gms | German Medical Science

43. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen e. V. (DGPRÄC), 17. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen e. V. (VDÄPC)

13.09. - 15.09.2012, Bremen

Autologous fat grafting with the BEAULITM Method in oncologic patients

Meeting Abstract

Suche in Medline nach

  • presenting/speaker D.H. Hoppe - Park Klinik Birkenwerder, Birkenwerder, Germany

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 43. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 17. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Bremen, 13.-15.09.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocV10

DOI: 10.3205/12dgpraec010, URN: urn:nbn:de:0183-12dgpraec0109

Veröffentlicht: 10. September 2012

© 2012 Hoppe.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Autologous fat grafting has become a frequent technique in breast cancer surgery for revisional or partial reconstruction [1], [2]. To date, a limited number of case series showed complete breast reconstruction through fat transfer [3], [4].

Therefore a retrospective review was performed on 38 patients (45 breasts) with history of uni- or bilateral breast cancer and post-mastectomy therapy between 1995 and 2007. Autologous fat grafting was performed by senior surgeons according to the standardised protocol of the BEAULITM Method [5]. Aesthetic results, radiologic examination (mammography, sonography) and patient satisfaction were determined after a 6 months follow-up period.

Over 140 procedures were done between 2008 and 2012. On average 3,8 procedures with a single median volume of 150 ml (±57,4 ml) were performed after total mastectomy. A lipotransfer of 600 ml (±177 ml) was required for complete breast reconstruction.Partial defects after flap- or prothesis based reconstruction were successfully treated with a median of 2,1 procedures and a 50–80 ml single volume. The median operation time was 40 min, but ranged to 60 min (±29 min) when additional operative steps (NAC reconstruction, abdominal advancement, contralateral mammaplasty) were carried out. As a postoperative complication small singular oilcysts were estimate in 6 (3,4%) cases, but showed spontaneously resolution. Once granuloma was detached, but no infections. The majority of patients was very satisfied with the final result.

Our approach emphazises, that a safe partial or „de novo“ breast reconstruction is possible within 3–5 procedures with the BEAULITM Method. These are combinable simultaneously with other oncoplasty techniques. Our treatment is gradually attained after 12–18 months at least, so that patients retain a stepwise controlled breast reconstruction.


References

1.
Coleman SR, Saboeiro AP. Fat grafting to the breast revisited: safety and efficacy. Plast Reconstr Surg. 2007;119(775):786-7 (discussion).
2.
Rigotti G, et al. Determining the Oncological Risk of Autologous Lipoaspirate Grafting for Post-Mastectomy Breast Reconstruction. Aesthetic Plast Surg. 2010;34:475-80.
3.
Babovic S. Complete breast reconstruction with autologous fat graft – a case report. J Plast Reconstr Aesthet Surg. 2010;63(7):e561-3.
4.
Illouz YG, Sterodimas A. Autologous Fat Transplantation to the Breast: A Personal Technique with 25 Years of Experience. Aesth Plast Surg. 2009;33:706-15.
5.
Ueberreiter K, von Finckenstein J, Cromme F, et al. BEAULI™ – eine neue Methode zur einfachen und zuverlässigen Fettzell-Transplantation. Handchir Mikrochir Plast Chir. 2010;42:379-85.