[Lipomodeling in breast reconstruction]

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Aesthetic Surgery

Background:

• Breast lipomodeling (lipofilling) involves grafting autologous fat to the breast.
• Initially controversial, it is now a key technique in breast reconstruction.
• Preoperative patient information is crucial, utilizing forms from the French Society of Plastic, Reconstructive and Aesthetic Surgery (SOFCPRE).

Purpose of the Study:

• To detail the methodology and indications of breast lipomodeling.
• To highlight its role in improving breast reconstruction quality.
• To emphasize its effectiveness in managing sequelae of breast cancer treatment.

Main Methods:

• Fat is harvested using a fine cannula with gentle suction after infiltration of an adrenalized solution.
• Collected fat is prepared via brief centrifugation.
• The fat is meticulously transferred in a 3D network, followed by fasciotomies and additional tissue grafting.

Main Results:

• Breast lipomodeling is indicated for various reconstruction scenarios, often complementing other techniques.
• Exclusive lipomodeling is suitable for specific cases, such as patients with very small breasts and significant steatopygia.
• The technique has become a primary solution for post-conservative breast cancer treatment sequelae.

Conclusions:

• Breast lipomodeling represents a significant advancement in breast reconstruction.
• It enhances the quality of both autologous reconstructions and those combined with prostheses.
• This fat grafting procedure offers a remarkable solution for improving aesthetic and functional outcomes.