CLINICAL EXAMPLE OF THE USE OF LIPOFILLING WITH DELAYED RECONSTRUCTION

Malignant breast tumors are one of the causes of disability due to lack of breast or having operational defects. In most cases, the quality of the operation depends on the further social and active patient behavior.

This article presents a clinical case of the use of lipofilling with reconstructive plastic surgery in breast cancer patients after complex treatment. In the particular example we show the positive effects after one session of conducted lipofiling in front of the chest wall to the right with Body-Jet hardware techniques. The purpose of this procedure was to improve the quality of cover fabrics in postoperative scar on the anterior chest wall right after comprehensive treatment, including also a cover for the such aggressive tissue treatment, as radiotherapy.

It is proved that mesenchymal stromal cells, or cell-messengers that are present in all the fatty tissues, contribute to its regeneration by forming new blood vessels, or act directly on the damaged or exposed to aging structure — restore and rejuvenate the field of lipofilling. Therefore, adipose tissue is laid down by the nature of the human body a source of regeneration. In this clinical example, after successfully conducted one session of lipofilling marked improvement in skin quality in postoperative scar made after mastectomy and radiotherapy. Good autofat graft survival rate is also fixed, which was enough to implement further stages of breast reconstruction.

1. Zikiryakhodzhaev AD, Volchenko AA, Ermoshchenkova MV, Sukhotko AS. Selection for reconstruction onco-plastic surgery in patients with breast cancer. Oncology Bulletin of the Volga region. 2015; 3: 38–44. (In Russian).

2. Kochneva IS. Evolution of lipofilling. Recovery of soft tissue augmentation to regenerative medicine.

3. Why lipofilling. Hystory and background.

4. Khouri RK, Rigotti G, Khouri RK Jr, Cardoso E, Marchi A, Rotemberg SC, et al. Tissue-engineered breast reconstruction with Brava-assisted fat grafting: a 7-year, 488-patient, multicenter experience. Plast Reconstr Surg. 2015 Mar;135 (3):643–58. doi: 10.1097/PRS.0000000000001039

5. Chirappapha P, Rietjens M, De Lorenzi F, Andrea M, Hamza A, Petit J-Y, et al. Evaluation of Lipofilling Safety in Elderly Patients with Breast Cancer. Plast Reconstr Surg Glob Open. 2015 Aug 10;3 (7): e441. doi: 10.1097/GOX.0000000000000411

6. Venus Envy. A History of Cosmetic Surgery. By Elizabeth Haiken. Plastic Surgery Before and After. The New York Times on the Web, 1997.

7. Stevens HPJD, Willemsen JCN. Lipofilling het levend gound. Nederlands Tijdschrift voor Plastische Chirurgle. 2013; 3: 97–104.

8. Lexer E. Die Freien Transplantationen, 1. Teil Mit 411Teils Farbigen Textabbidungen. Neue Deutsche Chirurgie 26. Band Hardcover — January 1, 1919.

9. Peer LA. Transplantation of tissues. Vol. I, 1955.

10. Taek Kim. Liposuction — Then and Now. Available at: http://www.triblocal.com

11. Coleman SR. Structural fat grafting: more then permanent filler. Plast Reconstr Surg. 2006 Sep;118 (3 Suppl):108S-120S. DOI: 10.1097/01.prs.0000234610.81672.e7

12. Bircoll M, Novack BH. Autologous fat transplantation employing liposuction techniques. Ann Plast Surg. 1987 Apr; 18 (4): 327–9.

13. Rigotti G, Marchi A, Galie M, Baroni G, Bnati D, Krampera M, et al. Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg. 2007 Apr 15;119 (5):1409–22; discussion 1423–4. DOI: 10.1097/01.prs.0000256047.47909.71