Stromal Vascular Fraction Cell Therapy to Improve the Repair of Rotator Cuff Tears

Inclusion Criteria: * Males and females * Age 45-65 years old at the time of enrollment * Full-thickness supraspinatus tendon tear with endon retraction ≤ 3 cm * Magnetic resonance imaging Goutallier score ≤ grade 2 * Completed at least 6 weeks of standard physical therapy but continue to have pain and limited function (failed physical therapy) * Sufficient subcutaneous abdominal adipose tissue to allow the recovery of 60-120cc of lipoaspirate * Must pass standard of care blood work screening Exclusion Criteria: * Any tears of any cuff tendon other than the supraspinatus * Magnetic resonance imaging Goutallier scores ≥ 3 * Frank signs of glenohumeral osteoarthritis on magnetic resonance imaging * A history of previous rotator cuff repair * A history of upper extremity fracture or other moderate to severe upper extremity trauma * A BMI \< 20 or \> 35 * Pregnant or breast feeding * Premenopausal women who are not using contraception * Previous abdominal liposuction or any major open abdominal surgery * Type I or type II diabetes, or glycated hemoglobin (hemoglobin A1C) values \> 6.5 or other metabolic disorders * Hypercholesterolemia (total cholesterol ≥240mg/dL) * History of cancer * Autoimmune disorder or HIV+ status * Use of nicotine products * Have any other history of major medical illness, disease or other relevant orthopaedic disability * Who do not speak English * Liodcaine allergy