Autologous Fat Grafting with Percutaneous Fasciotomy and Reduction of the Nipple–Areolar Complex for the Correction of Tuberous Breast Deformity in Teenagers

Gutierrez-Ontalvilla, Patricia; Naidu, Nina S.; Blanco, E. López; Brito, Eloy Condiño; Ruiz‐Valls, Alejandro

doi:10.1007/s00266-019-01531-1

Cited by 22 publications

(4 citation statements)

References 16 publications

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“…Corporation, Leuven, Belgium) without further processing and was injected with 2‐ and 3‐mm blunt Coleman style cannulas (Tulip Medical Products, San Diego) through multiple passes in the breast tissue in a fan‐like injection pattern with slight overcorrection. Restricting scars were treated by rigottomy 28 followed by injection of small fat deposits into the released scar area.…”

Section: Methodsmentioning

confidence: 99%

Prolonged antibiotic prophylaxis in tissue reconstruction using autologous fat grafting: Is there a benefit for wound healing?

Morandi

Winkelmann

Dostal

et al. 2021

International Wound Journal

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Fat grafting is a well‐established method in plastic surgery. Despite many technical advances, standardised recommendations for the use of prophylactic antibiotics in fat grafting are not available. This retrospective multicentre study aims to analyse the use of prophylactic antibiotics in fat grafting and to compare complication rates for different protocols. A retrospective medical chart review of 340 patients treated with fat grafting of the breast from January 2007 to March 2019 was performed in three plastic surgery centres. Complications, outcomes, and antibiotic regimes were analysed. The Clavien‐Dindo classification was applied. All patients received perioperative antibiotic prophylaxis: 33.8% (n = 115) were treated with a single shot (group 1), 66.2% (n = 225) received a prolonged antibiotic scheme (group 2). There was no significant difference in the number of sessions (P = .475). The overall complication rate was 21.6% (n = 75), including graft resorption, fat necrosis, infection, and wound healing problems. Complication rates were not significantly different between groups. Risk factors for elevated complication rates in this specific patient group are smoking, chemotherapy, and irradiation therapy. The complication rate for lipografting of the breast is low, and it is not correlated to the antibiotic protocol. The use of prolonged prophylactic antibiotics does not lower the complication rate.

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Section: Methodsmentioning

confidence: 99%

Prolonged antibiotic prophylaxis in tissue reconstruction using autologous fat grafting: Is there a benefit for wound healing?

Morandi

Winkelmann

Dostal

et al. 2021

International Wound Journal

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show abstract

“…Lipofilling overall improved tissue release and breast pole filling. 2,16,29,30,34,36,37,[40][41][42][43][44][45][46][47] Fat graft was usually obtained from the periumbilical region through Coleman technique. The fat delivery was performed in a multiplanar, multidirectional fan-shaped technique to maximize the surface area of the graft.…”

mentioning

confidence: 99%

Review of Tuberous Breast Deformity: Developments over the Last 20 Years

Lozito

Vinci

Talerico

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Tuberous breast (TB) deformity is a condition characterized by alterations in breast morphology and tissue structure with high prevalence in the general population. The literature provides sparse descriptions of TB, as not many investigations on the condition have been conducted. The aim of this review was to analyze and provide a holistic overview on the morphological characteristics of the TB. Methods: A review of current literature was performed using the PubMed database from 2001 to 2021. The key words used for the review included “tuberous breast,” “constricted breast,” and “stenotic breast.” We included articles that analyzed the anatomic and histologic characteristics of TB. Results: From 213 articles, only 42 met the inclusion criteria. A total of 171 articles were excluded, as they were letters, not related to the condition, or were written in a foreign language. The studies in this review drew on hypothesis on the embryological origin of TB and analyzed the composition of TB tissues, consisting in a constricting fibrous ring, made of longitudinally arranged collagen and elastic fibers. Furthermore, the review reports the different anatomical and surgical classifications, as well as the various surgical corrective procedures developed throughout history up to 2021. Conclusion: The review describes all etiological, epidemiologic, anatomical, histological, and surgical characteristics of tuberous breast.

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“…We thank the authors for their insightful comments on our article ''Autologous Fat Grafting with Percutaneous Fasciotomy and Reduction of the Nipple-Areolar Complex for the Correction of Tuberous Breast Deformity in Teenagers [1].'' The authors have expressed concern over the peri-areolar scar and suggest that scarring may not be an appropriate trade-off for younger patients [2].…”

mentioning

confidence: 99%

Invited Response on: “Autologous Fat Grafting with Percutaneous Fasciotomy and Reduction of the Nipple–Areolar Complex for the Correction of Tuberous Breast Deformity in Teenagers”

Autologous Fat Grafting with Percutaneous Fasciotomy and Reduction of the Nipple–Areolar Complex for the Correction of Tuberous Breast Deformity in Teenagers

Cited by 22 publications

References 16 publications

Prolonged antibiotic prophylaxis in tissue reconstruction using autologous fat grafting: Is there a benefit for wound healing?

Prolonged antibiotic prophylaxis in tissue reconstruction using autologous fat grafting: Is there a benefit for wound healing?

Review of Tuberous Breast Deformity: Developments over the Last 20 Years

Invited Response on: “Autologous Fat Grafting with Percutaneous Fasciotomy and Reduction of the Nipple–Areolar Complex for the Correction of Tuberous Breast Deformity in Teenagers”

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