Correction of congenital breast and chest wall malformations by lipomodelling technique
Authors:
L. Streit 1,2; L. Dražan 1; P. Novák 1; M. Schneiderová 3; K. Teplá 2; J. Veselý 1
Authors‘ workplace:
Klinika plastické a estetické chirurgie, Fakultní nemocnice u sv. Anny v Brně
1; Klinika plastické a estetické chirurgie, Lékařská fakulta Masarykovy univerzity, Brno
2; Oddělení radiologie, Masarykův onkologický ústav, Brno
3
Published in:
Čes-slov Pediat 2017; 72 (5): 308-313.
Category:
Original Papers
Overview
Congenital breast malformations such as a major hypoplasia or even breast aplasia and considerable breast shape deformities can have a negative impact on women’s personal or social life during adolescent age. Surgical correction may help these patients to increase their self-esteem and to build normal relationships.
Autologous breast reconstruction using tissue transfers, known as flaps, is associated with scars and possible donor site morbidity. Main disadvantages of breast reconstruction with implants are limited options for breast-shaping and difficult relocation of atypically placed areola. The need for replacement of breast implants later in patient’s life represents another disadvantage.
Breast lipomodelling is miniinvasive surgical technique of fat tissue transfer by lipoinjections, which is used to form volume of the breast in several sessions, having natural consistence and reaching a high degree of symmetry. Due to gradual formation of the breast, it is possible to start correction of malformation in early adolescence, and to prevent negative effect of malformation on mental and social development of a young person.
The aim of this paper, based on literature review and our clinic experiences, is to present the use of lipomodelling technique in breast reconstruction in cases of Poland’s syndrome and tuberous breast deformity.
KEY WORDS:
congenital malformation, breast, Poland’s syndrome, tuberous, constricted, fat grafting, lipomodelling
Sources
1. Alfred P. Deficiency of the pectoral muscle. Guy‘s Hosp Rep 1841; 6: 191–193.
2. Fournier-Masse M, Castaing H, Fournet JP, et al. Poland‘s syndrome. Report of 20 cases. Ann Pediatr (Paris) 1976; 23: 285–292.
3. Mĕsták J, Zadorozná M, Cakrtová M. Breast reconstruction in women with Poland‘s syndrome. Acta Chir Plast 1991; 33: 137–144.
4. Rees TD, Aston SJ. The tuberous breast. Clin Plast Surg 1976; 3 (2): 339–347.
5. Puckett CL, Concannon MJ. Augmenting the narrow-based breast: the unfurling technique to prevent the double-bubble deformity. Aesthetic Plast Surg 1990; 14: 15–19.
6. Grolleau JL, Lanfrey E, Lavigne B, et al. Breast base anomalies: treatment strategy for tuberous breasts, minor deformities, and asymmetry. Plast Reconstr Surg 1999; 104: 2040–2048.
7. Delay E, Garson S, Tousson G, et al. Fat injection to the breast: Technique, results, and indications based on 880 procedures over 10 years. Aesthet Surg J 2009; 29: 360–376.
8. Delay E, Streit L, Toussoun G, et al. Lipomodelling: An important advance in breast surgery. Acta Chir Plast 2013; 55: 34–43.
9. Agha RA, Fowler AJ, Herlin C, et al. Use of autologous fat grafting for breast reconstruction: a systematic review with meta-analysis of oncological outcomes. J Plast Reconstr Aesthet Surg 2015; 68: 143–161.
10. Měšťák O. Augmentace prsů fatgraftingem. In: Brychta P, et al. Estetická plastická chirurgie a korektivní dermatologie. Praha: Grada Publishing a.s., 2014: 156–158.
11. Delay E, Sinna R, Chekaroua K, et al. Lipomodeling of Poland‘s syndrome: a new treatment of the thoracic deformity. Aesthetic Plast Surg 2010; 34: 218–225.
12. Delay E, Sinna R, Ho Quoc C. Tuberous breast correction by fat grafting. Aesthet Surg J 2013; 33: 522–528.
13. Klit A, Siemssen PA, Gramkow CS. Treatment of congenital unilateral hypoplastic breast anomalies using autologous fat grafting: A study of 11 consecutive patients. J Plast Reconstr Aesthet Surg 2015; 68: 1106–1111.
14. Derder M, Whitaker IS, Boudana D, et al. The use of lipofilling to treat congenital hypoplastic breast anomalies: preliminary experiences. Ann Plast Surg 2014; 73: 371–377.
15. Ho Quoc C, Sinna R, Gourari A, et al. Percutaneous fasciotomies and fat grafting: indications for breast surgery. Aesthet Surg J 2013; 33: 995–1001.
16. Delay E, Sinna R, Chekaroua K, et al. Lipomodeling of Poland‘s syndrome: A new treatment of the thoracic deformity. Aesthetic Plast Surg 2010; 34: 218–225.
Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2017 Issue 5
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