S.R. Coleman: Structural Fat Grafting

S.R. Coleman: Structural Fat Grafting Eur J Plast Surg (2005) 27: 354 DOI 10.1007/s00238-004-0700-4 BOOK REVIEW Ian T. Jackson Quality Medical Publishing, St. Louis, 2004, 400 pp (ISBN 1-57626-133-6), US $295.00 Published online: 27 January 2005 Springer-Verlag 2005 Sydney Coleman is the ‘‘guru of fat grafting.’’ I am sure contains the essential advice which leads to predictabil- that many plastic surgeons, myself included, may have ity of the technique and satisfied patients. been skeptical about his claims. Probably I’m not the The second part discusses areas to be treated: hand, ideal person to review his book since I have used fat body, nasolabial folds, lips, chin and jaw line, neck, in- grafting for many years and have even published a paper fraorbital and cheek, supraorbital region, brow, upper on it, but have always felt that there was a significant hit lids and temples. The pearls in this area are careful ad- or miss effect. I now know why this occurred. Firstly, fat vance planning and facial marking, where to place the fat, instrumentation, postoperative care, and the fact grafting was frequently an add-on to another procedure; it was done with minimal planning and without special that not all areas are the same, thus special consideration equipment. is indicated. I am now reviewing the ‘‘bible’’ of fat grafting, and There is no doubt in my mind that if one follows the have learned a large amount: instrumentation, preop- advice provided, plans ahead, is careful, and accepts that erative planning, attention to detail, and when indicated, more than one procedure may be necessary, fat grafting more than one operative procedure. should produce good results. What did I learn from this There are two parts: General Considerations and book after having used fat grafting for about 20 years? Clinical Applications. The first part consists of four My planning was not accurate enough in terms of vol- chapters: ‘‘Consultation and Preoperative Planning,’’ ume and position of fat; I need more specialized ‘‘Harvesting Refinement and Transfer,’’ ‘‘Overview of instrumentation; one should never promise too much in Placement Techniques,’’ and lastly ‘‘Problems, Compli- one procedure; and it is important to be conservative. cations and Postoperative Care.’’ These chapters should This is not an add-on to a face lift, etc. It requires a be studied carefully. For me, they provided the answers separate procedure and separate and sophisticated con- to questions regarding many inconsistent results. This sideration. procedure is not one to be undertaken lightly; it should In addition to the book, there is a CD which is MAC not be an add-on to another procedure which is con- compatible. This demonstrates the techniques which sidered to be more important. This part of the book should be applied in the various anatomical regions. I. T. Jackson Southfield, Michigan, USA E-mail: eurjplastsurg@juno.com Tel.: +1-248-4245800 Fax: +1-248-4245881 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

S.R. Coleman: Structural Fat Grafting

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