gms | German Medical Science

45. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 19. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC), 52. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPÄRC)

11.09. - 13.09.2014, München

Article

Send article

Large volume jet-assisted fat grafting (J-AFT) in aesthetic and reconstructive breast surgery

Meeting Abstract

Search Medline for

  • presenting/speaker Delia Letizia Hoppe - Tübingen, Deutschland
  • Klaus Ueberreiter - Park Klinik Birkenwerder , Fachklinik für Plastische und Ästhetische Chirurgie, Birkenwerder bei Berlin, Deutschland
  • Marco Stabile - Hospital Piacenza, Department of Plastic Surgery, Piacenza, Italien
  • Susanna Kauhannen - University of Helsinki, Department of Reconstructive and Plastic Surgery, Helsinki, FINLAND
  • Hans-Eberhard Schaller - Tübingen, Deutschland

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. Österreichische Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie. 45. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 19. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC), 52. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPRÄC). München, 11.-13.09.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc274

doi: 10.3205/14dgpraec182, urn:nbn:de:0183-14dgpraec1826

Published: September 3, 2014

© 2014 Hoppe et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

In the last decade fat tissue transplant has been approved as a safe and reliable method for various indications in the field of breast surgery [1]. The Berlin Autologous Lipotransfer (BEAULI) uses a water jet-assisted liposuction can be regarded as one of the youngest evolving fat grafting methods after its first report in 2010 [2]. Several specialized European centers in Germany, Finland, Italy and France started to network and established specific therapeutic protocols for either aesthetic or reconstructive patient groups [3]. Up to date over 560 patients have been successfully treated with over 1400 large volume (>200 ml) lipotransfers for congenital breast asymmetry or hypotrophy, tuberous deformities or soft tissue defects after oncologic breast surgery. Furthermore a specific protocol for patients with severe capsular fibrosis has been developed based on long-term clinical and radiological evaluations [4], [5]. The latter results emphasize, that a „de novo“ breast reconstruction after primary ablative surgery is possible within 3–5 procedures of the BEAULI™ Method [6]. These are combinable simultaneously with other oncoplastic techniques (e.g. contralateral mastoplasty, reconstruction of the NAC). This reconstructive treatment is gradually attained after 12–18 months at least. In 4 years of experience an increasing demand is actually noticed. Although further studies are certainly required to determine definitive international guidelines for lipotransfer in aesthetic and reconstructive breast surgery, it might be regarded as a complementary technique or even promising alternative to conservative methods.

Outline

References

1.
Delay E, et al. Lipomodelling: an important advance in breast surgery. Acta Chir Plast. 2013;55(2):34-43.
2.
Ueberreiter K, et al. BEAULI™ – eine neue Methode zur einfachen und zuverlässigen Fettzell-Transplantation. Handchir Mikrochir Plast Chir. 2010;42:379-85.
3.
Stabile M, Ueberreiter K, Schaller HE, Hoppe DL. Jet-assisted fat transfer to the female breast: preliminary experiences. Eur J Plast Surg. 2014 (in press). DOI: 10.1007/s0023-014-0934-8 External link
4.
Ueberreiter K, et al. Autologe Fetttransplantation als Salvage-Verfahren nach Kapselkontraktur von Brustimplantaten. Ästh Chirurgie. 2011;26:1-8.
5.
Herold C, Ueberreiter K, et al. Is There a Need for Intrapectoral Injection in Autologous Fat Transplantation to the Breast? – An MRI Volumetric Study. Handchir Mikrochir Plast Chir. 2010;42:129-34.
6.
Hoppe DL, et al. Breast reconstruction de novo by water-jet assisted autologous fat grafting – a retrospective study. Ger Med Sci. 2013;11:Doc17. DOI: 10.3205/000185 External link