Abstract
The authors describe their technique for post-mastectomy breast reconstruction using fat grafting alone in patients with flaccid, loose skin, via multiple injections of fat tissue. The technique comprises three stages: puckering stitches to remodel the breast after each fat graft; mastopexy and cone formation, creating and lifting a cone using the tissue from the area; neoformation of the inframammary fold, attaching the cone to the pectoralis major and the fold at the height of the sixth rib and performing a mini-lifting of the abdominal tissue to close the wound without causing tension. Using fat grafting and these three maneuvers, a satisfactory breast reconstruction can be obtained using only fat from the patient herself.
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References
Rigotti G, Marchi A, Galie M, Baroni G, Benati D, Krampera M, Pasini A, Sbarbati A (2007) Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg 119(5):1409–1422
Serra-Renom JM, Muñoz-Olmo JL, Serra-Mestre JM (2010) Fat grafting in postmastectomy breast reconstruction with expanders and prostheses in patients who have received radiotherapy: formation of new subcutaneous tissue. Plast Reconstr Surg 125(1):12–18
Ribuffo D, Atzeni M, Serratore F, Guerra M, Bucher S (2011) Cagliari University Hospital (CUH) protocol for immediate alloplastic breast reconstruction and unplanned radiotherapy. A preliminary report. Eur Rev Med Pharmacol Sci 15(7):840–844
Petit JY, Lohsiriwat V, Clough KB, Sarfati I, Ihrai T, Rietjens M, Veronesi P, Rossetto F, Scevola A, Delay E (2011) The oncologic outcome and immediate surgical complications of lipofilling in breast cancer patients: a multicenter study–Milan-Paris-Lyon experience of 646 lipofilling procedures. Plast Reconstr Surg 128(2):341–346
Sarfati I, Ihrai T, Kaufman G, Nos C, Clough KB (2011) Adipose-tissue grafting to the post-mastectomy irradiated chest wall: preparing the ground for implant reconstruction. J Plast Reconstr Aesthet Surg 64(9):1161–1166
Salgarello M, Visconti G, Barone-Adesi L (2012) Fat grafting and breast reconstruction with implant: another option for irradiated breast cancer patients. Plast Reconstr Surg 129(2):317–329
Spear SL, Wilson HN, Lockwood MD (2005) Fat injection to correct contour deformities in the reconstructed breast. Plast Reconstr Surg 116(5):1300–1305
Serra-Renom JM, Muñoz-Olmo JL, Serra-Mestre JM (2011) Treatment of tuberous breasts grade III with puckett’s technique (modified) and fat grafting to correct the constricting ring. Aesthetic Plast Surg 35(5):773–781
Del Vecchio D (2009) Breast reconstruction for breast asymmetry using recipient site pre-expansion and autologous fat grafting: a case report. Ann Plast Surg 62(5):523–527
Serra-Renom JM, Muñoz-Olmo JL, Serra-Mestre JM (2011) Breast reconstruction with fat grafting alone. Ann Plast Surg 66(6):598–601
Coleman SR (1998) Structural fat grafting. Aesthet Surg J 18(5):386–388
Gir P, Brown SA, Oni G, Kashefi N, Mojallal A, Rohrich RJ (2012) Fat grafting: evidence-based review on autologous fat harvesting, processing, reinjection, and storage. Plast Reconstr Surg 130(1):249–258
Gutowski KA, ASPS Fat Graft Task Force (2009) Current applications and safety of autologous fat grafts: a report of the ASPS fat graft task force. Plast Reconstr Surg 124(1):272–280
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Serra-Renom, J.M., Serra-Mestre, J.M., D’Andrea, F. (2016). Post-mastectomy Breast Reconstruction with Fat Grafting Alone. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_21
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DOI: https://doi.org/10.1007/978-3-319-18726-6_21
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18725-9
Online ISBN: 978-3-319-18726-6
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