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International Expert Panel Consensus on Fat Grafting of the Breast

Autologous fat grafting has broad applications in reconstructive and aesthetic breast surgery as a natural filler and for its regenerative purposes. Despite the widespread use of fat grafting, there remains no shared consensus on what constitutes the optimal fat grafting technique and its oncologica...

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Autores principales: Nava, Maurizio B., Blondeel, Phillip, Botti, Giovanni, Casabona, Francesco, Catanuto, Giuseppe, Clemens, Mark W., De Fazio, Domenico, De Vita, Roy, Grotting, James, Hammond, Dennis C., Harris, Paul, Montemurro, Paolo, Mendonça Munhoz, Alexandre, Nahabedian, Maurice, Pompei, Stefano, Rancati, Alberto, Rigotti, Gino, Salgarello, Marzia, Scaperrotta, Gianfranco, Spano, Andrea, Stan, Costantin, Rocco, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846285/
https://www.ncbi.nlm.nih.gov/pubmed/31772879
http://dx.doi.org/10.1097/GOX.0000000000002426
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author Nava, Maurizio B.
Blondeel, Phillip
Botti, Giovanni
Casabona, Francesco
Catanuto, Giuseppe
Clemens, Mark W.
De Fazio, Domenico
De Vita, Roy
Grotting, James
Hammond, Dennis C.
Harris, Paul
Montemurro, Paolo
Mendonça Munhoz, Alexandre
Nahabedian, Maurice
Pompei, Stefano
Rancati, Alberto
Rigotti, Gino
Salgarello, Marzia
Scaperrotta, Gianfranco
Spano, Andrea
Stan, Costantin
Rocco, Nicola
author_facet Nava, Maurizio B.
Blondeel, Phillip
Botti, Giovanni
Casabona, Francesco
Catanuto, Giuseppe
Clemens, Mark W.
De Fazio, Domenico
De Vita, Roy
Grotting, James
Hammond, Dennis C.
Harris, Paul
Montemurro, Paolo
Mendonça Munhoz, Alexandre
Nahabedian, Maurice
Pompei, Stefano
Rancati, Alberto
Rigotti, Gino
Salgarello, Marzia
Scaperrotta, Gianfranco
Spano, Andrea
Stan, Costantin
Rocco, Nicola
author_sort Nava, Maurizio B.
collection PubMed
description Autologous fat grafting has broad applications in reconstructive and aesthetic breast surgery as a natural filler and for its regenerative purposes. Despite the widespread use of fat grafting, there remains no shared consensus on what constitutes the optimal fat grafting technique and its oncological safety. For this reason, the authors of this study have organized a Survey and an International Consensus Conference that was held at the Aesthetic Breast Meeting in Milan (December 15, 2018). METHODS: All studies on fat grafting, both for breast aesthetic and reconstructive purposes, were electronically screened. The literature review led to 17 “key questions” that were used for the Survey. The authors prepared a set of 10 “key statements” that have been discussed in a dedicated face-to-face session during the meeting. RESULTS: The 10 key statements addressed all the most debated topics on fat grafting of the breast. Levels of evidence for the key statements ranged from III to IV with 2 statements (20%) supported by a level of evidence III and 6 statements (60%) by level of evidence IV. Overall consensus was reached for 2 statements (20%) with >75% agreement reached for 7 statements. CONCLUSIONS: The survey demonstrated a diversity of opinion and attitude among the panelists with regard to technique. Clear recommendations for evidence-based clinical practice for fat grafting use both in aesthetic and reconstructive breast surgery could not be defined due to the scarcity of level 1 or 2 studies.
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spelling pubmed-68462852019-11-26 International Expert Panel Consensus on Fat Grafting of the Breast Nava, Maurizio B. Blondeel, Phillip Botti, Giovanni Casabona, Francesco Catanuto, Giuseppe Clemens, Mark W. De Fazio, Domenico De Vita, Roy Grotting, James Hammond, Dennis C. Harris, Paul Montemurro, Paolo Mendonça Munhoz, Alexandre Nahabedian, Maurice Pompei, Stefano Rancati, Alberto Rigotti, Gino Salgarello, Marzia Scaperrotta, Gianfranco Spano, Andrea Stan, Costantin Rocco, Nicola Plast Reconstr Surg Glob Open Original Article Autologous fat grafting has broad applications in reconstructive and aesthetic breast surgery as a natural filler and for its regenerative purposes. Despite the widespread use of fat grafting, there remains no shared consensus on what constitutes the optimal fat grafting technique and its oncological safety. For this reason, the authors of this study have organized a Survey and an International Consensus Conference that was held at the Aesthetic Breast Meeting in Milan (December 15, 2018). METHODS: All studies on fat grafting, both for breast aesthetic and reconstructive purposes, were electronically screened. The literature review led to 17 “key questions” that were used for the Survey. The authors prepared a set of 10 “key statements” that have been discussed in a dedicated face-to-face session during the meeting. RESULTS: The 10 key statements addressed all the most debated topics on fat grafting of the breast. Levels of evidence for the key statements ranged from III to IV with 2 statements (20%) supported by a level of evidence III and 6 statements (60%) by level of evidence IV. Overall consensus was reached for 2 statements (20%) with >75% agreement reached for 7 statements. CONCLUSIONS: The survey demonstrated a diversity of opinion and attitude among the panelists with regard to technique. Clear recommendations for evidence-based clinical practice for fat grafting use both in aesthetic and reconstructive breast surgery could not be defined due to the scarcity of level 1 or 2 studies. Wolters Kluwer Health 2019-10-28 /pmc/articles/PMC6846285/ /pubmed/31772879 http://dx.doi.org/10.1097/GOX.0000000000002426 Text en Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. 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) (http://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 Original Article
Nava, Maurizio B.
Blondeel, Phillip
Botti, Giovanni
Casabona, Francesco
Catanuto, Giuseppe
Clemens, Mark W.
De Fazio, Domenico
De Vita, Roy
Grotting, James
Hammond, Dennis C.
Harris, Paul
Montemurro, Paolo
Mendonça Munhoz, Alexandre
Nahabedian, Maurice
Pompei, Stefano
Rancati, Alberto
Rigotti, Gino
Salgarello, Marzia
Scaperrotta, Gianfranco
Spano, Andrea
Stan, Costantin
Rocco, Nicola
International Expert Panel Consensus on Fat Grafting of the Breast
title International Expert Panel Consensus on Fat Grafting of the Breast
title_full International Expert Panel Consensus on Fat Grafting of the Breast
title_fullStr International Expert Panel Consensus on Fat Grafting of the Breast
title_full_unstemmed International Expert Panel Consensus on Fat Grafting of the Breast
title_short International Expert Panel Consensus on Fat Grafting of the Breast
title_sort international expert panel consensus on fat grafting of the breast
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846285/
https://www.ncbi.nlm.nih.gov/pubmed/31772879
http://dx.doi.org/10.1097/GOX.0000000000002426
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