Evaluation of Clinical Outcomes and Aesthetic Results after Autologous Fat Grafting for Contour Deformities of the Reconstructed Breast

Abstract

Therapeutic, IV.

Total Breast Reconstruction Using Autologous Fat Grafting Following Nipple-Sparing Mastectomy in Irradiated and Non-irradiated Patients

“…All subscales obtained high score evaluations in both groups (p [ 0.05), whereas the skin texture subscale showed lower score evaluations in Group-B than in Group-A (p \ 0.001). All NSMs were performed through the inferolateral inframammary fold incision that, as previously described, provides ease of access for mastectomy and an aesthetically pleasing scar reducing the incidence of complications such as skin and NAC necrosis [30]. The aesthetic evaluation can be considered a subjective process and the aesthetic outcomes from fat grafting reconstruction have received little attention in the literature.…”

Brava and Autologous Fat Grafting for Breast Reconstruction after Cancer Surgery

“…Three board-certified plastic surgeons, not involved in the treatment of these cases, reviewed the photographs and scored the results on a three-point grading scale (range, 0 to 2); the average of their three scores was considered. The grading scale used was a modification of that originally described by Garbay et al 14 and modified by de Blacam et al 4 later.…”

“…Therefore, fat grafting may be useful only in irradiated cases where there is little to no skin deficiency and the deformity is mild. 4 In addition, the theoretical risk of cancer and associated cancer screening requirements are controversial, particularly in breast-conserving surgery cases, because the mammary glands remain in situ and patients are believed to be prone to cancer recurrence. [26][27][28] Therefore, in the management of irradiated breast-conserving surgery cases with severe breast deformities, we suggest carefully considering the use of not only the Brava device but also fat grafting.…”

Breast reconstruction following prophylactic or therapeutic mastectomy for breast cancer: Recommendations from an evidence-based provincial guideline

“…There are only limited data regarding the long-term oncological safety of lipofilling; however, one retrospective review did show that after a mean follow-up period of >40 months, fat grafting did not affect local tumour recurrence or survival (125). The most common complications with autologous fat grafting include fat necrosis (3.6%), oil cysts (1.8%) and infection (0.9%) (126)(127)(128). Complications appear to be higher with implant-based reconstructions compared with autologous flap reconstructions (129).…”