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[Lipomodeling in breast reconstruction].

E Delay1, T Savu2, M Atanasiu2

  • 1Département de chirurgie plastique et reconstructrice, centre Léon-Bérard, 28, rue Laennec, 69008 Lyon, France; Cabinet, 50, rue de la République, 69002 Lyon, France.

Annales De Chirurgie Plastique Et Esthetique
|August 29, 2018
PubMed
Summary

Breast lipomodeling, also known as breast lipofilling, is a valuable technique for breast reconstruction. This fat grafting method has significantly improved outcomes for patients, especially after cancer treatment.

Keywords:
Breast cancerBreast reconstructionCancer du seinFat graftFat graftingGreffe de tissu graisseuxLipofillingLipomodelingReconstruction mammaireSequelae of breast conservative treatmentSéquelles de traitement conservateurTransfert graisseuxlipomodelage

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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.