title: [Quality of life after lipomodelling: retrospective study of 42 patients].
abstract: OBJECTIVE
  Study of the quality of life of 42 patients who underwent a lipofilling in our institution between 2009 and 2010.
  
  
  METHODS
  Analysis of cosmetic outcomes, side effects, emotional life and preoperative information received by a cohort of 42 patients contacted by anonymous questionnaires. Comparisons between patients with a single prothesis, latissimus dorsi flap with prothesis, autologous latissimus dorsi flap and rectus abdominal flap.
  
  
  RESULTS
  The response rate was 56% (42 patients). The average volume of fat injected was 80mL. The aspect of the reconstructed breast and the harmony between two breasts were better after lipofilling (P=0.0001, P=0.0005). The evolution of the aesthetic result is satisfying for 64.1% of the patients. In 29% of cases, patients noticed adhesions at the injection site. Apprehension to touch the reconstructed breast and to wear a swimsuit decreases after lipofilling (P=0.0345;P=0.0284). All patients declared to be satisfied with the presurgery information. Half of the patients declare that the final result corresponds to their wishes.
  
  
  CONCLUSIONS
  The side effects of lipofilling were studied from an oncological point of view. Less publications describe the patients quality of life after lipofilling. This surgery improves the breast reconstruction results and helps patients in a social, affective and aesthetic way. Overall, lipofilling improves more consistency in patients reconstructed by single prothesis and improves more appearance in patients reconstructed by single flap.
  
  
  CONCLUSIONS
  Lipofilling improves significantly patients' quality of life. A clinical research protocol (GRATSEC) is currently underway to extend its indications. The lipofilling should not replace a bad indication of breast reconstruction.
authors.affiliation: Service d'oncologie chirurgicale, institut de cancérologie de l'Ouest, Nantes-Saint-Herblain, 5 boulevard J.-Monod, Saint-Herblain, France. belgijeff@hotmail.com
authors.forename: J-F
authors.initials: JF
authors.lastname: Le Brun
authors.forename: M
authors.initials: M
authors.lastname: Dejode
authors.forename: L
authors.initials: L
authors.lastname: Campion
authors.forename: I
authors.initials: I
authors.lastname: Jaffré
authors.forename: V
authors.initials: V
authors.lastname: Bordes
authors.forename: J-M
authors.initials: JM
authors.lastname: Classe
authors.forename: A-S
authors.initials: AS
authors.lastname: Oger
authors.forename: F
authors.initials: F
authors.lastname: Dravet
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D004954:Esthetics; D005260:Female; D006801:Humans; D016462:Mammaplasty; D011788:Quality of Life; D012189:Retrospective Studies; D011795:Surveys and Questionnaires