Fat Grafting to the Breast, a Simple Procedure for a Very Complex Reconstruction.
Usually, complicated reconstructions demand complex procedures. However, we report an unpublished situation where lipofilling was the only effective procedure for breast reconstruction, once 4 previous procedures, including 2 microvascular free flaps, had failed. The reported case describes a woman without subcutaneous tissue in the left breast topography, with radiation sequelae resulting in a fibrotic, hyperchromic, unexpandable skin that was tethered to her costal bone and pleura. The 4 previous attempts of breast reconstruction resulted in unavailable nearby recipient vessels, and this situation appointed breast lipofilling as the most feasible procedure. This report shows the power of breast lipofilling, a simple procedure that can be used even for the more complex reconstructions.
Santa Cruz Plastic Surgery Institute (ICPSC), São Paulo, Brazil; Department of Gynecology and Obstetrics, School of Medical Sciences, State University of Campinas (UNICAMP), Campinas-SP, Brazil; and ‡Ultrasound Unit, Department of Radiology, University of São Paulo Medical School, São Paulo, Brazil.
Francisco
F
Claro
Santa Cruz Plastic Surgery Institute (ICPSC), São Paulo, Brazil; Department of Gynecology and Obstetrics, School of Medical Sciences, State University of Campinas (UNICAMP), Campinas-SP, Brazil; and ‡Ultrasound Unit, Department of Radiology, University of São Paulo Medical School, São Paulo, Brazil.
Fernando Linhares
FL
Pereira
Santa Cruz Plastic Surgery Institute (ICPSC), São Paulo, Brazil; Department of Gynecology and Obstetrics, School of Medical Sciences, State University of Campinas (UNICAMP), Campinas-SP, Brazil; and ‡Ultrasound Unit, Department of Radiology, University of São Paulo Medical School, São Paulo, Brazil.
Aarão M
AM
Pinto-Neto