection cannula
Avoid downward angulation of the cannula
Position patient and place incisions to create a path that will avoid deep muscle injections
Maintain constant three-dimensional awareness of the cannula tip
Only inject when cannula is in motion
Consider pulmonary fat embolism in unstable intra- and postoperative patients
Review gluteal vascular anatomy and draw landmarks to identify and avoid injection into the pedicle
Include risk of fat embolism and surgical alternatives in the informed consent process
The creation of the Fat Grafting Task Force and its findings are important first steps in research and education surrounding this sought-after procedure. It is ASERF's mission to provide research and data that will contribute to decreasing the morbidity and mortality rates associated with this procedure by educating plastic surgeons about specific techniques. ASERF in concert with ASAPS, is also committed to educating prospective patients about the importance of finding a board-certified plastic surgeon when considering any plastic surgery procedure.
Source: https://www.eurekalert.org/pub_releases/2017-11/asfa-aor112717.php