Delay Emmanuel, Meruta Andreea Carmen, Guerid Samia
Department of Plastic and Reconstructive Surgery, Centre Leon Berard, 28 Rue Laennec, Lyon Cedex 08 69373, France; Private Practice, 50 Rue de la Republique, Lyon 69002, France.
Department of Plastic and Reconstructive Surgery, Centre Leon Berard, 28 Rue Laennec, Lyon Cedex 08 69373, France.
Clin Plast Surg. 2018 Jan;45(1):111-117. doi: 10.1016/j.cps.2017.08.009. Epub 2017 Sep 18.
Complete breast reconstruction with fat grafting is an appealing technique because it does not add scars or use flaps, is autologous, and has the secondary benefit of liposuction. It is a multiple stage surgery and usually requires balancing of the contralateral breast. After using this technique since 2001, the authors narrowed the indications, the ideal candidate being a patient with small breasts and enough donor sites for up to 4 or 5 lipomodeling sessions. Breast reconstruction with fat grafting alone in total breast reconstruction has very limited indications, because lipomodeling in combination with other autologous reconstruction gives very nice results.
采用脂肪移植进行全乳房重建是一种有吸引力的技术，因为它不会增加瘢痕或使用皮瓣，属于自体组织，并且还有抽脂的额外益处。这是一种多阶段手术，通常需要对侧乳房的对称性调整。自2001年起使用该技术后，作者缩小了其适应证范围，理想的候选者是乳房较小且有足够供区可进行多达4或5次脂肪塑形手术的患者。在全乳房重建中单纯使用脂肪移植进行乳房重建的适应证非常有限，因为脂肪塑形与其他自体组织重建相结合能取得非常好的效果。
