Derder Mohamed, Whitaker Iain S, Boudana David, Marchac Alexandre, Hivelin Mikael, Mattar Nadia, Lepage Christophe, Claude Olivier, Benjoar Marc-David, Bosc Romain, Lantieri Laurent
From the *Service de Chirurgie Plastique, Hôpital Européen Georges Pompidou, Paris, France; †Plastic Surgery Department, Cambridge University Hospital, Hills Road, Cambridge, England; ‡Division of Plastic Surgery, Sunnybrook Health Sciences Center, University of Toronto, Toronto, Canada; and §Hôpital Henri Mondor, Creteil, France.
Ann Plast Surg. 2014 Oct;73(4):371-7. doi: 10.1097/SAP.0b013e31827fb3b7.
Treatment options for congenital hypoplastic breast anomalies are often open, including radial scoring, parenchymal flaps, and insertion of expanders and implants. Drawbacks of open techniques involve scarring, the use of drains, and inpatient stays. The use of lipofilling to treat breast deformities is increasing, as more research is completed in this area.
We report a retrospective study of 10 patients below the age of 20 following autologous fat transfer between January 1, 2003 and January 1, 2004. (2 Poland syndrome, 3 bilateral tuberous breast, and 5 unilateral micromastia). Age, cup size, the number of sessions, time interval between each session, volumes injected, and complications were recorded. Postoperative mammography, ultrasonography, and MRI were assessed by a specialized radiologist. Patients answered a questionnaire 1 year after the procedure.
Mean follow-up was 68 months (60-77 months) and mean age was 17.5 years (15-20 years). Mean number of fat injection sessions was 2 (1-4) and mean volume injected 285 mL per breast (200-500 mL). The time interval between each session was 5 months (3-6 months). Cup size remained unchanged after at least 5 years of follow-up. One case underwent a contralateral breast reduction. The cosmetic results considered satisfactory in almost all the patients after 1 year of follow-up. None of our patients complained of scars or defects at the donor site. All breasts imaging were normal except 1 patient with oil cysts.
Our preliminary results using lipofilling to treat young patients with breast hypoplasia with lipofilling are very encouraging. The authors believe it is an alternative of choice for the correction of the young woman's breast deformities if the avoidance of scarring is preferred.
先天性乳房发育不全畸形的治疗选择通常为开放性手术，包括放射状评分、实质瓣、扩张器和植入物植入。开放性技术的缺点包括瘢痕形成、使用引流管和住院治疗。随着该领域更多研究的完成，脂肪填充治疗乳房畸形的应用正在增加。
我们报告了一项对2003年1月1日至2004年1月1日期间接受自体脂肪移植的10例20岁以下患者的回顾性研究。（2例波兰综合征，3例双侧乳房畸形，5例单侧小乳房）。记录年龄、罩杯大小、手术次数、每次手术的时间间隔、注射量和并发症。术后乳房X线摄影、超声检查和MRI由专业放射科医生评估。患者在手术后1年回答问卷。
平均随访68个月（60 - 77个月），平均年龄17.5岁（15 - 20岁）。平均脂肪注射次数为2次（1 - 4次），每侧乳房平均注射量为285 mL（200 - 500 mL）。每次手术的时间间隔为5个月（3 - 6个月）。经过至少5年的随访，罩杯大小保持不变。1例患者接受了对侧乳房缩小术。随访1年后，几乎所有患者的美容效果均令人满意。我们的患者均未抱怨供区有瘢痕或缺陷。除1例有油囊肿的患者外，所有乳房影像学检查均正常。
我们使用脂肪填充治疗年轻乳房发育不全患者的初步结果非常令人鼓舞。作者认为，如果更倾向于避免瘢痕形成，脂肪填充是矫正年轻女性乳房畸形的一种替代选择。
