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Reconstruction of Acquired Breast Hypoplasia by Subcutaneous Scar Releasing and Repeated Fat Grafting Combination.

Eser C, Temiz G, Dulgar AG, Gencel E, Yavuz M - Plast Reconstr Surg Glob Open (2015)

Bottom Line: Breast hypoplasia may have a congenital or acquired etiology.One of the acquired reasons is postinfectious scars, which results in skin restriction and breast hypoplasia in the long term.Reconstruction of breast hypoplasia is performed by autologous tissues, implants, or both.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey; and Department of Plastic Reconstructive and Aesthetic Surgery, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Kartal, İstanbul, Turkey.

ABSTRACT
Breast hypoplasia may have a congenital or acquired etiology. One of the acquired reasons is postinfectious scars, which results in skin restriction and breast hypoplasia in the long term. Reconstruction of breast hypoplasia is performed by autologous tissues, implants, or both. In this report we present a hypoplastic breast reconstruction by subcutaneous scar releasing and multiple autologous fat grafting in a 21-year-old female with a right breast hypoplasia due to postinfectious scar. No complications were observed at 24 months follow-up after treatment by subcutaneous scar releasing and repeated (three times) fat grafting. Safe and natural reconstruction of mild breast hypoplasia due to fibrotic scars can be accomplished by performing a combination of subcutaneous scar releasing and multiple fat grafting.

No MeSH data available.


Related in: MedlinePlus

Preoperative oblique view.
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Figure 2: Preoperative oblique view.

Mentions: On physical examination, right BH with an oblique fibrotic scar from medial right breast to right axilla was observed (Figs. 1 and 2). The size of this scar was 20 × 0.5 cm and it had a continuation extending to the subcutaneous area and affected the right breast growth. Both breasts were Tanner grade 5, right areola-nipple/midclavicular distance (AN/MC) was 18 cm, and left AN/MC distance was 20 cm. We planned subcutaneous scar releasing and fat grafting treatment for her right breast. In the first operation, after submammarial and intrascar stab incisions, subcutaneous releasing was performed along the long axis of fibrotic scar tissue with a Coleman closed neck dissector (with 4-mm tip diameter; Mentor Medical Systems, Santa Barbara, Calif.) cannula. Dissection was achieved by subcutaneous relaxation.


Reconstruction of Acquired Breast Hypoplasia by Subcutaneous Scar Releasing and Repeated Fat Grafting Combination.

Eser C, Temiz G, Dulgar AG, Gencel E, Yavuz M - Plast Reconstr Surg Glob Open (2015)

Preoperative oblique view.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4494478&req=5

Figure 2: Preoperative oblique view.
Mentions: On physical examination, right BH with an oblique fibrotic scar from medial right breast to right axilla was observed (Figs. 1 and 2). The size of this scar was 20 × 0.5 cm and it had a continuation extending to the subcutaneous area and affected the right breast growth. Both breasts were Tanner grade 5, right areola-nipple/midclavicular distance (AN/MC) was 18 cm, and left AN/MC distance was 20 cm. We planned subcutaneous scar releasing and fat grafting treatment for her right breast. In the first operation, after submammarial and intrascar stab incisions, subcutaneous releasing was performed along the long axis of fibrotic scar tissue with a Coleman closed neck dissector (with 4-mm tip diameter; Mentor Medical Systems, Santa Barbara, Calif.) cannula. Dissection was achieved by subcutaneous relaxation.

Bottom Line: Breast hypoplasia may have a congenital or acquired etiology.One of the acquired reasons is postinfectious scars, which results in skin restriction and breast hypoplasia in the long term.Reconstruction of breast hypoplasia is performed by autologous tissues, implants, or both.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Cukurova University Medical Faculty, Saricam, Adana, Turkey; and Department of Plastic Reconstructive and Aesthetic Surgery, Dr. Lütfi Kirdar Kartal Training and Research Hospital, Kartal, İstanbul, Turkey.

ABSTRACT
Breast hypoplasia may have a congenital or acquired etiology. One of the acquired reasons is postinfectious scars, which results in skin restriction and breast hypoplasia in the long term. Reconstruction of breast hypoplasia is performed by autologous tissues, implants, or both. In this report we present a hypoplastic breast reconstruction by subcutaneous scar releasing and multiple autologous fat grafting in a 21-year-old female with a right breast hypoplasia due to postinfectious scar. No complications were observed at 24 months follow-up after treatment by subcutaneous scar releasing and repeated (three times) fat grafting. Safe and natural reconstruction of mild breast hypoplasia due to fibrotic scars can be accomplished by performing a combination of subcutaneous scar releasing and multiple fat grafting.

No MeSH data available.


Related in: MedlinePlus