Lower rates of lipofilling sessions in latissimus dorsi flap breast reconstruction with initial higher volume transfer by preservation of subfascial fat: A 3D camera-assisted volumetric case series

Stivala, Alessio; Bertrand, B.; Ouar, N.; Revol, M.; Atlan, Michaël; Cristofari, S.

doi:10.1016/j.bjps.2019.11.002

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…Recently, fat transfer has a significant role for volume replacement even for complete breast reconstruction after mastectomy with good results [5,6]. It is an easy, simple, biocompatible and inexpensive procedure that gave results of a high level of patient satisfaction, thus improving the quality of the patient's life with natural texture with the plus of removal of undesirable fat from other regions [7,8]. After CBT; fat transfer has been widely used to recover shape, defects, challenging irregularities and asymmetry after surgical approach which subsequently showed a decline in contralateral esthetic surgeries [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The role of platelet rich plasma enriched fat graft for correction of deformities after conservative breast surgery

Shaaban,

Anwar,

Ramadan

2024

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BACKGROUND: Fat transfer has been widely used after breast conservative surgery (BCS) where it aims to recover shapes as a simple, inexpensive, biocompatible method but the technique is not without complications. Platelet Rich Plasma (PRP) is a promising approach to enhance fat graft survival and subsequently improve the outcome. The aim of this study was to evaluate the effect of enriching fat graft with PRP for delayed correction of deformities after conservative surgery for breast cancer regarding esthetic outcome and incidence of complications. METHODS: The current study included 50 female patients who were scheduled for delayed lipofilling for correction of deformities after conservative surgery for breast cancer. The studied patients were randomly allocated into 2 groups: Group I (G I) included 25 patients scheduled for PRP enriched lipoinjection and Group II (G II) included 25 patients scheduled for lipoinjection without PRP as a control group. RESULTS: Number of sessions of lipoinjection was significantly less in G I in comparison to G II (P = 0.024). During the 2nd session; the amounts of fat injected and harvested were significantly less in G I in comparison to G II (P = 0.049 and 0.001 respectively). Recipient site complications were significantly more evident in G II in comparison to G I (P = 0.01). Surgeon and patient satisfactions were significantly more evident in GI in comparison to G II (P = 0.005 and 0.029 respectively). CONCLUSION: The addition of PRP to fat grafts is a simple, cost-effective and safe method to improve esthetic outcome and decrease complications.

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Section: Introductionmentioning

confidence: 99%

The role of platelet rich plasma enriched fat graft for correction of deformities after conservative breast surgery

Shaaban,

Anwar,

Ramadan

2024

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“…As of today, there are still few studies in the literature on FALD flap reconstruction, especially about technical refinements needed to improve the aesthetic outcome of this BR. [15][16][17] Above all, very little is described concerning the flap positioning and the orientation of the flap skin-adipose paddle at the mammary recipient site, where it is classically oriented transversely. 14 Because the fat-augmented skin paddle over the muscle represents the main volumetric component of the flap, the aim of this study was to compare two different insets of this paddle at the recipient breast site, the classical horizontal orientation, and an innovative vertical orientation, comparing aesthetic results and complications.…”

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confidence: 99%

The Ergonomic FALD Flap for One-stage Total Breast Reconstruction

Longo,

D’Orsi,

Giacalone

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: The fat-augmented latissimus dorsi (FALD) flap combines this pedicled flap with immediate intraoperative fat transfer. Very little is described concerning its inset at the mammary site. Our efforts have concentrated on seeking the best flap orientation and skin-adipose paddle shaping, to improve the aesthetic outcome and to obtain a complete breast reconstruction (BR) in one stage. Methods: A prospective clinical study was performed in patients who underwent BR with FALD flaps, between December 2020 and March 2022. Patients were randomly enrolled into two groups: ergonomic inset of the FALD flap with vertical orientation of the skin-adipose paddle (group A) and FALD flap with traditional horizontal paddle orientation (group B). The study’s endpoints were the evaluation of the aesthetic outcomes (from patients’ and surgeon’s perspectives) and complications. Results: Thirty-two FALD flaps (23 patients) were performed for group A, and 31 FALD flaps (25 patients) for group B. The two groups were homogeneous in terms of demographic and surgical data (P > 0.05). The overall complication rate was homogeneous among the groups, without statistically significant differences (P = 1.00). The surgeon’s assessments showed a statistically significant superior aesthetic outcome in group A regarding volume, symmetry, and shape (P < 0.05). Higher satisfaction was observed in group A patients, in terms of breast size (P < 0.00001), shape (P = 0.0049), and overall satisfaction (P = 0.00061). Conclusions: The ergonomic vertical FALD flap technique enables surgeons to perform one-stage total BR, with excellent breast projection and upper pole fullness. These refinements in flap shaping and molding reduced the need for further autologous fat transfer, obtaining a brilliant totally autologous BR without the need for microsurgical experience.

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Lower rates of lipofilling sessions in latissimus dorsi flap breast reconstruction with initial higher volume transfer by preservation of subfascial fat: A 3D camera-assisted volumetric case series

Cited by 2 publications

References 14 publications

The role of platelet rich plasma enriched fat graft for correction of deformities after conservative breast surgery

The role of platelet rich plasma enriched fat graft for correction of deformities after conservative breast surgery

The Ergonomic FALD Flap for One-stage Total Breast Reconstruction

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