Objectives: Total immediate breast reconstruction by fat transfer
Introduction: Immediate breast reconstruction, when it’s possible, is very often asked by women.
They are now many problems with implants (PIP troubles with bad silicon gel, lymphoma with textured implants, pain with radiotherapy and implant ……). There is also a lot of patients afraid by flap reconstruction (very long surgery, flap necrosis, pain on donor site ….). Fat injection becomes more and more often a good solution for this woman.
Materials / method: Many patients prefered 3 or 4 fat transfer, in one-day surgery, without an implant, without scar and pain on the donor site. We for 6 years, we performed 1000 fat transfer for breast reconstruction. More than 100 women had total breast reconstruction by fat, 20 % was immediate breast reconstruction.
Results: We have good results for all that cases, with, on average, 3 surgery (every 4 months, 800 ccs of fat injected in total, 10 % had radiotherapy after mastectomy and first injection ). That kind of surgery has a low rate of complication, very good results and it’s an easy technic to teach.
Conclusion: We think that we will get more and more indication for that technic and we must propose it when it’s possible for all women.
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