TABLE 1.
Clinical avoidance of poor ECM remodeling after grafting.
| Method | Principle | References |
|---|---|---|
| Up-regulate the level of inflammation in the recipient area or supplement the transplanted recipient area with an adequate number of macrophages in the early stage | Macrophage mediated inflammation enhances the ECM protein synthesis in the early-stage | Wang et al. (2020); Phipps et al. (2015) |
| Down-regulate the level of inflammation in the recipient area or deplete the macrophages in the transferred fat in the later stage | Depletion of macrophages relieved the fibrosis in the transferred fat during the late-stage | Keophiphath et al. (2009); Kumar et al. (2018); Schnoor et al. (2008); Spencer et al. (2010); Anghelina et al. (2006); Wang et al. (2020); Cai et al. (2017) |
| Injections should not be performed without cannula movement, and the injection speed should not exceed 0.1ml/1 cm of cannula movement | Ideal revascularization depends on the graft-to-recipient interface not exceeding a maximum of 1.6 mm | Khouri and Khouri, (2017); Eto et al. (2012); Pu, (2012); Abu-Ghname et al. (2019); Khouri et al. (2014b); Khouri et al. (2014a) |
| Adipose-derived stem cells ASCs - assisted lipotransfer | ASCs - assisted lipotransfer can promote vascular ingrowth and accelerates revascularization between donor and recipient tissues | Yoshimura et al. (2008); Yoshimura et al. (2010); Kølle et al. (2013); Hong et al. (2018); Yoshimura et al. (2020); Marks et al. (2017) |
| The fat fraction in the lower liposuction high-quality fat is recommended as a suitable alternative for implantation | High-quality fat contains more ECM, ASCs, and higher anti-inflammatory and angiogenesis fat factors | Allen et al. (2013); Qiu et al. (2016); De Francesco et al. (2017); Guan et al. (2020) |
| Apply External volume expansion EVE on the recipient area pre-operation and post-operation | EVE can enhance tissue vascularity, induce matrix deposition, increase adipose ECM’s stiffness, regulate ASC proliferation and differentiation via shifting ECM synthesis from fibronectin to laminin | Heit et al. (2012); Lancerotto et al. (2013); Chin et al. (2016); Khouri et al. (2000); Zhang et al. (2020) |