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Volume 8 Gynecology & Obstetrics Gynecology Congress 2018
August 22-23, 2018
August 22-23, 2018 Tokyo, Japan
5 th Asia Pacific
Gynecology and Obstetrics Congress
Kais Razzouk, Gynecol Obstet 2018, Volume 8
DOI: 10.4172/2161-0932-C3-030
Autologous fat grafting to the post mastectomy irradiated chest wall, a way for minimal invasive breast
reconstruction: A series of 54 patients
Kais Razzouk
Institut du Sein-Nice Santa Maria, France
Background: Breast reconstruction after total mastectomy and irradiation is a real challenge for the surgical teams. And is
a crucial step for the patient in the life after breast cancer. The effect of radiotherapy on the skin often leads to preferring
the reconstructions by flaps. However, reconstruction by prosthesis carries a high risk of complications and unsatisfactory
cosmetic results. The optimization of skin trophicity by lipofilling 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 & Method: 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 lipofilling prior to breast implant reconstruction. Patients were followed to
collect this data: Postoperative complications, prosthesis removal, cosmetic result and tumor recurrences.
Results: 54 patients were included. The mean pre-pectoral lipofilling 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 first session of lipofilling is 20.4 months (3-60). The
mean volume of the prosthesis is 400 cc (290-620). The mean follow-up time is 22 months. No local tumor recurrence was
reported. One patient had a cutaneous necrosis after lipofilling. Implant explantation was performed in three cases (5.5%). The
mean cosmetic result is 4.7 (3.5-5).
Conclusion: Pre-pectoral lipofilling prior to implant breast reconstruction improves the chances of success by optimizing the
trophicity of the skin. It significantly reduces the risk of prosthesis explantation. We consider that this technic is a way for a
minimal invasive breast reconstruction.
Biography
Kais Razzouk specializes in Gynecological and Breast Surgery at Institut du Sein-Nice Santa Maria, France. He participates in the development of the techniques
of oncoplastic in the coverage (care) of breast cancers, an innovative surgical approach allows applying the techniques of plastic surgery to the coverage (care) of
breast cancers. He promotes the introduction of lipofilling or greasy cell transplants in the mammary reconstruction.