title: [Clinical evaluation of effect of transplantation by auto-fat granule injection for mastatrophy post suckling].
abstract: OBJECTIVE
  To investigate the clinical effect of transplanting by auto-fat granule injection for mastatrophy post suckling.
  
  
  METHODS
  From March 2000 to June 2006, 73 patients (146 breasts) with mastatrophy post suckling were treated by transplanting auto-fat granule. The mastatrophy occurred between ages 28 and 52 years with a median of 37 years post suckling. The breasts shrank and their elasticity decreased gradually within 2-10 years post suckling. The auto-fat granule was obtained by liposuction with syringe from patient's abdomen, waist, buttocks and thighs, etc. After repeated wash and purification, the auto-fat granule was transplanted into the interspace behind the breast by injection. The quantity of auto-fat granule was 50-100 mL in each side of breast per transplantation at 3-6 months intervals, and the whole course of treatment needed 2-6 transplantations.
  
  
  RESULTS
  The incisions in all cases healed primarily postoperatively. In 73 cases, 65 were followed up from 6 months to 3 years post operation. All patients had a significant improvement in their breast size and shape postoperatively and their breasts were soft and natural in appearance and feel. All of them had more perfect arcuation of physique and body with strengthened self-confidence, relieved mood and improved quality of life. However, small indurations were found sporadically in 7 cases (10 breasts) within 2-7 months, and calcifications in 5 cases (8 breasts) within 9-14 months post the first operation.
  
  
  CONCLUSIONS
  The transplantation by auto-fat granule injection for mastatrophy post suckling is an effective and practical method. The surgical technique is well worth performing in clinical practice.
authors.affiliation: Department of Plastic Surgery, Affiliated Stomatological Hospital, Fujian Medical University, Fuzhou Fujian, 350002, P. R. China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Chen
authors.forename: Jianhua
authors.initials: J
authors.lastname: Gao
authors.forename: Liangping
authors.initials: L
authors.lastname: Song
authors.forename: Xiuli
authors.initials: X
authors.lastname: Wu
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D001284:Atrophy / Q000209:etiology / Q000601:surgery*; D001940:Breast / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D014182:Transplantation, Autologous; D016896:Treatment Outcome