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内置扩张器扩张及取出后脂肪移植全乳重建术

Total Breast Reconstruction With Fat Grafting After Internal Expansion and Expander Removal.

作者信息

Manconi Andrea, De Lorenzi Francesca, Chahuan Badir, Berrino Valeria, Berrino Pietro, Zucca-Matthes Gustavo, Petit Jean Yves, Rietjens Mario

机构信息

From the Division of Plastic and Reconstructive Surgery, European Institute of Oncology, Milan, Italy.

出版信息

Ann Plast Surg. 2017 Apr;78(4):392-396. doi: 10.1097/SAP.0000000000000833.

Abstract

INTRODUCTION

The development of fat grafting techniques both in cosmetic and reconstructive breast surgery has highlighted the need to recreate a breast mound using similar tissues and without visible scarring. Our technique combines skin expansion by conventional expanders and breast volume replacement by serial fat grafting and final expander removal.

MATERIALS AND METHODS

Fat grafting had been performed both by Coleman technique and Bodyjet system. We report a series of 12 cases enrolled between 2008 and 2013. Each case has been presented in this article, focusing on received treatment, observed complications, and results.

RESULTS

Satisfactory results were observed 6 months after the last session in most of the concluded reconstructions with a low complication rate.

摘要

引言

美容和重建性乳房手术中脂肪移植技术的发展凸显了使用相似组织重建乳房隆起且不留明显疤痕的必要性。我们的技术结合了传统扩张器进行皮肤扩张、通过系列脂肪移植进行乳房容积替代以及最终取出扩张器。

材料与方法

脂肪移植采用了科尔曼技术和Bodyjet系统。我们报告了2008年至2013年间纳入的一系列12例病例。本文呈现了每个病例,重点关注接受的治疗、观察到的并发症及结果。

结果

在大多数已完成的重建手术中,最后一次手术后6个月观察到了满意的效果,且并发症发生率较低。

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