Fat grafting in breast reconstructions with expanders and implants
Autologous fat grafting was first described more than 100 years ago by Neuber to correct facial defects. At the same time, Czerney described the use of a lipoma on the back to recreate a post-mastectomy breast. The technique was popularized by Coleman, who described the use of liposuction and adipoc...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2020-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/2703/en_v35n1a15.pdf |
| _version_ | 1797425065596289024 |
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| author | Carlos Cunha Oliveira Claudio Cortez dos Santos |
| author_facet | Carlos Cunha Oliveira Claudio Cortez dos Santos |
| author_sort | Carlos Cunha Oliveira |
| collection | DOAJ |
| description | Autologous fat grafting was first described more than 100 years ago by Neuber to correct facial defects. At the same time, Czerney described the use of a lipoma on the back to recreate a post-mastectomy breast. The technique was popularized by Coleman, who described the use of liposuction and adipocyte purification for injecting into the face as a soft tissue filling. Then, Bircoll and Novack (1987 apud Costantini et al.4) extended this use to breasts. In 1990, there was a growth in the use of fat grafting after Coleman's technique. This confirmed that adipose tissue could be satisfactorily transferred with the formalization of a restricted protocol for fat injection preparation. Coleman's technique is by far the most commonly used. The adipose tissue is infiltrated with a tumescent solution and then manually aspirated. The liposuction material is subsequently centrifuged to isolate the adipose tissue from the oily and aqueous fraction and was then injected. Transferring fat from an excess area such as the abdomen or thighs to reconstruct or improve the shape and volume of the breast is not a new idea. Later, a study by Illouz on liposuction promoted the widespread use of the technique worldwide. Postoperative mammographic images to control fat absorption and necrosis vary. These can present as lipid cysts, suspected malignant findings such as grouped microcalcifications, spiculated areas of increased opacity, and focal masses. |
| first_indexed | 2024-03-09T08:10:41Z |
| format | Article |
| id | doaj.art-8239951b8c404d7b8a7f991fe6ee2611 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T08:10:41Z |
| publishDate | 2020-03-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-8239951b8c404d7b8a7f991fe6ee26112023-12-02T23:25:40ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352020-03-0135019410010.5935/2177-1235.2020RBCP0015Fat grafting in breast reconstructions with expanders and implantsCarlos Cunha OliveiraClaudio Cortez dos Santos0Hospital Geral de Fortaleza, Fortaleza, CE, BrazilAutologous fat grafting was first described more than 100 years ago by Neuber to correct facial defects. At the same time, Czerney described the use of a lipoma on the back to recreate a post-mastectomy breast. The technique was popularized by Coleman, who described the use of liposuction and adipocyte purification for injecting into the face as a soft tissue filling. Then, Bircoll and Novack (1987 apud Costantini et al.4) extended this use to breasts. In 1990, there was a growth in the use of fat grafting after Coleman's technique. This confirmed that adipose tissue could be satisfactorily transferred with the formalization of a restricted protocol for fat injection preparation. Coleman's technique is by far the most commonly used. The adipose tissue is infiltrated with a tumescent solution and then manually aspirated. The liposuction material is subsequently centrifuged to isolate the adipose tissue from the oily and aqueous fraction and was then injected. Transferring fat from an excess area such as the abdomen or thighs to reconstruct or improve the shape and volume of the breast is not a new idea. Later, a study by Illouz on liposuction promoted the widespread use of the technique worldwide. Postoperative mammographic images to control fat absorption and necrosis vary. These can present as lipid cysts, suspected malignant findings such as grouped microcalcifications, spiculated areas of increased opacity, and focal masses.http://www.rbcp.org.br/export-pdf/2703/en_v35n1a15.pdfbreastallograftsbreast implanttissue expansion devicesreview literature as a subject |
| spellingShingle | Carlos Cunha Oliveira Claudio Cortez dos Santos Fat grafting in breast reconstructions with expanders and implants Revista Brasileira de Cirurgia Plástica breast allografts breast implant tissue expansion devices review literature as a subject |
| title | Fat grafting in breast reconstructions with
expanders and implants |
| title_full | Fat grafting in breast reconstructions with
expanders and implants |
| title_fullStr | Fat grafting in breast reconstructions with
expanders and implants |
| title_full_unstemmed | Fat grafting in breast reconstructions with
expanders and implants |
| title_short | Fat grafting in breast reconstructions with
expanders and implants |
| title_sort | fat grafting in breast reconstructions with expanders and implants |
| topic | breast allografts breast implant tissue expansion devices review literature as a subject |
| url | http://www.rbcp.org.br/export-pdf/2703/en_v35n1a15.pdf |
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