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Abstract
Background:
Due to their minimal trauma and relative safety, blood products are becoming increasingly
popular in medical aesthetics. In recent years, research on the application of blood
products has also been increased. This article will summarize the research progress
of emerging blood products in plastic surgery in recent years.
Methods:
We searched the PubMed database for literature related to the application of blood
preparation in plastic surgery over the past 5 years and summarized them.
Results:
Commonly used in plastic surgery are platelet-rich plasma, platelet-rich fibrin, concentrated
growth factor, platelet-poor plasma, and mesenchymal stem cells derived from blood
products. They can be used for wound repair and skin and autologous fat transplantation,
and can be combined with laser therapy and facial rejuvenation.
Conclusions:
Understanding the application pathways of blood products in plastic surgery and their
respective advantages and disadvantages can help us better choose and use them.
Simple Summary Growth factors play a vital role in cell proliferation, migration, differentiation and angiogenesis. Autologous platelet concentrates which contain high levels of growth factors are used in many fields of dentistry. The current review is designed to provide clinical information regarding the use of three autologous platelet concentrates techniques in periodontal regeneration and facial rejuvenation: platelet-rich plasma, platelet-rich fibrin and concentrated growth factor techniques. The aim is to provide the clinician with an up-to-date overview of autologous platelet concentrates evolution over the past decade, clinical indications for use and advantages and limitations of each technique. This article was written in clinical orientation and is designed to provide clinicians with reliable and useful information applicable to their clinical work. Overall, platelet-rich plasma is mainly used in cases of hard and soft tissue procedures, while platelet-rich fibrin is used in gingival recession and treatment of furcation and intrabony defects; concentrated growth factor is mainly used in bone regeneration. In the field of facial rejuvenation, the use of platelet-rich plasma promotes tissue remodeling in aged skin and may be used as an adjuvant treatment to lasers; platelet-rich fibrin holds significant potential for stimulated dermal augmentation, and concentrated growth factor treatment could improve the survival and quality of fat grafts. Abstract Growth factors (GFs) play a vital role in cell proliferation, migration, differentiation and angiogenesis. Autologous platelet concentrates (APCs) which contain high levels of GFs make them especially suitable for periodontal regeneration and facial rejuvenation. The main generations of APCs presented are platelet-rich plasma (PRP), platelet-rich fibrin (PRF) and concentrated growth factor (CGF) techniques. The purpose of this review is to provide the clinician with an overview of APCs’ evolution over the past decade in order to give reliable and useful information to be used in clinical work. This review summarizes the most interesting and novel articles published between 1997 and 2020. Electronic and manual searches were conducted in the following databases: Pubmed, Scopus, Cochrane Library and Embase. The following keywords were used: growth factors, VEGF, TGF-b1, PRP, PRF, CGF and periodontal regeneration and/or facial rejuvenation. A total of 73 articles were finally included. The review then addresses the uses of the three different techniques in the two disciplines, as well as the advantages and limitations of each technique. Overall, PRP is mainly used in cases of hard and soft tissue procedures, while PRF is used in gingival recession and the treatment of furcation and intrabony defects; CGF is mainly used in bone regeneration.
Platelet-rich plasma (PRP) improves the healing of refractory wounds, and its application is receiving more attention in the field of wound repair. However, when a patient's condition is very poor, it may be difficult to provide whole blood to harvest autologous PRP.
Ablative CO2 fractional laser (AFL) is a common cosmetic procedure to improve skin laxity. However, due to prolonged downtime and the risk of postinflammatory hyperpigmentation, laser-assisted delivery of active ingredients as post-laser treatment has gained interest in past years. Among various active ingredients, human umbilical cord blood-derived mesenchymal stem cells (hUCBMSCs) can be a promising agent promoting skin regeneration.
Journal ID (nlm-ta): Plast Reconstr Surg Glob Open
Journal ID (iso-abbrev): Plast Reconstr Surg Glob Open
Journal ID (publisher-id): GOX
Title:
Plastic and Reconstructive Surgery Global Open
Publisher:
Lippincott Williams & Wilkins
(Hagerstown, MD
)
ISSN
(Electronic):
2169-7574
Publication date Collection:
July
2024
Publication date
(Electronic):
24
July
2024
Volume: 12
Issue: 7
Electronic Location Identifier: e6005
Affiliations
From the
[*
]Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical
Sciences and Peking Union Medical College, Beijing, China
[†
]Department of Endocrinology, Air Force Medical Hospital, Beijing, China
[‡
]Graduate School of China Medical University, Shenyang, China
[§
]Chongqing Medical University, Chongqing, China
[¶
]Zhejiang Chinese Medical University, Hangzhou, China
[‖
]Department of Cosmetic Injection Center, Plastic Surgery Hospital, Chinese Academy
of Medical Sciences and Peking Union Medical College, Beijing, China.
Author notes
Jintian Hu, MD, Department of Cosmetic Injection Center, Plastic Surgery Hospital,
Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road,
Shijingshan District, Beijing, China, E-mail:
hujintian@
123456vip.163.com
, Tun Liu, MD, Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese
Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan
District, Beijing, China, E-mail:
liutun0224@
123456163.com
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