title: The forked liposuction cannula: a novel approach to the correction of cicatricial contracture deformities in breast reconstruction.
abstract: Cicatricial contracture deformities in breast reconstruction can result from delayed wound healing, fat necrosis, or chest wall radiation. Secondary revision can be difficult as these contour deformities compromise the final result. The authors describe correction of these scar deformities with a forked liposuction cannula in 38 breast reconstructions (32 patients). Mean follow-up time was 6 months, and no complications resulted from the use of the forked cannula. In 33 reconstructions (86.8%), autologous fat grafting was performed simultaneously. Multiple revisions were required in 8 reconstructions (23.7%). Three patients had a residual contracture after treatment; all 3 had a history of radiation therapy. This early experience demonstrates that use of a forked liposuction cannula for cicatricial breast deformities is both easy and safe. This technique can be a useful adjunct, especially in patients undergoing autologous fat grafting; however, residual contracture may be observed in patients with a history of radiation therapy.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
authors.forename: Adeyiza O
authors.initials: AO
authors.lastname: Momoh
authors.forename: Salih
authors.initials: S
authors.lastname: Colakoglu
authors.forename: Catherine
authors.initials: C
authors.lastname: de Blacam
authors.forename: Michael S
authors.initials: MS
authors.lastname: Curtis
authors.forename: Bernard T
authors.initials: BT
authors.lastname: Lee
mesh_terms: D057785:Catheters; D002921:Cicatrix / Q000209:etiology* / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000295:instrumentation