Correction of tuberous breast deformity: A retrospective study comparing lipofilling versus breast implant augmentation

Brault, N.; Stivala, Alessio; Garcı́a-Dorado, David; Moris, Vivien; Revol, M.; François, C.; Cristofari, S.

doi:10.1016/j.bjps.2017.02.011

Cited by 38 publications

(21 citation statements)

References 14 publications

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“…When the satisfaction grade was evaluated through a VAS, members of the DI and AFG groups were similarly satisfied ( p = 0.23). The outcomes appeared to be similar and in line with those shown by Brault et al [ 19 ], in the only article published previously (2017) on the comparison of DI vs. AFG in breast augmentation. In detail, they stated “ Surprisingly, there was no significant difference between the implant group and the lipofilling group concerning the ‘feel of the breast .’ In both groups, the highest scores were for physical wellbeing .”…”

Section: Discussionsupporting

confidence: 88%

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Breast Silicone Gel Implants versus Autologous Fat Grafting: Biomaterials and Bioactive Materials in Comparison

Gentile

2021

JCM

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In the last 20 years, surgical procedures in breast remodeling during mammoplasty have been deeply modified with a gradual shifting from an invasive intervention using definitive implants (DIs) to a more conservative autologous fat grafting (AFG). AFG has been used for many years as bioactive material through the Lipofilling technique and as a bioactive scaffold when it was enriched with adipose-derived stem cells (ASCs), while DIs have been considered physiologically inert biomaterials with low toxicity. The paper aimed to compare the breast remodeling results obtained in the DI group (55 patients) for hypoplasia correction with those of the ASC-enhanced AFG group (50 patients), also analyzing the influence of breast and chest deformities (tuberous breast, volume, and nipple–areola complex asymmetry, pectus excavatum and carinatum) in the cosmetic outcome. A retrospective, case-control study was conducted. The pre-operative analysis was performed with an accurate clinical evaluation, a photographic assessment, and an instrumental evaluation based on magnetic resonance imaging, mammography, and ultrasound. Of patients treated with DIs 89% (n = 49) showed excellent cosmetic results after 1 year compared with the patients treated with AFG, who showed the same results in 64% (n = 32) of cases. The naturalness of the results in the AFG group was higher than that in the DI group (p < 0.0001 vs. DI group). DIs and AFG were safe and effective in this case series treated. The AFG group showed more natural results, allowing the treatment of patients with pectus excavatum, while DIs showed the more evident and lasting result.

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Section: Discussionsupporting

confidence: 88%

“…Currently, only one study on the tuberous breast (and not in breast hypoplasia), published by Brault et al [ 19 ], compared the results obtained by DIs with AFG in breast treatment.…”

Section: Discussionmentioning

confidence: 99%

Breast Silicone Gel Implants versus Autologous Fat Grafting: Biomaterials and Bioactive Materials in Comparison

Gentile

2021

JCM

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“…Moreover, patient satisfaction is being described occasionally, and only recently with the use of validated questionnaires like the Breast-Q. 13-16 Also, the satisfaction of patients and surgeons is generally reported in rates, and comparisons in the cosmetic appreciation of the procedure between groups of surgeons and patients based on background and experience has not been thoroughly studied. Finally, in a recently conducted European survey study, performed by the same authors, the surgeon satisfaction in general (based on their own experience with AFT) did not differ between countries; however, it is interesting to see if the same holds true in the cosmetic evaluation of AFT on a preoperative/postoperative photographical basis for different breast surgery indications.…”

Section: Introductionmentioning

confidence: 99%

Autologous Fat Transfer After Augmentation and Reconstruction of the Female Breast: An International, Cross-Sectional Photo-Comparison Study Among Different Physician and Laymen Study Groups

et al. 2018

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In our study, former augmentation patients showed the lowest agreement with surgeons, in the cosmetic appreciation of EVE + AFT and this group might benefit from a more thorough preoperative consultation regarding expectations when choosing AFT. However, overall laymen tend to be more optimistic about postoperative results and surgeon education in general does not seem influenced by surgeon nationality. The significant differences between surgeons and laymen in the cosmetic evaluation of EVE + AFT justifies further studies that focus on the qualitative aspects of these differences to further balance patients' and surgeons' expectations.

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“…There is a wealth of evidence in the literature discussing the use of prosthetic and autologous treatments for breast asymmetry (17). Some studies favour implants over fat grafting, while others underline advantages of fat grafting in terms of aesthetic result, natural appearance, and stability of result over time.…”

Section: Discussionmentioning

confidence: 99%

“…Brault et al compared complications and satisfaction in 37 patients suffering from TBD and treated either with lipofilling (27 breasts) or implants (36 breasts). According to their results, patient's satisfaction was higher in the implant group, with no differences in terms of complications and number of interventions (17). However, various published study agree that fat grafting is becoming the routine treatment for this kind of deformity as it avoids the complications related with the implants placement and responds physiologically to the breast changes over time (6,18).…”

Section: Discussionmentioning

confidence: 99%

Fat grafting versus implant-based treatment of breast asymmetry, a single surgeon experience over 13 years: a paradigm shift?

Summa¹,

Osinga²,

Sapino

et al. 2021

Gland Surg

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Background: Breast asymmetry can result from congenital or traumatic aetiologies. Breast implants, autologous fat grafting, or a combination of both of these techniques are commonly used to achieve symmetry. This study adds critical evaluation of long-term patient outcomes in a large study group, to evaluate pearls and pitfalls of these treatment modalities.Methods: A prospectively maintained database of a single surgeon experience in breast asymmetry treatment over a 13-year period (2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018) was retrospectively analysed. Breast implant surgery and fat grafting to treat asymmetry were compared in terms of number of operations to achieve symmetry, complications, and overall patient satisfaction.Results: Thirty-five patients underwent breast implant surgery, requiring an average 2.1±1.6 operations to achieve symmetry, with a major complication rate (requiring secondary procedures) of 26% (n=9). Again, 26% (n=9) were converted to lipofilling due to either implant removal or unsatisfactory results. Thirty (86%) patients underwent fat transfer monotherapy to achieve symmetry and no major complications were recorded. Nine percent (n=3) of these patients preceded to have additional implant surgery.Conclusions: Although implant-based reconstruction seemingly offers a quick single stage procedure, it is associated with significantly more revision procedures as a result of complications including capsular contracture, implant rupture and breast distortion. Fat grafting, despite requiring sequential operations to achieve initial symmetry, ultimately offers a more durable result and is associated with significantly fewer and more minor complications, while not increasing the total number of procedures required to achieve symmetry in the long term.

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Correction of tuberous breast deformity: A retrospective study comparing lipofilling versus breast implant augmentation

Cited by 38 publications

References 14 publications

Breast Silicone Gel Implants versus Autologous Fat Grafting: Biomaterials and Bioactive Materials in Comparison

Breast Silicone Gel Implants versus Autologous Fat Grafting: Biomaterials and Bioactive Materials in Comparison

Autologous Fat Transfer After Augmentation and Reconstruction of the Female Breast: An International, Cross-Sectional Photo-Comparison Study Among Different Physician and Laymen Study Groups

Fat grafting versus implant-based treatment of breast asymmetry, a single surgeon experience over 13 years: a paradigm shift?

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