Chronological Order of Lipofilling during Implant Exchange

Zanin, Chiara; Calabrese, Sarah; Cordaro, Emanuele Rampino; Marchesi, Andrea; Parodi, Pier Camillo

doi:10.1097/gox.0000000000001307

Cited by 2 publications

(2 citation statements)

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“…FG and implant placement can be done simultaneously or in several stages. In case of simultaneous surgery, the surgeon can perform FG on the old implant or using a sizer, introducing the implant after FG or protecting the implant and visualizing its integrity before the wound closure if FG is performed after implant placement [ 6 , 35 , 39 ]. Grafting after the implant placement has the advantage of precise shaping and volume control [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Batiukov¹,

Podgaiski

Mikulich

et al. 2020

BMC Surg

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Background Breast augmentation with implants continues to be the most popular aesthetic surgical procedure performed worldwide. Fat grafting may improve the results of breast augmentation and breast reconstruction with implants. However, fat grafting to the breast with implants carries the risk of implant puncture. To our best knowledge this is the first case in which polyurethane implant puncture during fat grafting is described. Case presentation We report multiple bilateral implant punctures with the cannula during fat grafting in a patient who previously underwent breast reconstruction with polyurethane implants. Conclusions Implants that promote tissue ingrowth may be more prone to puncture with the cannula during fat grafting. Specific planning and surgical maneuvers decrease the risk of implant puncture. Level of evidence Level V, case report.

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Section: Discussionmentioning

confidence: 99%

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Batiukov¹,

Podgaiski

Mikulich

et al. 2020

BMC Surg

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show abstract

“…A large number of studies have investigated the technique of fat grafting, its safety in breast surgery, the variations offered by the different types of harvesting techniques, optimal donor site, device employed, elaboration of adipose tissue, recipient site preparation, and timing of surgery [12][13][14][15][16][17][18][19][20]. Many reviews are available comparing dozens of studies, analyzing every step of the lipofilling procedure, in order to find a standard method to ensure the best graft-taking rate [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Long-term impact of lipofilling in hybrid breast reconstruction: retrospective analysis of two cohorts

et al. 2019

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Lipofilling has recently gained popularity as a tool in primary treatment of breast cancer, and its association with two-stage implant breast reconstruction is considered as standard treatment in many centers. However, no data are available about the longterm results of the association of lipofilling in combination with expander-implant reconstruction. A retrospective analysis was conducted on patients treated between January 2010 and December 2014. Two groups were compared. Group 1 had a standard expander-implant two-stage reconstruction. Group 2 underwent hybrid breast reconstruction (HBR). Patient characteristics, hospitalization, outcomes, reoperation details, outpatient visits, and evaluation questionnaires were taken into consideration. Intergroup comparison was performed using Wilcoxon Mann-Whitney U test and Pearson's chi-square test or Fisher's exact test for categorical variables. Two hundred fourteen patients were evaluated: 130 patients in group 1 and 84 patients in group 2. Group 2 showed significant benefits over group 1 in terms of capsular contracture rate, breast pain, and displacement/rotation of the implant (p = 0.005). The HBR protocol is associated with lower rate of capsular contracture, less breast pain at long follow-up times, and lower overall rates of revision surgery compared to standard expander-implant reconstruction. A specific cost analysis will help further clarify the advantages of this protocol over a standard procedure. Level of Evidence: Level III, risk/prognostic, therapeutic study.

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Chronological Order of Lipofilling during Implant Exchange

Cited by 2 publications

References 4 publications

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Long-term impact of lipofilling in hybrid breast reconstruction: retrospective analysis of two cohorts

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