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Lipofilling for breasts: 2021 state of the art (access restricted to plastic surgeons)

Partner of the session

EASAPS

European Association of Societies of Aesthetic Plastic Surgery

International

Focus program

Room: Webinar
Date: Wednesday 21 July 2021 at 11:00 to 12:30
Format: FOCUS SESSION > lectures covering a major topic of the congress

Chair

Dr Sebastien GARSON

Plastic Surgeon

France

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
11:00	Flor CAMPITELLI	Presenter		112215
11:00		Introduction		112217
11:05	Dr Amin KALAAJI	New trends in breast augmentation: hybrid (composite) breast augmentation and breast implant conversion with fat grafting	View	112218
11:20	Dr Beatriz BERENGUER	Current state of fat grafting the breast: practice and evidence	View	112219
11:35	Prof Katarina A ANDJELKOV	Our experience in using fat to improve results and solve complication in breast surgery		112220
11:50		Discussion and Q&A with the audience		112221

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Flor CAMPITELLI

IMCAS staff

France

Other author(s) :

Presenter

Introduction

Dr Amin KALAAJI

Plastic Surgeon

Norway

Other author(s) :

New trends in breast augmentation: hybrid (composite) breast augmentation and breast implant conversion with fat grafting

Objectives: We will describe the new indications, types, and timing of augmentation together with the recommended technique in these different indications, specifically fat processing via the vibration technique using PAL (MicroAire) technology and decanting.

Introduction: The use of fat grafting in breast surgery has become a well-established method with several indications. Although the roots of autologous fat grafting have hypoplasia indications, there are new, aesthetic, and revisional indications emerging that include conversions (e.g., breast implant replacement with fat) and hybrid/composite augmentation (e.g., implant enhancement to modify volume and/or shape). These options have indications for both simultaneous and delayed approaches.

Conclusion: This evolution in indications is particularly important given the advent of troubling conditions such as breast implant-associated anaplastic large cell lymphoma, breast implant illness, and capsular contracture. But changing times and tastes, including patient’s desires to remove implants altogether, call for surgeons to also include these procedures as part of their armamentarium.

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

Dr Beatriz BERENGUER

Plastic Surgeon

Spain

Other author(s) :

Current state of fat grafting the breast: practice and evidence

Objectives: In this webinar we will review the current common practice of fat grafting the breast with an informal survey including 5 surgeons, describing some practical cases, and we will summarize the existing evidence regarding procedural variations, and safety.

Introduction: The role of fat grafting the breast has evolved in the recent past gaining many nwe applications within both, reconstructive and aesthetic surgery. Inictially mainly used as and adjunct, it has grown to encompass a variety of primary indications including complete reconstructions and augmentations.

Results: The most common indication was correction of tuberous breasts. Harvesting was mainly performed with hand hel siringe with 3mm cannula, followed by centrifugation with Coleman’s procotol and reinjection with 1.2-2mm cannulas.
However, there is yet no high level evidence to support a universal protocol of fat grafting the breast.
Complication rate is low and although there is still some contradictory information regarding its oncological safety, most authors consider it a safe practice with no interference in recurrence nor indication of biopsies.

Conclusion: Autologous fat transfer is an accepte procedure yielding good outcome in a variety of reconstructive and aesthetic indications. No level I or II data exist to support a consensus recommentadion for clinical practice. Overall it has proven to be safe with low morbidity and no increase of breast malignancy risk. Nevertheless, more human studies with long term follow up are required.

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

Prof Katarina A ANDJELKOV

Plastic Surgeon

Serbia

Other author(s) :

Our experience in using fat to improve results and solve complication in breast surgery

Discussion and Q&A with the audience

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IMCAS Academy International Program

Lipofilling for breasts: 2021 state of the art (*access restricted to plastic surgeons*)

Chair

Lectures of the session

IMCAS Academy International
Program

Lipofilling for breasts: 2021 state of the art (access restricted to plastic surgeons)