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Successful use of squeezed-fat grafts to correct a breast affected by Poland syndrome.

Yang H, Lee H - Aesthetic Plast Surg (2010)

Bottom Line: After surgery, several small cysts and minimal calcifications were present but no significant complications.In conclusion, higher condensation of fat tissues through squeezing centrifugation would help to achieve better results in volume maintenance and reduce complications.The study experiments with squeezed fat simply suggest a hypothesis that squeezing centrifugation could select healthier cells through pressure disruption of relatively thinner membranes of larger, more vulnerable and more mature fat cells.

View Article: PubMed Central - PubMed

Affiliation: Kangnam Plastic Surgery, Shinsa-Dong 577-7, Kangnam-Gu, Seoul, South Korea.

ABSTRACT
This study attempted to reconstruct deformities of a Poland syndrome patient using autologous fat tissues. All injected fat tissues were condensed by squeezing centrifugation. Operations were performed four times with intervals over 6 months. The total injection volume was 972 ml, and the maintained volume of 628 ml was measured by means of a magnetic resonance image (MRI). The entire follow-up period was 4.5 years. After surgery, several small cysts and minimal calcifications were present but no significant complications. The cosmetic outcomes and volume maintenance rates were excellent despite the overlapped large-volume injections. In conclusion, higher condensation of fat tissues through squeezing centrifugation would help to achieve better results in volume maintenance and reduce complications. It is necessary, however, to perform more comparative studies with many clinical cases for a more scientific analysis. The study experiments with squeezed fat simply suggest a hypothesis that squeezing centrifugation could select healthier cells through pressure disruption of relatively thinner membranes of larger, more vulnerable and more mature fat cells.

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Magnetic resonance image (MRI) 3½ years after the first surgery (4 months after the fourth surgery). a T1 axial view. b CET1 axial delay view. c MIP axial view. d T1 sagittal view. Several cysts are smaller than 1 cm, with no other pathologic finding
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Fig4: Magnetic resonance image (MRI) 3½ years after the first surgery (4 months after the fourth surgery). a T1 axial view. b CET1 axial delay view. c MIP axial view. d T1 sagittal view. Several cysts are smaller than 1 cm, with no other pathologic finding

Mentions: There was no lump or hardness after surgery, and the patient’s satisfaction was very high. Serial photos showed little interval change and good skin expansion (Fig. 1). All radiologic findings showed only small cysts and no other abnormal findings (Figs. 2, 3, 4, 5). The MRI digital volume calculation showed 627 ml of volume in the right breast (Fig. 6).Fig. 1


Successful use of squeezed-fat grafts to correct a breast affected by Poland syndrome.

Yang H, Lee H - Aesthetic Plast Surg (2010)

Magnetic resonance image (MRI) 3½ years after the first surgery (4 months after the fourth surgery). a T1 axial view. b CET1 axial delay view. c MIP axial view. d T1 sagittal view. Several cysts are smaller than 1 cm, with no other pathologic finding
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Related In: Results  -  Collection

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Fig4: Magnetic resonance image (MRI) 3½ years after the first surgery (4 months after the fourth surgery). a T1 axial view. b CET1 axial delay view. c MIP axial view. d T1 sagittal view. Several cysts are smaller than 1 cm, with no other pathologic finding
Mentions: There was no lump or hardness after surgery, and the patient’s satisfaction was very high. Serial photos showed little interval change and good skin expansion (Fig. 1). All radiologic findings showed only small cysts and no other abnormal findings (Figs. 2, 3, 4, 5). The MRI digital volume calculation showed 627 ml of volume in the right breast (Fig. 6).Fig. 1

Bottom Line: After surgery, several small cysts and minimal calcifications were present but no significant complications.In conclusion, higher condensation of fat tissues through squeezing centrifugation would help to achieve better results in volume maintenance and reduce complications.The study experiments with squeezed fat simply suggest a hypothesis that squeezing centrifugation could select healthier cells through pressure disruption of relatively thinner membranes of larger, more vulnerable and more mature fat cells.

View Article: PubMed Central - PubMed

Affiliation: Kangnam Plastic Surgery, Shinsa-Dong 577-7, Kangnam-Gu, Seoul, South Korea.

ABSTRACT
This study attempted to reconstruct deformities of a Poland syndrome patient using autologous fat tissues. All injected fat tissues were condensed by squeezing centrifugation. Operations were performed four times with intervals over 6 months. The total injection volume was 972 ml, and the maintained volume of 628 ml was measured by means of a magnetic resonance image (MRI). The entire follow-up period was 4.5 years. After surgery, several small cysts and minimal calcifications were present but no significant complications. The cosmetic outcomes and volume maintenance rates were excellent despite the overlapped large-volume injections. In conclusion, higher condensation of fat tissues through squeezing centrifugation would help to achieve better results in volume maintenance and reduce complications. It is necessary, however, to perform more comparative studies with many clinical cases for a more scientific analysis. The study experiments with squeezed fat simply suggest a hypothesis that squeezing centrifugation could select healthier cells through pressure disruption of relatively thinner membranes of larger, more vulnerable and more mature fat cells.

Show MeSH
Related in: MedlinePlus