背景:基于植入物的乳房重建是乳房重建的最普遍形式。自体脂肪移植(AFG)被概念化为基于植入物的乳房重建的替代方案,并被发现是一种可靠的重建方式。然而,通常,需要几轮移植来产生所需的乳房形状和大小。当前文献描述了AFG作为基于植入物的乳房重建以改善外观的辅助手段的丰富经验。然而,初始AFG后乳房植入物的使用很少描述。这项研究的主要优点是创造了新的脂肪组织作为乳房丘。然后通过将植入物插入该新土墩中来结束重建。这种方法减少了实现预期结果所需的脂肪注射的总数。以及植入物的总体积。
方法:这项IRB批准的回顾性研究于2015年1月至2021年12月进行。在此时间段内接受AFG延迟乳房重建并希望以硅胶植入物作为最后阶段完成乳房重建的所有女性都包括在研究中。
结果:共有29例患者(33例乳房)接受了以AFG和硅胶植入物为最后阶段的延迟乳房重建。在所有情况下,结果令人满意,无任何重大并发症.在一名患者中观察到次要并发症,包括感染。
结论:这项研究的结果证明了该程序的有效性以及患者的满意度。从而突出了这种方法提供的潜在优势。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: Implant-based breast reconstruction is the most prevalent form of breast reconstruction. Autologous fat grafting (AFG) was conceptualized as an alternative to implant-based breast reconstruction and was found to be a reliable reconstruction modality. However, usually, a few grafting rounds are required to create the desired shape and size of the breast. Current literature describes ample experience with AFG as an adjunct to implant-based breast reconstruction for improving appearance. However, the utilization of breast implants following initial AFG has been sparingly described. The primary advantage of this study is the creation of new fat tissue as a breast mound. The reconstruction is then concluded by inserting an implant into this new mound. This approach reduces the overall number of fat injections needed to achieve the desired outcome, as well as the total volume of the implant.
METHODS: This IRB-approved retrospective study was conducted between January 2015 and December 2021. All women who underwent delayed breast reconstruction with AFG during this timeframe and wanted to complete it with a silicone implant as a last stage were included in the study.
RESULTS: A total of 29 patients (33 breasts) underwent delayed breast reconstruction with AFG and a silicone implant as the final stage. In all cases, the results were satisfying without any major complications. Minor complications were observed with one patient and included an infection.
CONCLUSIONS: The findings of this study have demonstrated the effectiveness of this procedure together with patient satisfaction, thus highlighting the potential advantages that this approach offers.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to Table of Contents or the online Instructions to Authors www.springer.com/00266 .