Autologous Fat Grafting for Whole Breast Reconstruction
Summary: This is the first reported case of a patient who had a single-stage large-volume breast reconstruction with autologous fat grafting, following rotation flap approach (RoFA) mastectomy. The purpose of this case study was to evaluate the viability of reconstruction of the breast by autologous...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2014-03-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/Fulltext/2014/03000/Article.11.aspx |
| _version_ | 1811301856322781184 |
|---|---|
| author | Benjamin H. L. Howes, MBBS Beverley Fosh, MD David I. Watson, MD Jia Miin Yip, MBBS Michael Eaton, MD Andrea Smallman, RN Nicola R. Dean, PhD |
| author_facet | Benjamin H. L. Howes, MBBS Beverley Fosh, MD David I. Watson, MD Jia Miin Yip, MBBS Michael Eaton, MD Andrea Smallman, RN Nicola R. Dean, PhD |
| author_sort | Benjamin H. L. Howes, MBBS |
| collection | DOAJ |
| description | Summary: This is the first reported case of a patient who had a single-stage large-volume breast reconstruction with autologous fat grafting, following rotation flap approach (RoFA) mastectomy. The purpose of this case study was to evaluate the viability of reconstruction of the breast by autologous fat grafting alone, in the context of RoFA mastectomy. The hypothesis was that there would be minimal interval loss of autologous fat on the whole breast reconstruction side. Right RoFA mastectomy was used for resection of an invasive primary breast cancer and resulted in the right breast skin envelope. Eleven months later, the patient underwent grafting of 400 ml of autologous fat into the skin envelope and underlying pectoralis major muscle. Outcome was assessed by using a validated 3D laser scan technique for quantitative breast volume measurement. Other outcome measures included the BREAST-Q questionnaire and 2D clinical photography. At 12-month follow-up, the patient was observed to have maintenance of volume of the reconstructed breast. Her BREAST-Q scores were markedly improved compared with before fat grafting, and there was observable improvement in shape, contour, and symmetry on 2D clinical photography. The 2 new techniques, RoFA mastectomy and large-volume single-stage autologous fat grafting, were used in combination to achieve a satisfactory postmastectomy breast reconstruction. Novel tools for measurement of outcome were the 3D whole-body laser scanner and BREAST-Q questionnaire. This case demonstrates the potential for the use of fat grafting for reconstruction. Outcomes in a larger patient populations are needed to confirm these findings. |
| first_indexed | 2024-04-13T07:17:37Z |
| format | Article |
| id | doaj.art-17ada0b12a2943e19b263f5ffaf3204a |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-13T07:17:37Z |
| publishDate | 2014-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-17ada0b12a2943e19b263f5ffaf3204a2022-12-22T02:56:43ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742014-03-0123e12410.1097/GOX.000000000000007501720096-201403000-00011Autologous Fat Grafting for Whole Breast ReconstructionBenjamin H. L. Howes, MBBS0Beverley Fosh, MD1David I. Watson, MD2Jia Miin Yip, MBBS3Michael Eaton, MD4Andrea Smallman, RN5Nicola R. Dean, PhD6From the Department of Surgery, Flinders University, Bedford Park, Adelaide, South Australia, AustraliaFrom the Department of Surgery, Flinders University, Bedford Park, Adelaide, South Australia, AustraliaFrom the Department of Surgery, Flinders University, Bedford Park, Adelaide, South Australia, AustraliaDepartment of Plastics and Reconstructive Surgery, Flinders Medical Centre, Bedford Park, Adelaide, South Australia, AustraliaDepartment of Breast and Endocrine Surgery, Flinders Medical Centre, Bedford Park, Adelaide, South Australia, Australia;Department of Plastics and Reconstructive Surgery, Flinders Medical Centre, Bedford Park, Adelaide, South Australia, AustraliaFrom the Department of Surgery, Flinders University, Bedford Park, Adelaide, South Australia, AustraliaSummary: This is the first reported case of a patient who had a single-stage large-volume breast reconstruction with autologous fat grafting, following rotation flap approach (RoFA) mastectomy. The purpose of this case study was to evaluate the viability of reconstruction of the breast by autologous fat grafting alone, in the context of RoFA mastectomy. The hypothesis was that there would be minimal interval loss of autologous fat on the whole breast reconstruction side. Right RoFA mastectomy was used for resection of an invasive primary breast cancer and resulted in the right breast skin envelope. Eleven months later, the patient underwent grafting of 400 ml of autologous fat into the skin envelope and underlying pectoralis major muscle. Outcome was assessed by using a validated 3D laser scan technique for quantitative breast volume measurement. Other outcome measures included the BREAST-Q questionnaire and 2D clinical photography. At 12-month follow-up, the patient was observed to have maintenance of volume of the reconstructed breast. Her BREAST-Q scores were markedly improved compared with before fat grafting, and there was observable improvement in shape, contour, and symmetry on 2D clinical photography. The 2 new techniques, RoFA mastectomy and large-volume single-stage autologous fat grafting, were used in combination to achieve a satisfactory postmastectomy breast reconstruction. Novel tools for measurement of outcome were the 3D whole-body laser scanner and BREAST-Q questionnaire. This case demonstrates the potential for the use of fat grafting for reconstruction. Outcomes in a larger patient populations are needed to confirm these findings.http://journals.lww.com/prsgo/Fulltext/2014/03000/Article.11.aspx |
| spellingShingle | Benjamin H. L. Howes, MBBS Beverley Fosh, MD David I. Watson, MD Jia Miin Yip, MBBS Michael Eaton, MD Andrea Smallman, RN Nicola R. Dean, PhD Autologous Fat Grafting for Whole Breast Reconstruction Plastic and Reconstructive Surgery, Global Open |
| title | Autologous Fat Grafting for Whole Breast Reconstruction |
| title_full | Autologous Fat Grafting for Whole Breast Reconstruction |
| title_fullStr | Autologous Fat Grafting for Whole Breast Reconstruction |
| title_full_unstemmed | Autologous Fat Grafting for Whole Breast Reconstruction |
| title_short | Autologous Fat Grafting for Whole Breast Reconstruction |
| title_sort | autologous fat grafting for whole breast reconstruction |
| url | http://journals.lww.com/prsgo/Fulltext/2014/03000/Article.11.aspx |
| work_keys_str_mv | AT benjaminhlhowesmbbs autologousfatgraftingforwholebreastreconstruction AT beverleyfoshmd autologousfatgraftingforwholebreastreconstruction AT davidiwatsonmd autologousfatgraftingforwholebreastreconstruction AT jiamiinyipmbbs autologousfatgraftingforwholebreastreconstruction AT michaeleatonmd autologousfatgraftingforwholebreastreconstruction AT andreasmallmanrn autologousfatgraftingforwholebreastreconstruction AT nicolardeanphd autologousfatgraftingforwholebreastreconstruction |