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      Emerging 3D bioprinting applications in plastic surgery

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          Abstract

          Plastic surgery is a discipline that uses surgical methods or tissue transplantation to repair, reconstruct and beautify the defects and deformities of human tissues and organs. Three-dimensional (3D) bioprinting has gained widespread attention because it enables fine customization of the implants in the patient's surgical area preoperatively while avoiding some of the adverse reactions and complications of traditional surgical approaches. In this paper, we review the recent research advances in the application of 3D bioprinting in plastic surgery. We first introduce the printing process and basic principles of 3D bioprinting technology, revealing the advantages and disadvantages of different bioprinting technologies. Then, we describe the currently available bioprinting materials, and dissect the rationale for special dynamic 3D bioprinting (4D bioprinting) that is achieved by varying the combination strategy of bioprinting materials. Later, we focus on the viable clinical applications and effects of 3D bioprinting in plastic surgery. Finally, we summarize and discuss the challenges and prospects for the application of 3D bioprinting in plastic surgery. We believe that this review can contribute to further development of 3D bioprinting in plastic surgery and provide lessons for related research.

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          Alginate: properties and biomedical applications.

          Alginate is a biomaterial that has found numerous applications in biomedical science and engineering due to its favorable properties, including biocompatibility and ease of gelation. Alginate hydrogels have been particularly attractive in wound healing, drug delivery, and tissue engineering applications to date, as these gels retain structural similarity to the extracellular matrices in tissues and can be manipulated to play several critical roles. This review will provide a comprehensive overview of general properties of alginate and its hydrogels, their biomedical applications, and suggest new perspectives for future studies with these polymers.
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            3D bioprinting of tissues and organs.

            Additive manufacturing, otherwise known as three-dimensional (3D) printing, is driving major innovations in many areas, such as engineering, manufacturing, art, education and medicine. Recent advances have enabled 3D printing of biocompatible materials, cells and supporting components into complex 3D functional living tissues. 3D bioprinting is being applied to regenerative medicine to address the need for tissues and organs suitable for transplantation. Compared with non-biological printing, 3D bioprinting involves additional complexities, such as the choice of materials, cell types, growth and differentiation factors, and technical challenges related to the sensitivities of living cells and the construction of tissues. Addressing these complexities requires the integration of technologies from the fields of engineering, biomaterials science, cell biology, physics and medicine. 3D bioprinting has already been used for the generation and transplantation of several tissues, including multilayered skin, bone, vascular grafts, tracheal splints, heart tissue and cartilaginous structures. Other applications include developing high-throughput 3D-bioprinted tissue models for research, drug discovery and toxicology.
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              Biomimetic 4D printing.

              Shape-morphing systems can be found in many areas, including smart textiles, autonomous robotics, biomedical devices, drug delivery and tissue engineering. The natural analogues of such systems are exemplified by nastic plant motions, where a variety of organs such as tendrils, bracts, leaves and flowers respond to environmental stimuli (such as humidity, light or touch) by varying internal turgor, which leads to dynamic conformations governed by the tissue composition and microstructural anisotropy of cell walls. Inspired by these botanical systems, we printed composite hydrogel architectures that are encoded with localized, anisotropic swelling behaviour controlled by the alignment of cellulose fibrils along prescribed four-dimensional printing pathways. When combined with a minimal theoretical framework that allows us to solve the inverse problem of designing the alignment patterns for prescribed target shapes, we can programmably fabricate plant-inspired architectures that change shape on immersion in water, yielding complex three-dimensional morphologies.
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                Author and article information

                Contributors
                fbrfbr2004@csu.edu.cn
                leilanjie1988@163.com
                Journal
                Biomater Res
                Biomater Res
                Biomaterials Research
                BioMed Central (London )
                1226-4601
                2055-7124
                3 January 2023
                3 January 2023
                2023
                : 27
                : 1
                Affiliations
                [1 ]GRID grid.452708.c, ISNI 0000 0004 1803 0208, Department of Plastic and Aesthetic (Burn) Surgery, , The Second Xiangya Hospital, Central South University, ; Changsha, 410011 People’s Republic of China
                [2 ]GRID grid.449525.b, ISNI 0000 0004 1798 4472, School of Clinical Medicine, , North Sichuan Medical College, ; Nanchong, 637000 People’s Republic of China
                [3 ]GRID grid.452708.c, ISNI 0000 0004 1803 0208, Department of Stomatology, , The Second Xiangya Hospital, Central South University, ; Changsha, 410011 People’s Republic of China
                [4 ]GRID grid.263826.b, ISNI 0000 0004 1761 0489, School of Biological Science and Medical Engineering, , Southeast University, ; Nanjing, 210096 People’s Republic of China
                Article
                338
                10.1186/s40824-022-00338-7
                9808966
                36597149
                1a17cc4f-f466-4d69-b69e-896d911a5d8d
                © The Author(s) 2022

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 11 November 2022
                : 14 December 2022
                Funding
                Funded by: the Natural Science Foundation of Hunan Province
                Award ID: 2021JJ30928
                Award Recipient :
                Categories
                Review
                Custom metadata
                © The Author(s) 2023

                plastic surgery,biomaterials,3d bioprinting,tissue engineering,tissue regeneration

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