Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Aesthetic and functional sequelae can occur in up to 40% of breast conserving therapy for breast cancer, with an huge impact on the quality of life and satisfaction for this patients. We present our experience in correction of this sequelae using fat grafting, mammaplasty and pedicled / free flaps. Indications and controversies about the use of fat grafting will be also discussed during this presentation.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: 1. Describe common techniques for autologous breast reconstruction.
2. Discuss options for timing of breast reconstruction in relation to breast cancer treatment.
3. Review available techniques for revising autologous breast reconstruction.

Introduction: Post-mastectomy breast reconstruction requires restoration of the breast mound and skin envelope. Volume replacement can be performed using prosthetic devices, autologous tissue, or hybrid approaches.

Materials / method: Immediate versus delayed autologous reconstruction using lower abdominal free tissue transfer is the most common technique for breast mound creation. Staged revision is often required to achieve optimal aesthetic outcomes and breast symmetry.

Results: Various techniques for revising autologous breast reconstruction include breast mound plication, autologous fat grafting, periareolar advancement flap, mastopexy techniques, and contralateral breast symmetry procedures.

Conclusion: Surgical techniques to optimize aesthetic results following autologous reconstruction must be tailored to individual patient's anatomy, prior oncologic therapies, and patient-oriented goals.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Since Leon Perel in 1967, ( he was a very innovative french surgeon , who promoted direct labial minora grafts in order to reconstruct the little areola missing after mastectomy for surgical cancer treatment, and became subject of hard criticism from his colleagues, because he dared to reconstruct the normal anatomy after breast cancer!), many techniques have been advocated for nipple and areolar complex reconstruction;
most authors focalize on local flaps or tattoo painting;

Introduction: My personal approach has been to use the pinky paralabial minora skin as a composite total depth skin graft for areolar reconstruction, and a third of the opposite nipple for nipple repair, as a composite graft;
When the opposite nipple is too small or not present, i have used a composite graft from the ear lobula;
The precise technic will be described in details;
The advantages of this technique is a good appearance of the areolar and nipple complex, with a nice elevation, good color match, and good time persistance over 20 years;
The drawbacks are a risk of failure of the grafts if badly taken or inserted, and a slight decoloration, depending mostly of the skin type and paleness of the donor site. Secondary tattoing may then be useful, but the areolar disk still gets the surelevation present, imitating perfectly a subnormal areola;
The nipple stays stable in shape and color, in my experience.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Review the factors associated with optimizing aesthetics in the setting of breast reconstruction

Introduction: Breast reconstruction has become an aesthetic operation. The reasons for this are multifactorial but include the rise in nipple sparing mastectomy, the ability of plastic surgeons to utilize prosthetic devices and autologous tissues more effectively, and because we now practice in an era of donor site muscle preservation. These principles apply to both prosthetic and autologous reconstruction.

Materials / method: Many surgeons are now able to provide prosthetic reconstruction by placing devices in the prepectoral space rather than under the muscle. The same is true for autologous reconstruction where most surgeons will offer perforator-based flaps and spare the donor site muscle.

Results: These muscle-sparing maneuvers will improve both functional and aesthetic outcomes. Coupled with these plastic surgical benefits is that breast surgeons are more likely to perform an “optimal” mastectomy where the normal subcutaneous tissues following the mastectomy are preserved. All of these elements have enabled surgeons to recreate a breast with natural contour, desirable volume and optimal position on the chest wall.

Conclusion: This presentation will review the specific elements that have enabled breast reconstruction to become an aesthetic operation.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability