Combined Mastopexy and Augmentation with Autologous Fat Grafting: First Results with Lipopexy
Combined Mastopexy and Augmentation with Autologous Fat Grafting: First Results with Lipopexy
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DOI：
10.1097/gox.0000000000001957
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发表时间：
2020-02-01
影响因子：
1.5
通讯作者：
Cingozoglu, Carlos Augusto Cutini
中科院分区：
文献类型：
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作者：
De Fazio, Domenico;Cingozoglu, Carlos Augusto Cutini
背景：乳房下垂和腺体发育不全的单一手术治疗是一个具有挑战性的过程，结果难以预测。在这项手术中，并发症主要与假体有关，如种植体漏气、包膜紧缩、触觉可及或错位。因此，我们提出了一种避免乳房假体的不同的新技术，将乳房固定术和自体脂肪移植物结合起来。方法：对乳房下垂和乳房不对称或乳房过小的女性进行乳房固定术和自体脂肪移植物增殖术(脂肪固定术)。由于上睑下垂的程度，确定了乳房提升术。根据PureGraft进行脂肪移植，部分病例采用GID系统、Celution系统或Carraway技术。结果：2010年1月至2017年5月，34例乳房下垂和乳房过长的患者接受了脂肪固定术。平均每只乳房注射脂肪225.98毫升，术后平均随访22.8个月。轻度上睑下垂复发伴部分脂肪吸收4例(11.76%)，油性囊肿2例(5.88%)。记录了1例严重并发症(血肿引流)。所有患者均在2周内顺利愈合。结论：这项技术使外科医生能够沿乳房分布所需的脂肪体积，避免了植入物，结果稳定。这种治疗已被证明不会干扰后续的乳房成像。因此，我们认为脂肪固定术是乳房固定术和轻度至中度乳房增大手术的一种有价值和安全的替代方法。
Background:The treatment of breast ptosis and gland hypoplasia in a single surgery is a challenging procedure and the result is less predictable. In this surgery, the complications mainly concern the prosthesis, such as implant deflation, capsular contracture, palpability, or malposition. We, therefore, propose a different and new technique that avoids breast prosthesis, combining mastopexy and autologous augmentation with fat grafts.Methods:Combined mastopexy and autologous fat graft augmentation (lipopexy) was performed in women affected by breast ptosis and asymmetric breast or hypomastia. The breast lift technique was determined due to the ptosis level. The process of fat grafting was executed according to the PureGraft and, in some cases, to GID System, to Celution System or Carraway's techniques.Results:Thirty-four patients affected by breast ptosis and hypomastia underwent lipopexy from January 2010 to May 2017. The mean volume of adipose tissue injected for each breast was 225.98 ml. After surgery, the patients were followed for an average of 22.8 months. A mild ptosis relapse with partial fat absorption was observed in 4 cases (11.76%) and the presence of oily cysts was diagnosed in 2 patients (5.88%). One severe complication was recorded (hematoma drainage). All the patients healed uneventfully in 2 weeks.Conclusions:This technique allows the surgeon to distribute the desired fat volume along the breasts, avoids implants, and displayed stable results. This treatment has been demonstrated not to interfere with follow-up breast imaging. We, therefore, consider lipopexy a valuable and safe alternative to mastopexy and mild to moderate breast volume augmentation.