Comparison of skin sensitivity following breast reconstruction with three different techniques: Autologous fat grafting, DIEP flap and expander/implant1

Author(s):  
N. Heine ◽  
A. Eigenberger ◽  
V. Brebant ◽  
V. Hoesl ◽  
E. Brix ◽  
...  

BACKGROUND: Autologous fat grafting (AFG) has been established over the past two decades as an additive technique during and after breast reconstruction. Complete reconstruction of the breast mound with AFG alone represents an exceptional technique that has been published mostly in case reports or in studies with limited cases. The purpose of this study is to investigate the influence of three different techniques for breast reconstruction on the recovery of skin sensitivity at the reconstructed breast. METHODS: The study included 30 patients after mastectomy following breast cancer. Three groups were examined: A) breast reconstruction by autologous fat grafting (AFG), B) breast reconstruction by deep inferior epigastric artery perforator flap (DIEP) and C) breast reconstruction by expander/implant (TE). Biometric data were compared; sensitivity tests were performed using Semmes-Weinstein monofilaments. The non-operated, healthy contralateral breasts of the patients were used as a reference. RESULTS: While the traditional reconstruction techniques by microsurgical anastomosed perforator flap or expander/implant showed a strongly decreased or completely missing sensitivity of the skin, the tests after reconstruction by AFG represented high values of sensory recovery, which came close to the reference group of non-operated breasts. CONCLUSION: To our knowledge, this is the first study to compare skin sensitivity after AFG-based reconstruction to established techniques for breast reconstruction. We could demonstrate in a limited group of patients, that breast reconstruction by autologous fat grafting can achieve higher values of skin sensitivity compared to traditional techniques.

2021 ◽  
Vol 41 (Supplement_1) ◽  
pp. S69-S74
Author(s):  
Summer E Hanson

Abstract One of the earliest reported cases of autologous fat grafting (AFG) was by Neuber in 1893 and consisted of the transfer of small lobules of fat from the upper arm for cicatrical depression of the face. He advocated the use of smaller grafts, noting that pieces larger than the size of a bean would form cysts. In 1895, Czerny excised a lumbar lipoma and transplanted it to the chest for breast reconstruction. Since these early reports, the knowledge base around AFG has expanded exponentially, as illustrated by the other papers within this special topic. As we embark on the next phase of AFG in the clinical setting, there are several directions which are near-clinical translation. This paper discusses future directions in fat grafting that build on optimization of our current techniques as clinical indications expand, such as supplementing purified lipoaspirate and the associated regulatory burden, or deconstructing adipose tissue to selectively use adipose graft components for a variety of regenerative indications.


2013 ◽  
Vol 70 (1) ◽  
pp. 119 ◽  
Author(s):  
Fabio Caviggioli ◽  
Valeriano Vinci ◽  
Luca Maione ◽  
Andrea Lisa ◽  
Marco Klinger

2019 ◽  
Vol 7 ◽  
pp. 23-24 ◽  
Author(s):  
Mark Asher Schusterman ◽  
Robert D. Rehnke ◽  
John M. Clarke ◽  
Brent Price ◽  
Uzma Waheed ◽  
...  

2011 ◽  
Vol 66 (5) ◽  
pp. 518-522 ◽  
Author(s):  
Albert Losken ◽  
Ximena A. Pinell ◽  
Katherine Sikoro ◽  
Maksym V. Yezhelyev ◽  
Erica Anderson ◽  
...  

2014 ◽  
Vol 38 (6) ◽  
pp. 1101-1108 ◽  
Author(s):  
Benedetto Longo ◽  
Rosaria Laporta ◽  
Michail Sorotos ◽  
Marco Pagnoni ◽  
Marika Gentilucci ◽  
...  

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.


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