Document Detail


Autologous fat grafting to the breast for cosmetic enhancement: experience in 66 patients with long-term follow up.
MedLine Citation:
PMID:  18321802     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Autologous fat grafting to the breast for cosmetic enhancement remains controversial because the efficacy and fate of fat grafting to the breast are primarily unknown. In this report, we present our retrospective study in 66 patients who underwent autologous fat grafting to the breast for various cosmetic reasons and who were followed with sonography, mammography, or magnetic resonance imaging (MRI). METHODS: Sixty-six patients who desired cosmetic enhancement of the breast for various reasons underwent autologous fat transplantation between August 2000 and March 2005 in our institution. The cosmetic outcome was assessed by the plastic surgeons as well as the patients. The imaging features of fat necrosis, cyst formation, and calcification in these patients were carefully studied and biopsies of palpable lumps were evaluated histologically. RESULTS: All patients were followed from 13 to 61 months with an average of 37 months. Breast cosmetic contour was significantly improved in 28 patients (42.4%), improved in 24 patients (36.4%), and not improved in 14 patients (21.2%) as judged by the plastic surgeons. Twenty-seven patients (40.9%) were very satisfied, 26 patients (39.4%) were satisfied, and 13 patients (19.7%) were unsatisfied. Eleven patients (16.7%) developed liponecrotic cysts but only two patients elected to have the breast lump surgically removed. CONCLUSION: Autologous fat grafting to the breast can be a useful procedure for cosmetic enhancement in many patients who desire such a procedure. Patients with breast contour deformities after removal of silicon implants were found to be the best candidates for fat grafting. The primary long-term complication is the formation of liponecrotic cysts which have characteristically benign appearances in sonography, mammography or MRI.
Authors:
Dan-Ning Zheng; Qing-Feng Li; Hua Lei; Sheng-Wu Zheng; Yu-Zhi Xie; Qiu-Hua Xu; Xie Yun; Lee L Q Pu
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2008-03-05
Journal Detail:
Title:  Journal of plastic, reconstructive & aesthetic surgery : JPRAS     Volume:  61     ISSN:  1878-0539     ISO Abbreviation:  -     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-07-21     Revised Date:  2009-05-21    
Medline Journal Info:
Nlm Unique ID:  101264239     Medline TA:  J Plast Reconstr Aesthet Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  792-8     Citation Subset:  IM    
Affiliation:
Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Medical College of Jiao Tong University, Shanghai, P.R. China.
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MeSH Terms
Descriptor/Qualifier:
Adipose Tissue / transplantation*
Adult
Breast Cyst / diagnosis,  etiology
Esthetics
Fat Necrosis / diagnosis,  etiology,  pathology
Female
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Mammaplasty / adverse effects,  methods*
Mammography
Patient Satisfaction
Postoperative Complications / diagnosis
Retrospective Studies
Treatment Outcome
Ultrasonography, Mammary

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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