Kais Razzouk
Institut du Sein-Nice Santa Maria, France
Title: Autologous fat grafting to the post mastectomy irradiated chest wall - A new way for minimal invasive breast reconstruction: A series of fifty four patients
Biography
Biography: Kais Razzouk
Abstract
The optimization of skin trophicity by lipoï¬lling and its positive impact on the results of secondary prosthetic breast reconstruction led us to perform an autologous fat grafting prior to secondary implant breast reconstruction after mastectomy and radiotherapy. Patients & Methods: All patients were treated at the same center between 2012 and 2015. They all had a total mastectomy and irradiation. They all had one or more sessions of lipoï¬lling prior to breast implant reconstruction. Patients were followed to collect this data: postoperative complications, prosthesis removal, cosmetic result, and tumor recurrences. Fifty-four patients were included in the study. Results: The mean pre-pectoral lipoï¬lling session was 1.1 (1-2). The average volume of fat injected is 150 cc (80-250). The average time between the end of treatment and the ï¬rst session of lipoï¬lling is 20.4 months (3-60). The mean volume of the prosthesis is 400 cc (290-620). The mean followup time is 22 months. No local tumor recurrence was reported. One patient had a cutaneous necrosis after lipoï¬lling. Implant explanation was performed in three cases (5.5%). The mean cosmetic result is 4.7 (3.5-5). Conclusion: Pre-pectoral lipoï¬lling prior to implant breast reconstruction improves the chances of success by optimizing the trophicity of the skin. It signiï¬cantly reduces the risk of prosthesis explanation. Therefore, this protocol allows us to propose a minimal invasive breast reconstruction, with no additional scar and no additional pain