Shaping of the Unaffected Breast with Brava-Assisted Autologous Fat Grafting to Obtain Symmetry after Breast Reconstruction

Abstract

4 Therapeutic.

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

“…After screening (Figure 1), a total of 23 articles was included. [4][5][6][10][11][12]21,[24][25][26][29][30][31][32][33][34][35][36][37][38][39][40][41] All of the articles were English-written articles. The risk of bias across the studies (Table 1) was measured using ACROBAT-NRSI 42 and was considered moderate in the preintervention (68.2% of studies), postintervention (72.7% of studies), and overall (72.7% of studies) ratings.…”

“…A Cochrane Risk of Bias Assessment Tool: for Non-Randomized Studies of Interventions (ACROBAT-NRSI) was used for quantifying the risk of bias across the studies. A sensitivity analysis was not performed because the two studies that were considered to have a serious risk of bias 26,29 consisted of a total cohort of 24 patients.…”

“…Our minimal sample size was 10 patients, and the mean follow-up period was at least 1 year after the last fat grafting session. By including studies up to February 20 2016, we included three new articles, [24][25][26] one of which practiced high-volume grafting (range, 300-600 cc) and one of which added to the number of BRAVA-prepared patients. The authors believe this can add value to this paper in comparison to previous reviews.…”

Application of Fat Grafting in Cosmetic Breast Surgery

“…The most common adverse events observed are the development of minor contour irregularities and palpable areas of induration. 52,53 Other reported complications include persistent pain at the site of injection, hematoma formation, fat necrosis, oil cyst formation and calcification, infection, and development of breast striae. [54][55][56][57] At the donor site, regional deformation has also been reported to occur.…”

Skin trophicity improvement by mechanotherapy for lipofilling‐based breast reconstruction postradiation therapy

“…Prosthetic outcome in patients with mastectomy and radiation therapy is quite poor and associated with high morbidity rate. Indeed radiation therapy decreases epithelial tissue thickness, worsens blood circulation in dermal tissue, and inhibits regenerative ability of the skin . Autologous fat grafting (AFG) or lipofilling has been used for aesthetic and reconstructive indications .…”