Sonographic Identification of Complications of Cosmetic Augmentation With Autologous Fat Obtained by Liposuction

Wang, Hongyan; Jiang, Yuxin; Meng, Hui; Zhu, Qingli; Dai, Qing; Qi, Keming

doi:10.1097/sap.0b013e3181b14265

Cited by 27 publications

(15 citation statements)

References 20 publications

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“…The reported incidence of palpable lumps varies, but a review of 36 studies found that palpable lumps occurred in 7% of cases, 8 and a review of 18 studies reported rates of 0%–8%. 9 Wang et al 18 also found lumps in 34 out of 41 patients who underwent autologous fat grafting (cystic lesions in 61.9%, complex lesions in 16.1%, and solid lesions in 22%). In this study, the lumps were cystic in 31%, complex in 25%, solid in 19%, calcification in 23%, and unclassifiable in 2%; similar to previous studies, the cystic type was the most common (Table 1 ).…”

Section: Discussionmentioning

confidence: 94%

“…Soo et al 23 used ultrasound to evaluate fat necrosis, and reported that complex lesions transformed into solid or cystic lesions. Wang et al 18 also reported that four solid lesions and one complex lesion transformed into cystic lesions, suggesting that lumps may change in nature. In this study, the duration from first operation to lump formation in cases with complex type lumps was much shorter than in cases with other lump types, and the duration from first operation to formation of cystic and solid type lumps was similar.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound Diagnosis and Treatment of Breast Lumps after Breast Augmentation with Autologous Fat Grafting

Shida

Chiba

Ohashi

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Background:Breast augmentation with autologous fat has been performed in Japan for over 30 years. However, complications include breast lumps and oil cysts. Such breast lumps greatly reduce patient satisfaction, and are currently difficult to diagnose and treat for many cosmetic surgery clinics. This study aimed to elucidate the effectiveness of ultrasound diagnosis and treatment of patients with breast lumps after breast augmentation with autologous fat grafting.Methods:We used diagnostic and therapeutic ultrasound to examine 256 patients with breast lumps between April 2012 and April 2017. We determined the nature, size, and location of the maximal lump. Breast lumps were classified into five types: cystic, complex, solid, calcification, and unclassifiable. The method of treatment (including fine-needle aspiration, VASER liposuction, lumpectomy, and extended lumpectomy) was selected according to the lump type, and the efficacy of treatment was determined by postoperative palpation and ultrasound.Results:A total of 198 patients (198/256, 77%) requested treatment. Cystic lumps (79/256, 31%) were treated by fine-needle aspiration. VASER liposuction was used to treat complex (64/256, 25%) and solid lumps (50/256, 19%). Calcification (58/256, 23%) and unclassifiable lumps (5/256, 2%) were removed via periareolar incision. There were no serious complications. In all cases, the lumps were no longer palpable after treatment, and ultrasound showed that they had either contracted or disappeared.Conclusions:The appropriate treatment for breast lumps after breast augmentation with autologous fat grafting must be selected according to the nature of the lumps. Ultrasound is essential for diagnosing the breast lump type and determining the best treatment.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Ultrasound Diagnosis and Treatment of Breast Lumps after Breast Augmentation with Autologous Fat Grafting

Shida

Chiba

Ohashi

et al. 2017

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

“…These sonographic findings are also seen with other fluid‐filled cysts, and similar findings may be seen with hematoma or seroma. Changes in the size and sonographic appearance on follow‐up imaging are common 6 . If clinically indicated, diagnostic mammography can be used for confirmation.…”

mentioning

confidence: 99%

“…Of note, oil cysts/fat necrosis can also have a more complex cystic or solid appearance with internal echoes on sonography 6 , 7 ; in these cases, diagnostic mammography should be performed to further evaluate for the possibility of malignancy. If diagnostic mammography shows a corresponding radiolucent lesion or corresponding calcifications that are typical of fat necrosis, 1 , 2 then biopsy may be avoided.…”

mentioning

confidence: 99%