先天性乳房畸形通常发生在青春期,在这个关键阶段会扰乱自我发育并影响身份。现在有几种手术技术可以纠正这些不同的异常。目的是阐明在胸乳畸形中脂肪模型的位置,恢复不同的适应症,结果,以及限制和潜在的并发症。通过软抽吸收集脂肪组织以减少脂肪细胞损伤,并使用配有3.5mm套管的注射器。离心后,脂肪被逆行地重新注入,并通过制造类似于“意大利面条”的薄脂肪圆柱体。中度至严重的不对称是使用一个或两个会话进行脂质修饰的最佳适应症之一。因此,实现了完美和持久的对称,不需要植入物,这将不可避免地导致不对称,因为在整个时间内乳房的不同进化。在贝克尔痣综合征中,脂质修饰也可以抑制痣的色素沉着过度。脂肪模型在漏斗胸畸形(前后胸肋凹陷)中的作用也至关重要。Lipomodeling可以单独使用,或与刚性定制硅胶植入物组合。结节性乳房包括各种异常。目前使用脂omodeling,特别是当异常是单侧的时候(通常需要2次脂肪移植)。也经常进行筋膜切开术。Lippomodeling是波兰综合征(以胸大肌单侧缺乏为特征的异常,或多或少与其他同侧异常相关)。平均而言,需要3到5次会议来获得合适的对称性。Lipomodeling不太可能引起重大的手术并发症。细胞脂肪坏死结节主要发生在新手从业者身上,随着经验的增加而减少。然而,三维网络的原理,应尊重受体部位的组织饱和现象。脂肪模型的主要限制与可用的脂肪量直接相关。这就是为什么在第一次临床咨询中评估它非常重要,并仔细选择符合条件的患者,以限制失败的风险。先天性乳房畸形的脂omodeling是一种成熟的技术,有了精确的算法,是一种低手术风险的手术,更少的疤痕,美容和持久的结果。该技术被建议作为所有先天性乳房畸形适应症的一线治疗方法。单独或结合到植入物。因此,整形外科医生完全掌握脂肪组织转移程序的适应症和使用,以获得自然和谐的结果。
Congenital breast deformities usually occur during adolescence and can disturb the self-development and affect the identity during this crucial stage. Several surgical techniques are now available to correct these different anomalies. The objective is to clarify the place of
lipomodeling in thoraco-mammary malformations, resuming the different indications, the results, as well as the limits and potential complications. The adipose tissue was harvested by soft aspiration as to reduce adipocyte trauma and using a syringe fitted with a 3.5mm cannula. After centrifugation, fat was reinjected retrogradely and by making thin cylinders of fat similar to \"spaghetti\". Moderate to severe asymmetry is one of the best indications for
lipomodeling using one or two sessions. Thus, a perfect and lasting symmetry is achieved, without the need of an implant, which would inevitably leads to asymmetry because of a dissimilar evolution of the breast all over the time. In Becker\'s nevus syndrome, lipomodeling has also been performant in bluring the hyperpigmentation of the nevus. The role of lipomodeling in pectus excavatum deformity (antero-posterior sternocostal depression) is also crucial.
Lipomodeling can be used alone, or in combination with a rigid customed silicone implant. Tuberous breasts include various anomalies. Lipomodeling is currently used especially when the anomaly is unilateral (2 fat graft sessions are usually needed). Fasciotomies are frequently performed too. Lipomodeling is a real revolution in the management of Poland syndrome (anomaly characterized by the unilateral lack of the pectoralis major muscle, more or less associated with other ipsilateral anomalies). On average, 3 to 5 sessions are necessary to obtain a suitable symmetry.
Lipomodeling is very unlikely to cause major surgical complications. Cytosteatonecrosis nodules mainly occur with novice practitioner and decrease as they become more experienced. However, the principle of the three-dimensional network, and the phenomenon of tissue saturation of the recipient site should be respected. The main limitation of
lipomodeling is directly related to the amount of fat available. That\'s why it is very important to evaluate it during the first clinical consultation, and to carefully select the patients eligible in order to limit the risk of failure. Lipomodeling of congenital breast anomalies is a technique well established, with a precise algorithm to follow, and is a procedure with low surgical risk, less scarring, cosmetic and lasting results. This technique is to be suggested as a first line treatment in all indications of congenital breast deformities, alone or combined to an implant. Therefore, it seems essential that a plastic surgeon fully master the indications and the use of fat tissue transfer procedure, in order to obtain natural and harmonious results.