Breast fat grafting (lipomodelling) after extended latissimus dorsi flap breast reconstruction: A preliminary report of 200 consecutive cases

Sinna, R.; Delay, E.; Garson, S.; Delaporte, T.; Toussoun, G.

doi:10.1016/j.bjps.2009.12.002

Cited by 139 publications

(88 citation statements)

References 32 publications

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“…Most studies estimate that 30%-40% of the volume is lost after the first procedure, thus requiring subsequent procedures 5,21,22,25,26 or graft overcorrection 14,16,25 . Several studies have shown high rates of patient satisfaction after fat grafting as well as good aesthetic results that are subjectively evaluated using photographs 2,[5][6][7][8]14,16,[20][21][22][23][24] . These studies considered breast fat grafting as a safe tech nique with a low number of major complications ( Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…The main differences between the techniques were present in the treatment of the obtained fat (Figure 2). The studies generally reported that the grafts must be obtained by liposuction using the tumescent technique from body areas with an abundance of fat tissue (abdomen, flank, inner thigh, lateral thigh, medial knees, and back, as the commonly-used donor areas, in descending order) 2,[13][14][15][16]20,21 . Most of these studies emphasized that liposuction should be gentle, involve the use of syringes or a low-pressure apparatus, and avoid exposure of the fat to ambient air (closed technique) to ensure that the fatty material is handled as little as possible [2][3][4][5][6][7][8][13][14][15][16][19][20][21][22][23][24] .…”

Section: Resultsmentioning

confidence: 99%

“…Studies involving large numbers of patients involved retrospective analyses of medical records or prospective evaluations of patients undergoing a specific technique and did not allow for an overall assessment of fat grafting 8,[13][14][15][16][19][20][21] . The publications mentioned various techniques for obtaining, treating, and grafting fat.…”

Section: Resultsmentioning

confidence: 99%

“…Fat grafting, which has primarily been used to correct breast deformities, has also been used for aesthetic purposes and to increase breast volume in an attempt to replace the use of breast implants [6][7][8] . Several studies have shown that fat grafting did not effectively hinder radiological breast screening 2,[9][10][11][12][13][14][15][16] . However, Wang et al 17 challenge these findings.…”

Section: Introductionmentioning

confidence: 99%

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Lipoenxertia nas mamas: procedimento consagrado ou experimental?

Blumenschein¹,

Freitas‐Junior

Tuffanin

et al. 2012

Rev. Bras. Cir. Plást.

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Rev Bras Cir Plást. 2012;27(4):616-22 616 Blumenschein AR et al. Breast fat grafting: experimental or established procedure? Lipoenxertia nas mamas: procedimento consagrado ou experimental?ABSTRACT There has recently been an increase in the use of fat grafting for the correction of congenital or acquired breast deformities and for aesthetic breast treatment. This increase is due to the emergence of novel fat grafting techniques that produce lasting and reliable results despite some authors' beliefs that the procedure might hinder breast cancer screening. This literature review aims to identify the most frequently used breast fat grafting techniques, evaluate their efficacy and safety, and report their major complications. The review was performed after a search in the PubMed and LILACS databases, and only English-language articles published over the past 5 years were assessed. There have been an increased number of studies on the topic in recent years, and a specific fat grafting technique has been primarily reported. Most studies in this area have shown that breast fat grafting does not affect radiological breast cancer screening, whereas some studies have suggested that the use of grafted fat may enhance the development of breast cancer. Despite the increased number of published studies, few have a good level of scientific evidence. This review concludes that fat grafting is an alternative technique for the correction of breast deformities and moderate aesthetic breast enlargement and should be performed by properly trained surgeons accompanied by a radiology team that is experienced in breast imaging. Further studies with appropriate scientific methodologies are needed to evaluate breast fat grafting. Keywords: Breast fat grafting. Fat graft RESUMOAtualmente vem ocorrendo aumento da incidência de utilização de enxertia de gordura para correção de defeitos mamários congênitos ou adquiridos e para tratamento mamário estético. Esse aumento é decorrente do surgimento de novas técnicas de lipoenxertia, que produzem resultados mais duradouros e confiáveis, apesar da crença de alguns autores de que o procedimento possa dificultar o rastreamento do câncer mamário. Esta revisão de literatura tem como objetivo identificar as técnicas de lipoenxertia mamárias mais utilizadas, avaliá-las quanto à eficácia e à segurança, e relatar as principais complicações associadas. A revisão foi realizada nas bases de dados PubMed e LILACS, e os fatores de inclusão foram: artigos em idioma inglês, publicados nos últimos cinco anos. Como resultado observou-se aumento do número de trabalhos abordando o tema nos últimos anos, e predomínio de uma técnica de lipoenxertia específica. A maioria dos trabalhos demonstra que a lipoenxertia mamária não prejudica o rastreamento radiológico para câncer mamário, e alguns sugerem que a gordura enxertada potencializa o desenvolvimento de câncer nas mamas. Apesar do aumento do número de trabalhos, existem ainda poucos com bom nível de evidência científica. Esta revisão permitiu concluir que a lipoe...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lipoenxertia nas mamas: procedimento consagrado ou experimental?

Blumenschein¹,

Freitas‐Junior

Tuffanin

et al. 2012

Rev. Bras. Cir. Plást.

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“…Lipotransfer is gaining popularity. Fat is aspirated and then this can be injected into the breast, but there is a lot that we do not understand here yet although work has been done in this area [52,53]. In order for fat grafting for breast reconstruction to be carried out, you have to have a certain amount of fat available.…”

Section: Was Treated For 5 Weeks For Abscesses and It Comes Out At Thmentioning

confidence: 99%

4th Symposium on Primary Breast Cancer in Older Women. Theme: Putting Personalized Care Into Practice (Held: 3 March 2017)

Cheung

Morgan

Brain

et al. 2017

Breast Cancer Manag.

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This is the only meeting of its kind in the UK, now held biennially, aiming at a multidisciplinary audience, including patients, their carers and advocates. With a theme on 'Putting personalising care into practice', this Symposium included sessions on 'local and systemic therapies', 'new ideas', 'patients and carers', and 'challenging areas', covered by an international and local faculty, interviewing patients and carers, and abstract presentations. Topics covered were practical and wide-ranging, including selectng for chemotherapy, radiotherapy and breast reconstruction, treating HER2-positive disease, and the roles of the geriatrician and geriatric oncology nurse.Keywords: breast cancer • geriatric oncology • older women • primary breast cancer • symposiumThe symposium began with a welcome and introduction from Kwok-Leung Cheung (Clinical Associate Professor, University of Nottingham, Consultant Breast Surgeon, Royal Derby Hospital; UK National Representative, International Society of Geriatric Oncology [SIOG], Symposium co-chair). Cheung began by extending a warm welcome to everyone to the East Midlands Conference Centre and the University of Nottingham. He explained how the symposium, first started in 2010, began in a very small room in the postgraduate education center in City Hospital, Nottingham, with only about 20-30 people in attendance. He was pleased to say that things had certainly moved on, and the biennial symposium was now a multidisciplinary event with an emphasis on patient perspectives, as a direct response to delegate feedback ranking patient sessions the best! The symposium has continuous professional development accreditation from the Royal Colleges and is basically the only event in the country to be dedicated to a multidisciplinary focus on older women with primary breast cancer. Cheung was also happy to announce that since the event is under the auspices of SIOG, senior members of SIOG will be speaking and presenting also.Since the previous symposium, organizers have been giving a theme to the event, this year's theme being, 'Putting personalized care into practice', with an emphasis on the word 'personalizing', since it is well known that older women with primary breast cancer tend to be under-or overtreated sometimes due to a lack of knowledge and other times due to over enthusiasm or failure to include them in clinical trials. Also based on requests and feedback from previous conferences, Cheung explained the addition of a 'students and patient advocates' category at registration for the conference to encourage their attendance.The speaker list went beyond just oncological representations of surgeons and oncologists, including an epidemiologist and a geriatrician from the previous symposium and in the 2015 event, the geriatrician being particularly inspiring -especially for the UK delegates, since it is not really a standard practice in the UK to include a geriatrician in the care of older women with primary breast cancer. For the first time, there was a geriatric oncology nurse in th...

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Breast reconstruction using autologous fat

Khonji

2010

British Journal of Surgery

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Breast fat grafting (lipomodelling) after extended latissimus dorsi flap breast reconstruction: A preliminary report of 200 consecutive cases

Cited by 139 publications

References 32 publications

Lipoenxertia nas mamas: procedimento consagrado ou experimental?

Lipoenxertia nas mamas: procedimento consagrado ou experimental?

4th Symposium on Primary Breast Cancer in Older Women. Theme: Putting Personalized Care Into Practice (Held: 3 March 2017)

Breast reconstruction using autologous fat

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