Augmentation Mammoplasty With External Volume Expander–Assisted Autologous Fat Grafting in 305 Asian Patients

Abstract

Background External volume expander (EVE)-assisted autologous fat grafting is suitable for breast augmentation, but no large sample study in Asia confirms this method. Objectives In this study, we report our experience and outcomes in augmentation mammoplasty with EVE-assisted autologous fat grafting. Methods A retrospective study was conducted in 305 female patients who underwent augmentation mammoplasty with EVE-assisted fat grafting between September 2012 and December 2020. Doctors used Crisalix for 3D imaging acquisition to measure the increase in breast volume to evaluate doctor satisfaction. The Preoperative Satisfaction with Breast and BREAST-Q questionnaires were used to assess patients’ preoperative and postoperative satisfaction, respectively. Results The 305 female patients were aged between 18 and 50 (mean, 35.9). Among them, 68.52% were “very satisfied”, 18.69% were “somewhat satisfied”, 11.15% were “somewhat dissatisfied”, and 1.64% were “very dissatisfied” based on BREAST-Q analysis, whereas 100% were dissatisfied according to the Preoperative Satisfaction with Breast questionnaire. Doctors used Crisalix to measure the increase in breast volume to evaluate doctor satisfaction. The results showed 76.01% had an increase in breast volume of 150–250 mL or over 250 mL and were “satisfied” and “very satisfied”, respectively, 21.64% had an increase of 50–149 mL and were “somewhat satisfied”, and 2.30% had an increase of less than 50 mL and were “dissatisfied”. There were no complications, such as obvious fat liquefaction, infection or fat embolism. Conclusions Augmentation mammoplasty with EVE-assisted fat grafting is effective and satisfying in China. Crisalix for 3D imaging acquisition is convenient and effective in measuring breast volume.

Uso De Ultrassom Na Identificação De Planos Profundos E Superficiais Para Lipoenxertia Em Mamoplastia De Aumento: Revisão De Literatura

“…(9) Outro estudo retrospectivo em 305 pacientes do sexo feminino submetidas a mamoplastia de aumento com enxerto de gordura assistido por EVE entre setembro de 2012 e dezembro de 2020. (6) Destes pacientes, tinham idade entre 18 e 50 anos (média de 35,9 anos). Entre eles, 68,52%…”

“…estavam "muito satisfeitos", 18,69% estavam "um pouco satisfeitos", 11,15% estavam "um pouco insatisfeitos" e 1,64% estavam "muito insatisfeitos" com base na análise do BREAST-Q, enquanto 100% estavam insatisfeitos de acordo com o Questionário de Satisfação Pré-Operatória com a Mama (6) Os resultados mostraram que 76,01% tiveram um aumento no volume mamário de 150 para 250 mL ou >250 mL e ficaram "satisfeitas" e "muito satisfeitas", respectivamente, 21,64% tiveram um aumento de 50 para 149 mL e ficaram "um pouco satisfeitas", e 2,30% tiveram aumento <50 mL e estavam "insatisfeitos". Não houve complicações (6)…”