Actively Recruiting
Minimally Invasive Two-Stage Craniofacial Reconstruction Using Fresh and Cryopreserved Autologous Fat Grafting for Post-Traumatic Facial Defects
Led by University of Pittsburgh · Updated on 2025-10-22
22
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
Sponsors
U
University of Pittsburgh
Lead Sponsor
A
Armed Forces Institute of Regenerative Medicine
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating a two-stage minimally invasive method for reconstructing soft tissue in the face using a patients own fat, focusing on wounded service members and veterans with post-traumatic craniofacial deformities. The study aims to compare fresh fat grafts with cryopreserved fat grafts stored at -80C, assessing improvements in facial tissue regeneration, volume retention, and appearance. It also investigates how factors like cellular makeup of the graft, patient demographics, and medical conditions affect outcomes. The treatment involves an initial fat grafting procedure using freshly harvested fat to correct the facial deformity. Extra fat is collected and cryopreserved for a second procedure performed three months later, avoiding the need for another fat harvest. Small test injections are given behind each ear for research analysis. This approach is designed to improve tissue regeneration while reducing patient discomfort and costs associated with multiple fat harvests. Participants will undergo follow-up examinations over approximately six months, including CT scans and facial volume and appearance assessments at three months after each procedure. Researchers will track safety by monitoring treatment-related adverse events and study facial volume changes using high-resolution imaging. The study also collects patient data on demographics and medical history to correlate with treatment outcomes, with all procedures conducted under medical supervision.
CONDITIONS
Brief Title
Autologous Fresh Fat Grafting Followed by Autologous Cryopreserved Fat Grafting
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Aged 18 years or older and able to provide informed consent
- Have craniofacial volume defects from injury or surgery treatable with 3 to 150 cc of fat graft
- At least 3 months post-injury or surgery with resolved swelling
- Facial defects covered by intact skin, not communicating with oral cavity or sinuses
- Volume defects suitable for fat grafting based on 3D geometry
- Sufficient donor fat tissue for grafting and cryopreservation
- Willing and able to comply with follow-up exams including CT scans
You will not qualify if you...
- Younger than 18 years
- Unable to provide informed consent
- Craniofacial defects with open wounds or communicating with oral cavity or sinuses
- Active infection anywhere in the body
- Medical conditions making fat harvest or anesthesia unsafe
- History of radiation to treatment or harvest areas
- Medications impairing wound healing or posing anesthesia risk
- Active narcotic abuse
- Known bleeding disorders or clotting problems
Research Team
E
Eleanor Shirley, MA, CCRC
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