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J Cosmet Med 2017; 1(2): 130-134

Published online December 31, 2017

https://doi.org/10.25056/JCM.2017.1.2.130

Breast reconstruction with tissue expansion followed by serial autologous fat transfer: a report of six cases

Chen Zhang, MD, PhD1,2, Xiaoli Jiang, MMs3, Linan Song, BMs4, Chunying Ge, MD3

1Institute of Plastic Surgery of Dalian University, Dalian, P.R. China, 2Shenyang Mylike Aesthetic Hospital, Shenyang, P.R. China, 3New York Fashion Cosmetic Clinic, Dalian, P.R. China, 4Aid BCC Clinic, Dalian, P.R. China

Correspondence to :
Chen Zhang, Institute of Plastic Surgery of Dalian University, Room 202, 150-4 Wusi Road Dalian, Liaoning 116021, China
Tel: 86-411-84369826, Fax: 86-411-84369828, E-mail: neilzhang@sina.com

Received: August 9, 2017; Revised: November 28, 2017; Accepted: December 2, 2017

© Korean Society of Korean Cosmetic Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

To introduce a new method of breast reconstruction using tissue expander followed by serial autologous fat transfer (AFT). From May 1, 2013, to April 30, 2016, six breasts from six female patients (age range, 35-62 years) were reconstructed using tissue expansion followed by serial AFT. Clinical data were obtained, and each step of the operative methods was recorded. All six patients presented satisfactory symmetry in the contralateral breast. Three AFTs were performed in one patient, whereas four and five AFTs were performed in one patient and four patients, respectively. The intervals between the two adjacent AFTs were 3-5 months. A 450-ml round expander was used in this series, and the volume of each AFT was 50-150 ml. Two patients underwent mastopexy on the contralateral breasts to correct severe breast ptosis. Two patients underwent nipple-areola complex reconstruction 6 months after the last AFT. Tissue expansion followed by serial AFT is a safe and effective method for breast reconstruction. It can be an option for patients who do not prefer pedicled TRAM or DIEP flap transfer or pedicled latissimus dorsi myocutaneous flap coverage with implant placement and those who cannot afford the Brava plus fat graft.

Keywords: fat graft, tissue expansion, breast reconstruction

  1. Coleman SR, Saboeiro AP. Fat grafting to the breast revisited:safety and efficacy. Plast Reconstr Surg 2007;119:775-85; discussion 786-7.
    Pubmed CrossRef
  2. Curtin C. Breast reconstruction. In: Brown DL, Borschel GH, editors. Michigan manual of plastic surgery. Philadelphia:Lippincott Williams & Wilkins; 2004. p. 242-7.
  3. Khouri RK, Eisenmann-Klein M, Cardoso E, Cooley BC, Kacher D, Gombos E, et al. Brava and autologous fat transfer is a safe and effective breast augmentation alternative: results of a 6-year, 81-patient, prospective multicenter study. Plast Reconstr Surg 2012;129:1173-87.
    Pubmed CrossRef
  4. Mestak O, Mestak J, Bohac M, Edriss A, Sukop A. Breast reconstruction after a bilateral mastectomy using the BRAVA expansion system and fat grafting. Plast Reconstr Surg Glob Open 2013;1:e71.
    Pubmed KoreaMed CrossRef
  5. Khouri RK, Rigotti G, Khouri RK Jr, Cardoso E, Marchi A, Rotemberg SC, et al. Tissue-engineered breast reconstruction with Brava-assisted fat grafting: a 7-year, 488-patient, multicenter experience. Plast Reconstr Surg 2015;135:643-58.
    Pubmed CrossRef
  6. Hammer-Hansen N, Jensen TB, Damsgaard TE. Delayed total breast reconstruction with brava. Case Rep Surg 2015;2015:601904.
    CrossRef
  7. Uda H, Sugawara Y, Sarukawa S, Sunaga A. Brava and autologous fat grafting for breast reconstruction after cancer surgery. Plast Reconstr Surg 2014;133:203-13.
    Pubmed CrossRef
  8. Ho Quoc C, Delay E. Tolerance of pre-expansion BRAVA and fat grafting into the breast. Ann Chir Plast Esthet 2013;58:21621.

Article

Case Report

J Cosmet Med 2017; 1(2): 130-134

Published online December 31, 2017 https://doi.org/10.25056/JCM.2017.1.2.130

Copyright © Korean Society of Korean Cosmetic Surgery.

Breast reconstruction with tissue expansion followed by serial autologous fat transfer: a report of six cases

Chen Zhang, MD, PhD1,2, Xiaoli Jiang, MMs3, Linan Song, BMs4, Chunying Ge, MD3

1Institute of Plastic Surgery of Dalian University, Dalian, P.R. China, 2Shenyang Mylike Aesthetic Hospital, Shenyang, P.R. China, 3New York Fashion Cosmetic Clinic, Dalian, P.R. China, 4Aid BCC Clinic, Dalian, P.R. China

Correspondence to:Chen Zhang, Institute of Plastic Surgery of Dalian University, Room 202, 150-4 Wusi Road Dalian, Liaoning 116021, China
Tel: 86-411-84369826, Fax: 86-411-84369828, E-mail: neilzhang@sina.com

Received: August 9, 2017; Revised: November 28, 2017; Accepted: December 2, 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

To introduce a new method of breast reconstruction using tissue expander followed by serial autologous fat transfer (AFT). From May 1, 2013, to April 30, 2016, six breasts from six female patients (age range, 35-62 years) were reconstructed using tissue expansion followed by serial AFT. Clinical data were obtained, and each step of the operative methods was recorded. All six patients presented satisfactory symmetry in the contralateral breast. Three AFTs were performed in one patient, whereas four and five AFTs were performed in one patient and four patients, respectively. The intervals between the two adjacent AFTs were 3-5 months. A 450-ml round expander was used in this series, and the volume of each AFT was 50-150 ml. Two patients underwent mastopexy on the contralateral breasts to correct severe breast ptosis. Two patients underwent nipple-areola complex reconstruction 6 months after the last AFT. Tissue expansion followed by serial AFT is a safe and effective method for breast reconstruction. It can be an option for patients who do not prefer pedicled TRAM or DIEP flap transfer or pedicled latissimus dorsi myocutaneous flap coverage with implant placement and those who cannot afford the Brava plus fat graft.

Keywords: fat graft, tissue expansion, breast reconstruction

References

  1. Coleman SR, Saboeiro AP. Fat grafting to the breast revisited:safety and efficacy. Plast Reconstr Surg 2007;119:775-85; discussion 786-7.
    Pubmed CrossRef
  2. Curtin C. Breast reconstruction. In: Brown DL, Borschel GH, editors. Michigan manual of plastic surgery. Philadelphia:Lippincott Williams & Wilkins; 2004. p. 242-7.
  3. Khouri RK, Eisenmann-Klein M, Cardoso E, Cooley BC, Kacher D, Gombos E, et al. Brava and autologous fat transfer is a safe and effective breast augmentation alternative: results of a 6-year, 81-patient, prospective multicenter study. Plast Reconstr Surg 2012;129:1173-87.
    Pubmed CrossRef
  4. Mestak O, Mestak J, Bohac M, Edriss A, Sukop A. Breast reconstruction after a bilateral mastectomy using the BRAVA expansion system and fat grafting. Plast Reconstr Surg Glob Open 2013;1:e71.
    Pubmed KoreaMed CrossRef
  5. Khouri RK, Rigotti G, Khouri RK Jr, Cardoso E, Marchi A, Rotemberg SC, et al. Tissue-engineered breast reconstruction with Brava-assisted fat grafting: a 7-year, 488-patient, multicenter experience. Plast Reconstr Surg 2015;135:643-58.
    Pubmed CrossRef
  6. Hammer-Hansen N, Jensen TB, Damsgaard TE. Delayed total breast reconstruction with brava. Case Rep Surg 2015;2015:601904.
    CrossRef
  7. Uda H, Sugawara Y, Sarukawa S, Sunaga A. Brava and autologous fat grafting for breast reconstruction after cancer surgery. Plast Reconstr Surg 2014;133:203-13.
    Pubmed CrossRef
  8. Ho Quoc C, Delay E. Tolerance of pre-expansion BRAVA and fat grafting into the breast. Ann Chir Plast Esthet 2013;58:21621.

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Journal of Cosmetic Medicine

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