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However, not all fats are equal. White, brown, and beige AT differ in energy storage and use. Brown and beige AT consume glucose and lipids for thermogenesis and, theoretically, may provide greater metabolic benefit in transplantation. Here, the authors review the metabolic effects of AT transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Removal of subcutaneous human AT does not have beneficial metabolic effects. Most studies find no benefit from visceral AT transplantation and some studies report harmful effects. In contrast, transplantation of inguinal or subcutaneous AT in mice has positive effects. Brown AT transplant studies have variable results depending on the model but most show benefit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Many technical improvements have optimized fat grafting and transplantation in cosmetic surgery. Transplantation of subcutaneous AT has the potential for significant metabolic benefits, although there are few studies in humans or using human AT. Brown AT transplantation is beneficial but not readily feasible in humans thus <jats:italic>ex vivo<\/jats:italic> \u201cbeiging\u201d may be a useful strategy. AT transplantation may provide clinical benefits in metabolic disorders, especially in the setting of lipodystrophy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.23601","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T15:45:55Z","timestamp":1670427955000},"page":"7-19","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Metabolic effects of lipectomy and of adipose tissue transplantation"],"prefix":"10.1002","volume":"31","author":[{"given":"Sarah","family":"Davis","sequence":"first","affiliation":[{"name":"Centre for Diabetes, Obesity and Endocrinology Research The Westmead Institute for Medical Research, The University of Sydney  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales 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