title: Secondary lipofilling after breast reconstruction with implants.
abstract: BACKGROUND
  Several Authors have reported on the use of lipoinjection as a low-risk and low-morbidity procedure that gives good results for the correction of soft-tissue defects.
  
  
  OBJECTIVE
  The purpose of this study was to review our caseload of fat grafting after breast reconstruction with prosthesis.
  
  
  METHODS
  Between January 2008 and December 2011, 20 patients were treated for breast asymmetries with secondary autologous fat injection after nipple-sparing, skin-sparing and skin-reducing mastectomies breast reconstruction in our Departments. Exclusion criteria was postoperative radiotherapy. In order to assess aesthetic satisfaction, patients and an independent plastic surgeon filled an evaluation form (VAS = 1-10) preoperatively one and six months after surgery.
  
  
  RESULTS
  In postoperative days no major complications occurred. Donor sites looks completely healthy and no scars were evident. The average values of aesthetic satisfaction in patients (VAS) were 5.2 (range 3-7) preoperatively, 7.9 (range 5-9) one month post-operatively and 7.2 six months postoperatively (range 5-9). Values reported by the surgeon team were an average of 4.9 (range 4-6) preoperatively, 7.6 after one month (range 6-9) and 7.1 after six months (range 5-9).
  
  
  CONCLUSIONS
  Acquired contour deformities of the reconstructed breast are relatively common and independent from the technique used. Therefore, they present a frequent therapeutic challenge to reconstructive surgeons. Lipomodelling offers an "easy to perform" and predictable cosmetic solution to these patients. An objective examination of aesthetic results, in addition to our clinical analysis shows a significant improvement of cosmetic outcomes; moreover, all patients were satisfied for their final appearance.
authors.affiliation: Department of Surgery, Sapienza University of Rome, Rome, Italy. emanuelecigna@msn.com
authors.forename: E
authors.initials: E
authors.lastname: Cigna
authors.forename: D
authors.initials: D
authors.lastname: Ribuffo
authors.forename: V
authors.initials: V
authors.lastname: Sorvillo
authors.forename: M
authors.initials: M
authors.lastname: Atzeni
authors.forename: A
authors.initials: A
authors.lastname: Piperno
authors.forename: P G
authors.initials: PG
authors.lastname: Calò
authors.forename: N
authors.initials: N
authors.lastname: Scuderi
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D000368:Aged; D018427:Breast Implants / Q000009:adverse effects / Q000523:psychology*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods* / Q000523:psychology*; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data