Claudio Silva-Vergara Claudiox, Fontdevila Joan, Weshahy Omar
Hospital Clinic of Barcelona. University of Barcelona, Barcelona, Spain.
World J Plast Surg. 2018 Jan;7(1):72-77.
The tuberous breast syndrome is a condition that affects young women and can bring on serious disorders of self-esteem. There are numerous surgical techniques to correct this condition, but most of them include the use of breast implants to replace lack of volume. Nowadays, patients are increasingly becoming more demanding to get a definitive solution with minimal aesthetic sequelae.
We present a series of 11 patients with tuberous breast deformities treated with lipofilling technique. Fat harvest was performed by conventional lipoaspiration with 3 mm cannulas, centrifuged at 2000 rpm for 2 minutes and injected in the breast were was needed with 1.9 mm blunt cannulas.
The patient's average age was 24 year old with a BMI of 23.4 kg/m. Volumes between 80 and 250 ml per breast were injected in every session, requiring a total volume of 413 ml per breast. Most patients required up to two procedures to achieve the complete breast correction. The mean follow-up was 29.7 months. All patients had good aesthetics results with minimal complications.
Natural breast mound with excellent cosmetic result can be achieved with fat grafting. Fat grafting main advantage is to respond to physiological changes in weight over time. In addition, lipofilling do not carry the inherent complications of implants. We strongly believe it is a safe and easy technique to reproduce in properly selected patients and with minimal morbidity it can cause the best natural result.
乳房管状畸形综合征是一种影响年轻女性的病症，可导致严重的自尊紊乱。有多种手术技术可矫正这种病症，但大多数技术都包括使用乳房植入物来弥补体积不足。如今，患者对获得具有最小美学后遗症的最终解决方案的要求越来越高。
我们展示了一系列11例采用脂肪填充技术治疗的乳房管状畸形患者。通过使用3毫米套管进行传统的脂肪抽吸来获取脂肪，以2000转/分钟的速度离心2分钟，然后用1.9毫米钝头套管将其注射到需要的乳房部位。
患者的平均年龄为24岁，体重指数为23.4kg/m。每次手术每侧乳房注射80至250毫升的脂肪，每侧乳房总共需要413毫升。大多数患者需要进行多达两次手术才能实现乳房的完全矫正。平均随访时间为29.7个月。所有患者均获得了良好的美学效果，并发症极少。
通过脂肪移植可以实现具有出色美容效果的自然乳房隆起。脂肪移植的主要优点是能够应对体重随时间的生理变化。此外，脂肪填充不会带来植入物固有的并发症。我们坚信，这是一种安全且简便的技术，在经过适当选择的患者中应用，且发病率极低，能够产生最佳的自然效果。
