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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

Postoperative 2 years anterior view. The photograph was taken 3 months after the last fat grafting.
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Figure 3: Postoperative 2 years anterior view. The photograph was taken 3 months after the last fat grafting.

Mentions: After scar releasing, 100 mL tumescent solution was infiltrated into the periumbilical abdominal subcutaneous area with a 50-mL syringe. Typical tumescent solution contains 0.05–0.1% lidocaine, epinephrine 1:1,000,000, and sodium bicarbonate in 1 L of normal saline. Twenty minutes after the tumescent infiltration, harvested fat graft was centrifuged at 2000 rpm for 3 minutes in a standard centrifuge device. After creating multiple microtunnels, the centrifuged 100 mL fat graft was infiltrated into the right breast radially and multicentrically with 2 stab incisions (submammarial and upper-pole intrascar) by a 7-mm Coleman Infiltration Style I cannula. Two thirds of the fat graft was injected onto pectoral fascia, and the remainder one third of the fat graft was infiltrated into the subcutaneous area in a retrograde fashion. The same operational procedure was repeated with centrifuged 50-mL fat graft 3 times every 6 months. In total, 250-mL fat graft was injected. After 2 years follow-up, right AN/MC distance measured 19 cm and left AN/MC distance measured 20 cm (Figs. 3 and 4). We did not observe any postoperative complications such as infection or fat necrosis in magnetic resonance imaging (Fig. 5), and the patient’s satisfaction was high.


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)

Postoperative 2 years anterior view. The photograph was taken 3 months after the last fat grafting.
© Copyright Policy
Related In: Results  -  Collection

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

Figure 3: Postoperative 2 years anterior view. The photograph was taken 3 months after the last fat grafting.
Mentions: After scar releasing, 100 mL tumescent solution was infiltrated into the periumbilical abdominal subcutaneous area with a 50-mL syringe. Typical tumescent solution contains 0.05–0.1% lidocaine, epinephrine 1:1,000,000, and sodium bicarbonate in 1 L of normal saline. Twenty minutes after the tumescent infiltration, harvested fat graft was centrifuged at 2000 rpm for 3 minutes in a standard centrifuge device. After creating multiple microtunnels, the centrifuged 100 mL fat graft was infiltrated into the right breast radially and multicentrically with 2 stab incisions (submammarial and upper-pole intrascar) by a 7-mm Coleman Infiltration Style I cannula. Two thirds of the fat graft was injected onto pectoral fascia, and the remainder one third of the fat graft was infiltrated into the subcutaneous area in a retrograde fashion. The same operational procedure was repeated with centrifuged 50-mL fat graft 3 times every 6 months. In total, 250-mL fat graft was injected. After 2 years follow-up, right AN/MC distance measured 19 cm and left AN/MC distance measured 20 cm (Figs. 3 and 4). We did not observe any postoperative complications such as infection or fat necrosis in magnetic resonance imaging (Fig. 5), and the patient’s satisfaction was high.

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