Indicações e segurança da lipoenxertia autóloga na mama

Abstract

Background: Autologous fat grafting to the breast for cosmetic and reconstructive purposes is still controversial regarding its safety and efficacy. The objective of this study was to conduct a systematic review on clinical applicability and safety of the technique. Methods: An online search of the Cochrane Library, MEDLINE, EMBASE and SCIELO was conducted from July 1986 to June 2011. Studies included original articles of autologous liposuctioned fat grafting to the female breast with description of clinical complications and/or radiographic changes and/or local breast cancer recurrence. Results: This review included 60 articles with 4739 patients. Thirty studies used fat grafting for augmentation and 41 for reconstructive procedures. The incidence of clinical complications identified in 21 studies was 64/3015, the majority of them were induration and/or palpable nodulation. Radiographic changes were 266/2560 in 17 studies; more than 50% of them were consistent with cysts. The local recurrence of breast cancer (14/616) was evaluated in three studies, which only one is prospective and none is randomized. Conclusion:A broad clinical applicability of the procedure was identified.Complication rate was low and there was no evidence of interference with breast cancer detection. Study results concerning oncological risk are not clear at present.