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Guillermo Ramos-Gallardo, David Orozco-Rentería, Prevention of Fat Embolism: Anatomic Studies in Fresh Cadavers, Aesthetic Surgery Journal, Volume 39, Issue 7, July 2019, Pages NP298–NP299, https://doi.org/10.1093/asj/sjz097
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I am writing in regard to the article “Safe Gluteal Fat Graft Avoiding a Vascular or Nervous Injury: An Anatomical Study in Cadavers” by Alvarez-Alvarez et al.1 The article mentioned that the only cadaver study with the purpose to validate the distribution of fat injected in the deep tissue (muscle) was conducted by Del Vecchio et al,2 and besides this paper there were no other papers from which to obtain information about this matter with this type of model.
As a group, we agree that there is an increase in complications related to the procedure and that it is important to give more information to the community of plastic surgeons. For this reason, it is important to count on an experimental model like the one exposed.
Regarding this article, we offer the following comment. The published article is not original in 2 ways: the idea and the design. There were 2 articles published in 20173,4 in the same population of cadavers, following the same inclusion and exclusion criteria as well with the same method to inject the colorant and dissect the gluteus. In the mentioned articles, we employed 2 angulations to inject the colorant (30 and 45 degrees). We are surprised that one of them has been utilized by Dr Alvarez-Alvarez and more surprised that it was done with the same methodology of the mentioned articles.
