title: Postsurgical pain related to breast implant: reduction with lipofilling procedure.
abstract: BACKGROUND
  After a review of clinical cases of the Unit of Plastic Surgery of the University of Siena, Italy, we found that 22 patients undergoing lipofilling for breast recontruction needed less pain drugs compared to 18 patients which did not undergo lipofilling. In this work, the postoperative pain was analyzed in two groups of patients: a cohort treated with prosthesis and a cohort treated with prosthesis implant together with a lipofilling procedure.
  
  
  METHODS
  During the immediate postoperative period, a visual analog scale for pain was submitted to every patient every eight hours until they were discharged, then every day for a week, every two days during the second week and once a week in the first three months. The administration of analgesics was also registered.
  
  
  RESULTS
  Pain intensity was lower in the group treated with prosthesis and lipofilling.
  
  
  CONCLUSIONS
  Fat transplant is a procedure well-tolerated by patients, resulting in a lower rate of pain.
authors.affiliation: Unit of Aesthetic and Reconstructive Plastic Surgery, University of Siena, Siena, Italy robertocuomo@outlook.com.
authors.forename: Roberto
authors.initials: R
authors.lastname: Cuomo
authors.affiliation: Unit of Aesthetic and Reconstructive Plastic Surgery, University of Siena, Siena, Italy.
authors.forename: Irene
authors.initials: I
authors.lastname: Zerini
authors.affiliation: Unit of Aesthetic and Reconstructive Plastic Surgery, University of Siena, Siena, Italy.
authors.forename: Gaia
authors.initials: G
authors.lastname: Botteri
authors.affiliation: Unit of Aesthetic and Reconstructive Plastic Surgery, University of Siena, Siena, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Barberi
authors.affiliation: Unit of Aesthetic and Reconstructive Plastic Surgery, University of Siena, Siena, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Nisi
authors.affiliation: Unit of Aesthetic and Reconstructive Plastic Surgery, University of Siena, Siena, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: D'Aniello
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D019928:Breast Implantation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D000700:Analgesics
keywords: Lipofilling; breast implant; pain