Cellular Optimization of Nanofat: Comparison
of Two Nanofat Processing Devices in Terms
of Cell Count and Viability
Steven R. Cohen, MD, FACS; Tunç Tiryaki, MD; Hayley A. Womack,
BS ; Serli Canikyan, BS; Kai Uwe Schlaudraff, MD; and
Michael Scheflan, MD
Background: Nanofat was introduced by Tonnard and Verpaele in 2013. Their initial observations in intradermal applications showed improvement
in the appearance of the skin. Since then, a number of Nanofat devices have been introduced. The cellular content in the processing of Nanofat is not
the same in every device, yet the cellular composition is responsible for the biologic action of Nanofat. The authors sought to find a different means to
produce a matrix rich Nanofat to optimize the cellular content.
Objectives: The primary objective of this study was to compare cell counts, cultures, and cell viabilities produced by LipocubeNano (Lipocube, Inc.,
London, UK) in comparison to Tulip’s NanoTransfer (Tulip Medical, San Diego, CA) processing methods.
Methods: Twenty milliliters of fat were harvested from 10 patients in order to test two methods of Nanofat production. Ten milliliters of fat were used
to assess each method and, after the final product was obtained, enzymatic digestion for stromal vascular fraction (SVF) isolation was performed. A Muse
Flow-cytometer was used to measure cell counts and cell viabilities, cell cultures were performed, and cell images were taken with a florescent microscope.
Results: The LipocubeNano was shown to be superior to Tulip’s NanoTransfer system of progressive downsizing with final filtering, which appeared
to trap more fibrous tissue leading to lower amounts of SVF. LipocubeNano resulted in higher cell counts (2.24 × 106/cc), whereas Tulip’s NanoTransfer
method resulted in a lower cell count at 1.44 × 106/cc. Cell viability was the same (96.05%) in both groups.
Conclusions: Nanofat from LipocubeNano has a higher regenerative cell count and more SVF cells than the other common mechanical method of
Nanofat processing. This new means of mechanical processing preserves more matrix, optimizing the cellular content of the Nanofat, thus having potentially
a higher regenerative effect.
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