Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases
Background:. Patients with breast cancer have experienced advancements both in oncological treatment and in aesthetics as a result of developments in reconstructive techniques. We aimed to present our experience with the reverse expansion technique, summarizing the results of our first 100 cases of...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-04-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004915 |
| _version_ | 1797840157552934912 |
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| author | Luca Fabiocchi, MD Elena Lucattelli, MD Federico Cattin, MD Federico Cipriani, MD Laura Dellachiesa, MD Tommaso Fogacci, MD Gianluca Frisoni, MD Gloria Semprini, MD Domenico Samorani, MD |
| author_facet | Luca Fabiocchi, MD Elena Lucattelli, MD Federico Cattin, MD Federico Cipriani, MD Laura Dellachiesa, MD Tommaso Fogacci, MD Gianluca Frisoni, MD Gloria Semprini, MD Domenico Samorani, MD |
| author_sort | Luca Fabiocchi, MD |
| collection | DOAJ |
| description | Background:. Patients with breast cancer have experienced advancements both in oncological treatment and in aesthetics as a result of developments in reconstructive techniques. We aimed to present our experience with the reverse expansion technique, summarizing the results of our first 100 cases of reconstruction after skin-sparing mastectomy and nipple-sparing mastectomy.
Methods:. From January 2010 to September 2018, 253 breast reconstruction procedures were performed on 100 patients. The reverse expansion technique consists of autologous fat tissue transplantation requiring the combined use of a skin expander and of multiple lipofilling sessions. At the beginning of every session the breast expander was deflated by removing a saline volume similar to that of the fat to be injected.
Results:. Overall, 56 breast reconstructions after skin-sparing mastectomy and 44 after nipple-sparing mastectomy were performed. An average of 661.5 cm3 of fat per session was harvested and an average of 305.3 cm3 per breast was injected. The average number of sessions to achieve breast reconstruction was 2.53. Only four complications after 253 procedures (1.5%) were reported: one donor site hemorrhage due to genetic lack of coagulation factors, and three surgical site infections.
Conclusions:. Considering the large number of positive factors such as a fast postoperative recovery, an easy learning curve, a lack of need of a specialized surgical team, a natural look of the breast shape, and the soft consistency of the grafted tissue, we believe this technique could be the first choice for autologous reconstruction after skin-sparing mastectomy and nipple-sparing mastectomy. |
| first_indexed | 2024-04-09T16:10:13Z |
| format | Article |
| id | doaj.art-b60c199efeff4dc8990f1b4631f68419 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-09T16:10:13Z |
| publishDate | 2023-04-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-b60c199efeff4dc8990f1b4631f684192023-04-24T10:07:50ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-04-01114e491510.1097/GOX.0000000000004915202304000-00009Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 CasesLuca Fabiocchi, MD0Elena Lucattelli, MD1Federico Cattin, MD2Federico Cipriani, MD3Laura Dellachiesa, MD4Tommaso Fogacci, MD5Gianluca Frisoni, MD6Gloria Semprini, MD7Domenico Samorani, MD8From the General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.From the General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.From the General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.From the General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.From the General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.From the General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.From the General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.From the General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.From the General and Breast Surgery Department, “A. Franchini” Hospital, AUSL Romagna, Santarcangelo di Romagna, Italy.Background:. Patients with breast cancer have experienced advancements both in oncological treatment and in aesthetics as a result of developments in reconstructive techniques. We aimed to present our experience with the reverse expansion technique, summarizing the results of our first 100 cases of reconstruction after skin-sparing mastectomy and nipple-sparing mastectomy. Methods:. From January 2010 to September 2018, 253 breast reconstruction procedures were performed on 100 patients. The reverse expansion technique consists of autologous fat tissue transplantation requiring the combined use of a skin expander and of multiple lipofilling sessions. At the beginning of every session the breast expander was deflated by removing a saline volume similar to that of the fat to be injected. Results:. Overall, 56 breast reconstructions after skin-sparing mastectomy and 44 after nipple-sparing mastectomy were performed. An average of 661.5 cm3 of fat per session was harvested and an average of 305.3 cm3 per breast was injected. The average number of sessions to achieve breast reconstruction was 2.53. Only four complications after 253 procedures (1.5%) were reported: one donor site hemorrhage due to genetic lack of coagulation factors, and three surgical site infections. Conclusions:. Considering the large number of positive factors such as a fast postoperative recovery, an easy learning curve, a lack of need of a specialized surgical team, a natural look of the breast shape, and the soft consistency of the grafted tissue, we believe this technique could be the first choice for autologous reconstruction after skin-sparing mastectomy and nipple-sparing mastectomy.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004915 |
| spellingShingle | Luca Fabiocchi, MD Elena Lucattelli, MD Federico Cattin, MD Federico Cipriani, MD Laura Dellachiesa, MD Tommaso Fogacci, MD Gianluca Frisoni, MD Gloria Semprini, MD Domenico Samorani, MD Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases Plastic and Reconstructive Surgery, Global Open |
| title | Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases |
| title_full | Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases |
| title_fullStr | Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases |
| title_full_unstemmed | Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases |
| title_short | Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases |
| title_sort | reverse expansion for breast reconstruction after skin sparing and nipple sparing mastectomy our first 100 cases |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004915 |
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