title: [Tolerance and efficacy of lipomodelling as an element of breast symmetry in breast reconstruction].
abstract: OBJECTIVE
  Fat transfer significantly improved results in breast reconstruction. Final breast symmetry is very important in breast reconstruction, but sometimes, the result is not perfect with usual techniques. The aim of this study is to evaluate the tolerance and efficacy of lipomodelling as a complementary technique for breast symmetrisation.
  
  
  METHODS
  In this study, 150 patients had controlateral breast symmetrisation after breast reconstruction, using or completed with fat transfer. Patients were clinically evaluated one year after surgery. Age, BMI, harvested, purified and transferred fat volumes, and postoperatory complications were recorded. Morphological outcomes were evaluated by the surgeon as: very good, good, average or bad. Patients rated their degree of satisfaction as: very satisfying, satisfying, poor or bad.
  
  
  RESULTS
  We found out that 98.6 % of morphological results were good or very good, and 86.6 % of the patients were satisfied or very satisfied with the result. Complications were rare (2 % of cytosteatonecrotic lesions).
  
  
  CONCLUSIONS
  Lipomodelling in native breast symmetrisation after reconstruction is a powerful technique because it allows to increase volume of a hypoplastic controlateral breast, to ameliorate its shape, and to finally enhance mammoplasty result by correcting persisting localized volume defects. It definitively is a major therapeutic tool for enhancing breast reconstruction outcomes.
authors.affiliation: Unité de chirurgie plastique et reconstructrice, centre Léon-Bérard, 28, rue Laënnec, 69008 Lyon, France. Electronic address: mhitier1@chu-grenoble.fr.
authors.forename: M
authors.initials: M
authors.lastname: Hitier
authors.affiliation: Unité de chirurgie plastique et reconstructrice, centre Léon-Bérard, 28, rue Laënnec, 69008 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Ho Quoc
authors.affiliation: Unité de chirurgie plastique et reconstructrice, centre Léon-Bérard, 28, rue Laënnec, 69008 Lyon, France.
authors.forename: S
authors.initials: S
authors.lastname: La Marca
authors.affiliation: Unité de chirurgie plastique et reconstructrice, centre Léon-Bérard, 28, rue Laënnec, 69008 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Hamou
authors.affiliation: Unité de chirurgie plastique et reconstructrice, centre Léon-Bérard, 28, rue Laënnec, 69008 Lyon, France; Clinique Charcot, 51, rue du Commandant-Charcot, 69110 Sainte-Foy-lès-Lyon, France.
authors.forename: E
authors.initials: E
authors.lastname: Delay
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D000368:Aged; D001940:Breast / Q000033:anatomy & histology; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged
keywords: Breast cancer; Cancer du sein; Fat transfer; Lipomodelage; Lipomodelling; Mammoplastie; Mammoplasty; Symmetrisation; Symétrisation; Transfert graisseux