Magnetic Resonance Imaging and Ultrasound Evaluation after Breast Autologous Fat Grafting Combined with Platelet-Rich Plasma

Fiaschetti, Valeria; Pistolese, Chiara Adriana; Fornari, M.; Liberto, Valeria; Cama, Valentina; Gentile, Pietro; Floris, Micol; Floris, Roberto; Cervelli, Valerio; Simonetti, Giovanni

doi:10.1097/prs.0b013e3182a00e57

Cited by 58 publications

(59 citation statements)

References 62 publications

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“…After screening (Figure 1), a total of 23 articles was included. [4][5][6][10][11][12]21,[24][25][26][29][30][31][32][33][34][35][36][37][38][39][40][41] All of the articles were English-written articles. The risk of bias across the studies (Table 1) was measured using ACROBAT-NRSI 42 and was considered moderate in the preintervention (68.2% of studies), postintervention (72.7% of studies), and overall (72.7% of studies) ratings.…”

Section: Resultsmentioning

confidence: 99%

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Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

et al. 2016

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Section: Resultsmentioning

confidence: 99%

“…Seven studies reported on a total cohort of patients receiving AFG for cosmetic, as well as reconstructive, purposes. 6,21,33,37,[39][40][41] The mean follow-up period was 28.8 months (range, 12-136 months) ( Table 2).…”

Section: Resultsmentioning

confidence: 99%

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

et al. 2016

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“…38 Fiaschetti et al combined the fat transfer with platelet-rich plasma in 15 patients; the average uptake was 84%. 39 Largo et al determined the breast volumes with a three-dimensional laser scanner, 14 with fat survival rates varying between 25 and 90% even with the same surgeon and identical surgical techniques. Choi et al analyzed the grow-in rate after 140 days depending on the infiltrated volume.…”

Section: Resultsmentioning

confidence: 99%

Breast Augmentation by Water-Jet Assisted Autologous Fat Grafting: A Report of 300 Operations

Muench¹

2016

Surg J

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Autologous fat transfer for breast augmentation is gaining more acceptance as an alternative to implants because only autologous filling materials are used and because undesirable fat can be removed from other regions as an additional benefit. The advantages of breast augmentation with autologous fat include the lack of reactive inflammation, foreign body reaction, and scars as well as the natural-appearing result with more volume, an improved contour, a fuller cleavage, and natural consistency.The competence and the experience of the surgeon, the technique of the extraction and processing of the fat, as well as the fat cell injection method are critical points regarding patient safety and result. Other factors are patient selection, the efficiency of the liposuction, the tumescent anesthesia, the instruments, a minimal blood loss, a high rate of survival of the transferred fat cells, and a minimal complication rate. 1 The literature varies regarding stem cell enrichment, grow-in rate, durability of the result, complications, limitations of future preventive breast exams, and possible tumor induction. Ross et al concluded in their research of 103 publications that there is no consensus regarding the optimum technique. 2 Keywords ► breast augmentation ► fat transplantation ► autologous fat graft ► liposuction ► WAL ► lipofilling AbstractBackground The BEAULI -method (Breast Augmentation by Lipotransfer) is available for extraction and processing of large transplantable fat quantities. The aim of this work is to describe the surgical technique precisely and reproducibly and to provide an overview of the autologous fat transfer based on surgical experience. Method The author performed 300 autologous fat transplantations on 254 women between September 3, 2010, and May 13, 2015. Patients desiring moderate volume increase, fuller and firmer breasts, as well as an optimization of the silhouette, ideally with the concurrent desire of the correction of unwanted fat deposits, were selected. The fat was extracted via water-jet assisted liposuction (Body-jet, Human Med AG, Schwerin, Germany), and the fat cells were subsequently separated with the Lipocollector ® (Human Med AG, Schwerin, Germany).Results The results were assessed with a control exam and photo comparison and were based on the responses on a questionnaire. Overall, 35.9% of the patients defined the result as very good, 38.6% as good, 22.4% as satisfactory, and 3.1% as poor. Conclusion This study shows that the autologous fat cell transplantation into the female breast via water-jet assisted liposuction achieves a moderate and harmoniously appearing breast volume enlargement as well as contour improvement. Further studies with more cases and longer observation periods over several years could contribute to improving the method of the autologous fat transfer regarding the grow-in rate, efficiency, and safety.

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“…Des études ont évalué le taux radiologique de cytostéa-tonécrose, Fiaschetti et al [6] ont réalisé une étude d'imagerie mammaire à un an post-lipofilling enrichi de plasma riche en plaquettes. Ils ont retrouvé un taux de 12,5 % de cytostéatonécrose à l'échographie de contrôle, et 16,67 % de cytostéatonécrose à l'IRM.…”

Section: Discussionunclassified

Comment gérer les lésions de cytostéatonécrose mammaire après transfert graisseux ?

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2015

Annales de Chirurgie Plastique Esthétique

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Magnetic Resonance Imaging and Ultrasound Evaluation after Breast Autologous Fat Grafting Combined with Platelet-Rich Plasma

Abstract: Therapeutic, IV.

Cited by 58 publications

References 62 publications

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

Breast Augmentation by Water-Jet Assisted Autologous Fat Grafting: A Report of 300 Operations

Comment gérer les lésions de cytostéatonécrose mammaire après transfert graisseux ?

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