Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2019  |  Volume : 32  |  Issue : 4  |  Page : 1297-1302

Assessment of autologous fat transfer to the breast: clinically and radiologically


1 Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Radiology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
3 Department of Plastic Surgery, Matria Teaching Hospital, Cairo, Egypt
4 Department of Plastic and Reconstructive Surgery, The Heart of England NHS Foundation Trust, Birmingham, England

Correspondence Address:
Ahmed A Atia
Department of Plastic and Reconstructive Surgery, Matria Teaching Hospital, Cairo
England
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_330_18

Rights and Permissions

Objective The aim was to assess the results of autologous fat graft to the breast through the rate of fat necrosis, cyst formation, and calcification patterns to avoid unnecessary breast biopsies. Background Autologous fat transfer is widely used in plastic surgery for both reconstructive and esthetic purposes. Patients and methods This study included 30 patients, from September 2015 to February 2018. Baseline mammography was done for patients 40 years or older and ultrasound scans for those younger than 40 years and then repeated at 6 and 12 months postoperatively. Results The age of the patients ranged 19–51 years. The mean amount of the fat transferred to each breast was 252.17 cm3 with range of 100–410 cm3. No major complications were recorded. Six months after breast lipofilling, six (25%) patients of 24 patients younger than 40 years showed multiple small anechoic and hypoechoic lesions (solid nodules) with disruption of surrounding normal breast tissue. Three patients showed cystic lesions of variable size. Microcalcifications were detected in four mammograms (66.6%) of the six patients older than 40 years. One year after breast lipofilling, cystic lesions increased to five. Microcalcifications were detected in three patients. The microcalcifications in the fourth patient had an increased amount of calcifications and progressed to macrocalcification. Conclusion Fat grafting to the breast can be associated with complications such as fat necrosis, liponecrotic cysts, and calcifications. The high incidence of these complications is associated with improper technique of fat grafting.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed47    
    Printed0    
    Emailed0    
    PDF Downloaded18    
    Comments [Add]    

Recommend this journal