scholarly journals Autologous fat grafting for breast reconstruction after breast cancer: a 12-year experience

Author(s):  
Sally Kempa ◽  
Eva Brix ◽  
Norbert Heine ◽  
Vanessa Hösl ◽  
Catharina Strauss ◽  
...  

Abstract Purpose The aim of our study was to examine the surgical outcome and complications (efficiency) as well as the incidence of locoregional recurrence and distant metastases (oncological safety) in patients who underwent autologous fat grafting (AFG) of the breast following breast cancer surgery. Methods In our monocentric cohort study, retrospective and prospective data were collected from all consecutive patients who underwent AFG after breast cancer between 2008 and 2020; a total of 93 patients met the inclusion criteria. Results Our long-term results showed no increase in tumor recurrence and distant metastases in the studied collective when compared to the available literature. We observed 1 local recurrence (1.1%), 2 distant metastases (2.2%), and 1 tumor-related death (1.1%). There was a high degree of patient satisfaction; 67.12% of patients reported adequate satisfaction with autologous fat grafting. Conclusion Currently, to our knowledge, this is the study with the longest follow-up time (mean 6.7 years after AFG and 11.5 years after tumor resection). The results of our clinical study will contribute to improve evidence in the broad field of AFG, adipose stem cell and tumor research. Consistent with our study, the literature review shows a clear tendency of clinical trial results with a low incidence rate of tumor recurrence and metastasis following the use of AFG. AFG seems to be a safe procedure also after breast cancer treatment.

2017 ◽  
Vol 44 (2) ◽  
pp. 179-186 ◽  
Author(s):  
CAMILE CESA STUMPF ◽  
JORGE VILLANOVA BIAZUS ◽  
FERNANDO SCHUH ÂNGELA ERGUY ZUCATTO ◽  
RODRIGO CERICATTO ◽  
JOSÉ ANTÔNIO CRESPO CAVALHEIRO ◽  
...  

ABSTRACT Objective: to evaluate local and systemic recurrence of breast cancer in patients submitted to autologous fat grafting in the immediate reconstruction after conservative surgery for breast cancer. Methods: this is a historical cohort study comparing 167 patients submitted to conservative surgery without reconstruction (conservative surgery group) with 27 patients submitted to conservative treatment with immediate graft reconstruction, following the Coleman's technique (lipofilling group). All patients had invasive carcinoma and were operated by a single surgeon from 2004 to 2011. The postoperative follow-up time was 36 months. Results: the overall incidence of local recurrence was 2.4%. No patient in the lipofilling group had local recurrence during the study period. For systemic recurrence, the rates obtained were 3.7% (one patient) for the fat grafting group and 1.8% (three patients) for the conservative surgery group without reconstruction. Conclusion: there was no significant difference for local or systemic recurrence in the groups studied. Immediate autologous fat grafting appears to be a safe procedure.


The Breast ◽  
2017 ◽  
Vol 35 ◽  
pp. 14-20 ◽  
Author(s):  
A.W.W. Brown ◽  
M. Kabir ◽  
K.A. Sherman ◽  
F. Meybodi ◽  
J.R. French ◽  
...  

Author(s):  
Nicole S Winkler ◽  
Alexander Tran ◽  
Alvin C Kwok ◽  
Phoebe E Freer ◽  
Laurie L Fajardo

Abstract Autologous fat grafting (AFG) is a technique that is increasingly utilized in breast cosmetic and reconstructive surgery. In this procedure, fat is aspirated by liposuction from one area of the body and injected into the breast. The procedure and process of AFG has evolved over the last few decades, leading to more widespread use, though there is no standard method. Autologous fat grafting is generally considered a safe procedure but may result in higher utilization of diagnostic imaging due to development of palpable lumps related to fat necrosis. Imaging findings depend on surgical technique but typically include bilateral, symmetric, retromammary oil cysts and scattered dystrophic and/or coarse calcifications when AFG is used for primary breast augmentation. More focal findings occur when AFG is used to improve specific areas of cosmetic deformity, scarring, or pain following breast cancer surgery. As with any cause of fat necrosis, imaging features tend to appear more benign over time, with development of rim calcifications associated with oil cysts and a shift in echogenicity of oil cyst contents on ultrasound towards anechoic in some cases. This article reviews the AFG procedure, uses, complications, and imaging findings.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ricardo Tukiama ◽  
René A. C. Vieira ◽  
Gil Facina ◽  
Plínio da Cunha Leal ◽  
Gustavo Zucca-Matthes

2018 ◽  
Vol 141 (6) ◽  
pp. 965e-966e
Author(s):  
Francesco Segreto ◽  
Giovanni Francesco Marangi ◽  
Paolo Persichetti

2020 ◽  
Vol 34 (01) ◽  
pp. 017-023 ◽  
Author(s):  
Acara Turner ◽  
Amjed Abu-Ghname ◽  
Matthew J. Davis ◽  
Sebastian J. Winocour ◽  
Summer E. Hanson ◽  
...  

AbstractThe past two decades have witnessed a growing application of autologous fat grafting in the setting of breast reconstruction after surgical treatment of breast cancer. While traditionally used to correct contour deformities during secondary revisions, fat grafting has since evolved to achieve desired breast shape and size both as a complementary adjunct to established reconstructive techniques as well as a standalone technique for whole breast reconstruction. In this article, we will review fat grafting as an adjunct to autologous and implant-breast based reconstruction, an option for primary breast reconstruction, and a treatment of postmastectomy pain.


2020 ◽  
Vol 31 ◽  
pp. S325
Author(s):  
A. Losurdo ◽  
M. Klinger ◽  
A.V.E. Lisa ◽  
E. Morenghi ◽  
F. Corsi ◽  
...  

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