Volumetric assessment of breasts in patients undergoing fat grafting with pre-operative expansion (BRAVA®): experience of Santa Casa de São Paulo
INTRODUCTION: Autologous fat graft possesses the desired qualities of a filling material. However, the largest barriers to its further development are unpredictable results and high rate of absorption of the grafted fat over time. The objective is to perform a volumetric assessment of the breasts in...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2017-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1814/en_v32n1a09.pdf |
| _version_ | 1797408537624707072 |
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| author | Murillo Francisco Pires Fraga Luis Fernando Perin Américo Helene Júnior Nicole Carmona Aching |
| author_facet | Murillo Francisco Pires Fraga Luis Fernando Perin Américo Helene Júnior Nicole Carmona Aching |
| author_sort | Murillo Francisco Pires Fraga |
| collection | DOAJ |
| description | INTRODUCTION: Autologous fat graft possesses the desired qualities of a filling material. However, the largest barriers to its further development are unpredictable results and high rate of absorption of the grafted fat over time. The objective is to perform a volumetric assessment of the breasts in patients undergoing fat grafting using pre-operative external expansion (BRAVA®).
METHODS: Nineteen patients were operated between March 2012 and June 2015 in the Service of Plastic Surgery, Santa Casa de São Paulo. The parameters evaluated using nuclear magnetic resonance (pre-operatively and 6 months post-operatively) were the following: augmented volume=post-operative volume - pre-operative volume; percentage of augmentation=augmented volume/pre-operative volume x 100; percentage of integration=augmented volume/volume grafted x 100.
RESULTS: The average volume of the breasts in the pre- and post-operative periods were 294.73 ml and 458.42 ml, respectively. The average graft volume was 274.4 ml (150-350 ml). The following parameters were assessed: average volume augmentation, 168.42 ml (90-270 ml); average percentage of augmentation, 58.98% (23-90%); and average percentage of integration, 62.36% (30-80%).
CONCLUSION: The use of external expansion (BRAVA®) in breasts was effective in increasing the rates of integration of the fat grafts and the overall augmentation in breast volumes. |
| first_indexed | 2024-03-09T03:59:58Z |
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| id | doaj.art-eb6581728fff4818a2213d17a1b501a0 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T03:59:58Z |
| publishDate | 2017-03-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-eb6581728fff4818a2213d17a1b501a02023-12-03T14:15:10ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352017-03-013201647110.5935/2177-1235.2017RBCP0009Volumetric assessment of breasts in patients undergoing fat grafting with pre-operative expansion (BRAVA®): experience of Santa Casa de São PauloMurillo Francisco Pires Fraga0Luis Fernando Perin1Américo Helene Júnior2Nicole Carmona Aching3Faculdade de Ciências Médicas da Santa Casa de São Paulo, SP, BrazilFaculdade de Ciências Médicas da Santa Casa de São Paulo, SP, BrazilFaculdade de Ciências Médicas da Santa Casa de São Paulo, SP, BrazilFaculdade de Ciências Médicas da Santa Casa de São Paulo, SP, BrazilINTRODUCTION: Autologous fat graft possesses the desired qualities of a filling material. However, the largest barriers to its further development are unpredictable results and high rate of absorption of the grafted fat over time. The objective is to perform a volumetric assessment of the breasts in patients undergoing fat grafting using pre-operative external expansion (BRAVA®). METHODS: Nineteen patients were operated between March 2012 and June 2015 in the Service of Plastic Surgery, Santa Casa de São Paulo. The parameters evaluated using nuclear magnetic resonance (pre-operatively and 6 months post-operatively) were the following: augmented volume=post-operative volume - pre-operative volume; percentage of augmentation=augmented volume/pre-operative volume x 100; percentage of integration=augmented volume/volume grafted x 100. RESULTS: The average volume of the breasts in the pre- and post-operative periods were 294.73 ml and 458.42 ml, respectively. The average graft volume was 274.4 ml (150-350 ml). The following parameters were assessed: average volume augmentation, 168.42 ml (90-270 ml); average percentage of augmentation, 58.98% (23-90%); and average percentage of integration, 62.36% (30-80%). CONCLUSION: The use of external expansion (BRAVA®) in breasts was effective in increasing the rates of integration of the fat grafts and the overall augmentation in breast volumes.http://www.rbcp.org.br/export-pdf/1814/en_v32n1a09.pdfgraft survivaltissue expansion devicesmammoplastyautografts |
| spellingShingle | Murillo Francisco Pires Fraga Luis Fernando Perin Américo Helene Júnior Nicole Carmona Aching Volumetric assessment of breasts in patients undergoing fat grafting with pre-operative expansion (BRAVA®): experience of Santa Casa de São Paulo Revista Brasileira de Cirurgia Plástica graft survival tissue expansion devices mammoplasty autografts |
| title | Volumetric assessment of breasts in patients
undergoing fat grafting with pre-operative
expansion (BRAVA®): experience of Santa Casa
de São Paulo |
| title_full | Volumetric assessment of breasts in patients
undergoing fat grafting with pre-operative
expansion (BRAVA®): experience of Santa Casa
de São Paulo |
| title_fullStr | Volumetric assessment of breasts in patients
undergoing fat grafting with pre-operative
expansion (BRAVA®): experience of Santa Casa
de São Paulo |
| title_full_unstemmed | Volumetric assessment of breasts in patients
undergoing fat grafting with pre-operative
expansion (BRAVA®): experience of Santa Casa
de São Paulo |
| title_short | Volumetric assessment of breasts in patients
undergoing fat grafting with pre-operative
expansion (BRAVA®): experience of Santa Casa
de São Paulo |
| title_sort | volumetric assessment of breasts in patients undergoing fat grafting with pre operative expansion brava r experience of santa casa de sao paulo |
| topic | graft survival tissue expansion devices mammoplasty autografts |
| url | http://www.rbcp.org.br/export-pdf/1814/en_v32n1a09.pdf |
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