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Lipofilling, an efficient solution for breast sequelae after cardiothoracic surgery.

C Ho Quoc1, J-L Foyatier2, A Meruta3

  • 1Clinique du Val-d'Ouest, 39, chemin de la Vernique, 69130 Ecully, France; International Breast Institute, 11, rue Silbermann, 67000 Strasbourg, France.

Annales De Chirurgie Plastique Et Esthetique
|September 14, 2015
PubMed
Summary

Fat grafting offers a natural and lasting solution for breast asymmetry caused by pediatric cardiovascular surgery. This technique improves iatrogenic deformities, providing a simple, effective option for patients.

Keywords:
Asymétrie mammaireBreast asymmetryBreast deformityDéformation du seinDéformation iatrogéniqueFasciotomiesFat graftingIatrogenic deformityLipofillingTransfert graisseux

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Area of Science:

  • Plastic Surgery
  • Pediatric Cardiovascular Surgery
  • Regenerative Medicine

Background:

  • Pediatric cardiovascular surgery can result in thoracomammary deformities, often appearing as breast asymmetry during puberty.
  • These deformities are frequently caused by injury to the breast bud during thoracotomy.
  • Current breast reconstruction techniques for these deformities yield unsatisfactory outcomes.

Observation:

  • Lipofilling (fat grafting) has been utilized for breast reconstruction since 1998 and applied to deformities since 2001.
  • The study describes an original fat grafting technique for correcting thoracomammary deformities.
  • Two clinical cases illustrate the application and efficacy of the fat grafting technique.

Findings:

  • Fat grafting provides consistent, natural-looking results with a significant volume-filling effect.
  • The technique has demonstrated effectiveness in improving breast asymmetry resulting from iatrogenic causes.
  • Results are stable over time, offering long-standing aesthetic improvement.

Implications:

  • Fat grafting presents a simple and efficient solution for iatrogenic breast deformities in patients with a history of pediatric cardiovascular surgery.
  • This technique offers a valuable alternative for achieving natural and durable results in cases of post-thoracotomy breast asymmetry.
  • Increased awareness of fat grafting among surgeons is crucial for managing these rare but impactful deformities.