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Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases

Patients with breast cancer have experienced advancements both in oncological treatment and in aesthetics as a result of developments in reconstructive techniques. We aimed to present our experience with the reverse expansion technique, summarizing the results of our first 100 cases of reconstructio...

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Autores principales: Fabiocchi, Luca, Lucattelli, Elena, Cattin, Federico, Cipriani, Federico, Dellachiesa, Laura, Fogacci, Tommaso, Frisoni, Gianluca, Semprini, Gloria, Samorani, Domenico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069859/
https://www.ncbi.nlm.nih.gov/pubmed/37020986
http://dx.doi.org/10.1097/GOX.0000000000004915
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author Fabiocchi, Luca
Lucattelli, Elena
Cattin, Federico
Cipriani, Federico
Dellachiesa, Laura
Fogacci, Tommaso
Frisoni, Gianluca
Semprini, Gloria
Samorani, Domenico
author_facet Fabiocchi, Luca
Lucattelli, Elena
Cattin, Federico
Cipriani, Federico
Dellachiesa, Laura
Fogacci, Tommaso
Frisoni, Gianluca
Semprini, Gloria
Samorani, Domenico
author_sort Fabiocchi, Luca
collection PubMed
description Patients with breast cancer have experienced advancements both in oncological treatment and in aesthetics as a result of developments in reconstructive techniques. We aimed to present our experience with the reverse expansion technique, summarizing the results of our first 100 cases of reconstruction after skin-sparing mastectomy and nipple-sparing mastectomy. METHODS: From January 2010 to September 2018, 253 breast reconstruction procedures were performed on 100 patients. The reverse expansion technique consists of autologous fat tissue transplantation requiring the combined use of a skin expander and of multiple lipofilling sessions. At the beginning of every session the breast expander was deflated by removing a saline volume similar to that of the fat to be injected. RESULTS: Overall, 56 breast reconstructions after skin-sparing mastectomy and 44 after nipple-sparing mastectomy were performed. An average of 661.5 cm(3) of fat per session was harvested and an average of 305.3 cm(3) per breast was injected. The average number of sessions to achieve breast reconstruction was 2.53. Only four complications after 253 procedures (1.5%) were reported: one donor site hemorrhage due to genetic lack of coagulation factors, and three surgical site infections. CONCLUSIONS: Considering the large number of positive factors such as a fast postoperative recovery, an easy learning curve, a lack of need of a specialized surgical team, a natural look of the breast shape, and the soft consistency of the grafted tissue, we believe this technique could be the first choice for autologous reconstruction after skin-sparing mastectomy and nipple-sparing mastectomy.
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spelling pubmed-100698592023-04-04 Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases Fabiocchi, Luca Lucattelli, Elena Cattin, Federico Cipriani, Federico Dellachiesa, Laura Fogacci, Tommaso Frisoni, Gianluca Semprini, Gloria Samorani, Domenico Plast Reconstr Surg Glob Open Breast Patients with breast cancer have experienced advancements both in oncological treatment and in aesthetics as a result of developments in reconstructive techniques. We aimed to present our experience with the reverse expansion technique, summarizing the results of our first 100 cases of reconstruction after skin-sparing mastectomy and nipple-sparing mastectomy. METHODS: From January 2010 to September 2018, 253 breast reconstruction procedures were performed on 100 patients. The reverse expansion technique consists of autologous fat tissue transplantation requiring the combined use of a skin expander and of multiple lipofilling sessions. At the beginning of every session the breast expander was deflated by removing a saline volume similar to that of the fat to be injected. RESULTS: Overall, 56 breast reconstructions after skin-sparing mastectomy and 44 after nipple-sparing mastectomy were performed. An average of 661.5 cm(3) of fat per session was harvested and an average of 305.3 cm(3) per breast was injected. The average number of sessions to achieve breast reconstruction was 2.53. Only four complications after 253 procedures (1.5%) were reported: one donor site hemorrhage due to genetic lack of coagulation factors, and three surgical site infections. CONCLUSIONS: Considering the large number of positive factors such as a fast postoperative recovery, an easy learning curve, a lack of need of a specialized surgical team, a natural look of the breast shape, and the soft consistency of the grafted tissue, we believe this technique could be the first choice for autologous reconstruction after skin-sparing mastectomy and nipple-sparing mastectomy. Lippincott Williams & Wilkins 2023-04-03 /pmc/articles/PMC10069859/ /pubmed/37020986 http://dx.doi.org/10.1097/GOX.0000000000004915 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Breast
Fabiocchi, Luca
Lucattelli, Elena
Cattin, Federico
Cipriani, Federico
Dellachiesa, Laura
Fogacci, Tommaso
Frisoni, Gianluca
Semprini, Gloria
Samorani, Domenico
Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases
title Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases
title_full Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases
title_fullStr Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases
title_full_unstemmed Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases
title_short Reverse Expansion for Breast Reconstruction after Skin-sparing and Nipple-sparing Mastectomy: Our First 100 Cases
title_sort reverse expansion for breast reconstruction after skin-sparing and nipple-sparing mastectomy: our first 100 cases
topic Breast
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069859/
https://www.ncbi.nlm.nih.gov/pubmed/37020986
http://dx.doi.org/10.1097/GOX.0000000000004915
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