University of Lyon, Department of Plastic and Reconstructive Surgery, Léon Bérard Cancer Centre, 28 rue Laennec, 69008 Lyon, France.
J Plast Reconstr Aesthet Surg. 2010 Nov;63(11):1769-77. doi: 10.1016/j.bjps.2009.12.002. Epub 2010 Jan 15.
The efficacy of fat grafting has long been a controversial issue. Breast lipomodelling after extended latissimus dorsi flap reconstruction was first attempted at the Plastic and Reconstructive Surgery unit of Leon Berard Cancer Centre in 1999. We present the results of a retrospective report of the first 200 consecutive patients treated at our institution from 1999 to 2003.
We identified specific requirements of the patients, and collected information on the surgical techniques used and the volumes of fat tissue injected. We analysed and compared the results of a total of 244 lipomodelling sessions.
The graft consisted of 70% fat graft, 13% oily supernatant and 17% serum residues. Approximately 30% was lost during centrifugation. On average, 176 ml of fat were injected in each breast. Very satisfactory results were obtained in 94.5% of the cases, with a majority of patients (80%) being very satisfied with the procedure and only 1.5% complications.
Our results demonstrate the safety and feasibility of breast lipomodelling. It is a new approach to improve reconstructive outcome after extended latissimus flap breast reconstruction.
脂肪移植的疗效一直存在争议。1999 年，里昂·贝拉德癌症中心整形与重建外科首次尝试在延长背阔肌皮瓣重建后进行乳房脂肪塑形。我们报告了 1999 年至 2003 年期间在我们机构接受治疗的前 200 例连续患者的回顾性报告结果。
我们确定了患者的具体要求，并收集了所使用的手术技术和注射的脂肪组织量的信息。我们分析并比较了总共 244 次脂肪塑形术的结果。
移植物由 70%的脂肪移植物、13%的油性上清液和 17%的血清残留物组成。在离心过程中约损失 30%。平均而言，每个乳房注射 176ml 的脂肪。非常满意的结果在 94.5%的病例中获得，大多数患者（80%）对该手术非常满意，只有 1.5%的患者出现并发症。
我们的结果表明乳房脂肪塑形术的安全性和可行性。这是一种改善延长背阔肌皮瓣乳房重建后重建效果的新方法。
