Author/Authors :
Ahmed, Yasser S. University of Alexandria - Medical Research Institute - Experimental and Clinical Surgery Department, Egypt , Sultan, Mohamed H. University of Alexandria - Medical Research Institute - Experimental and Clinical Surgery Department, Egypt , Ibrahim, Samy E. University of Alexandria - Medical Research Institute - Experimental and Clinical Surgery Department, Egypt , Soliman, Khaled E. University of Alexandria - Medical Research Institute - Experimental and Clinical Surgery Department, Egypt , Anwar, Medhat M. University of Alexandria - Medical Research Institute - Experimental and Clinical Surgery Department, Egypt , Abdelwahed, Rabie R. University of Alexandria - Medical Research Institute - Experimental and Clinical Surgery Department, Egypt , Karmouty, Ahmed University of Alexandria - Medical Research Institute - Experimental and Clinical Surgery Department, Egypt , Alaa, Hamza University of Alexandria - Medical Research Institute - Experimental and Clinical Surgery Department, Egypt
Abstract :
Background Oncoplastic techniques, autologous flaps and implants are commonly used plastic surgery techniques in patients undergoing breast reconstruction. Lipomodelling is a currently used technique to correct soft-tissue defects. Restoring an acceptable appearance after breast cancer surgery has become an integral part of the treatment process. Even though advances in autologous and implant-based surgical techniques have markedly improved breast reconstructions over the past decennia, they have ultimately raised the patients’ expectations. Patients and methods The study included 30 female patients undergoing delayed lipomodelling after breast cancer surgery using the Coleman technique. Patients, after mastectomy and after breast conservative surgery with tissue defect and/or deformities, will undergo delayed lipomodelling at least 6 months after completion of radiotherapy. Results In our study, 43 lipofilling sessions were performed in 30 patients. Twenty-four patients had invasive ductal carcinoma and six patients had DCIS. The mean amount of fat injected ranged from 50 to 400 ml and sessions of lipofi lling ranged from one session to three sessions according to the indication. The follow-up interval was 16 months. The most common complication was macrocalcifi cation and oil cyst formation in three patients. No cases of local recurrence were detected. The satisfaction rate was excellent in 36.6% and good in 43.3% of the patients. Conclusion Fat grafting can be used as an alternative method of breast reconstruction in selected cases as it is an easy and cheap method with a very high rate of acceptance from the patient because it is an easy day surgery technique, with minimal complications to the recipient and the donor site. An excellent aesthetic result as well as longevity can also be achieved.
