2025 英卡思巴黎国际年会
大会日程

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Objectives: The objective of the prepectoral hybrid breast reconstructive technique is to overcome the disadvantages of retropectoral implant-based breast reconstructions. Additionally, an improved breast projection and firmness is provided with the insertion of an implant in the breast reconstructed with fat grafting.

Introduction: Retropectoral implant-based breast reconstruction do not obtain the goals in breast surgery. The result is too often a breast that doesn't look natural, feels uncomfortable and cold with a breast that lacks dynamic ergonomics. The purpose of the hybrid approach is to reconstruct a breast that is more dynamic with a result that is stable at the long-term.

Materials / method: The hybrid approach includes the usage of an expander that not only expands and preserves the skin envelope and footprint but also generates a vascularized capsule. This capsule is essential as it borders the space between the skin and the expander. This space can be augmented with serial sessions of fat grafting to reconstruct a prepectoral volume that adds a robust tissue coverage for a prepectoral implant.

Results: Hybrid approaches result in more natural breasts that overcome the disadvantages of retropectoral implant-based breast reconstructions.

Conclusion: The hybrid approach is a considerable alternative in breast reconstruction that overcomes the disadvantages of implant-based reconstructions as well as complete autologous tissue transfer with microsurgical techniques.

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请注明名称（个人，公司，学会等等）: Key Opinion Leader (temporary) for Establishment Labs

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Objectives: The autologus fat grafting for breast augmentation and breast reconstruction is performed with the combination of the Workstation Pro Plus ,and the Puregraft .

The presentation will show the clinical and the radiological results ,and the cellular study is performed on each patient on a sample of harvested and filtrated fat

Introduction: This combination allows a safe, quick and easy lipofiling , with esthetic reshaping of the breast.

Materials / method: 6 procedures:
for breast augmentation for bilateral hypotrophy
to enhance the volume combined with mastopexy
after implant removal

Results: Safe process , the fat graft is always in a close system during all the procedure
Good clinical results , no complications
Good radiological results with very few imaging changes
Cellular study shows very good rate of fresh SVF and ASC

Conclusion: The results are very promising with good clinical ,radiological and cellular results.
This combination seems to be the best , to perform an autologus breast fat grafting.

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Objectives: The aims of the presentation are to present the information that should be given to the patients and the precautions that should be taken before carrying out this procedure, the surgical technique, the results which may be expected, and the determining factors on Aesthetic Results of Lipomodeling in this particular indication.

Introduction: Breast deformations after conservative treatment of breast cancer (BCT) are a real challenge for the surgeon. No technique, before Lipomodeling, gave entirely satisfactory results. The only options offered to patients, such as musculo-cutaneous latissimus dorsi flaps, were often disabling and disproportionate to the breast deformities. But few years after treatment, patients are very eager for surgical correction of their deformity in order to erase or attenuate the visible signs of their disease. It was therefore important to seek a solution which would correct these sequelae.

Materials / method: I have a personal experience of 5000 cases of breast Lipomodeling, starting in 1998, in all indications of breast plastic surgery, Aesthetic surgery or Reconstructive surgery.
In this particular presentation we want to focus on a consecutive series of 100 cases of breast conservative treatment sequelae treated with the Lipomodeling technique from 2002 to 2010.
We have analyzed the number of sessions needed to obtain the correction, the volume of each session, the screening before surgery and the follow-up, and the number of micro-biopsies needed during the follow-up.

Results: The mean-age was 51 years (37-66). The mean BI was 21,48 (19,61-21,59). One session of Lipomodeling was done in all cases (mean volume of 176ml); 2 sessions in 35% of cases (mean volume of 175ml); 3 sessions in 5 % of cases (mean volume of 189ml).
Aesthetic evaluation showed 72% of very good result, 16% of good results, 9 % of acceptable results, and 3% of insufficient results. Patient’s satisfaction evaluation shoved 72% of very satisfied, 22 % of satisfied, 1 % of moderately satisfied, and 5 % of no satisfied patients.
Determining factors of aesthetic results are analyzed.

Conclusion: The lipomodeling technique represents a major advance for the correction of Breast Conservative treatment sequelae.
This technique must be done by a plastic Surgeon with a specific training. The learning curve is relatively important and allows a good analysis of the determining factors of good results.
A good pre-operative screening is crucial, as well a good post-operative follow-up. Close collaboration with skilled radiologists is essential.
Plastic Surgery consultation must be now systematically proposed after BCT.

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这项工作的完成感谢以下机构的支持： Zon MW

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