title: Total Breast Reconstruction With Fat Grafting After Internal Expansion and Expander Removal.
abstract: BACKGROUND
  The development of fat grafting techniques both in cosmetic and reconstructive breast surgery has highlighted the need to recreate a breast mound using similar tissues and without visible scarring. Our technique combines skin expansion by conventional expanders and breast volume replacement by serial fat grafting and final expander removal.
  
  
  METHODS
  Fat grafting had been performed both by Coleman technique and Bodyjet system. We report a series of 12 cases enrolled between 2008 and 2013. Each case has been presented in this article, focusing on received treatment, observed complications, and results.
  
  
  RESULTS
  Satisfactory results were observed 6 months after the last session in most of the concluded reconstructions with a low complication rate.
authors.affiliation: From the Division of Plastic and Reconstructive Surgery, European Institute of Oncology, Milan, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Manconi
authors.forename: Francesca
authors.initials: F
authors.lastname: De Lorenzi
authors.forename: Badir
authors.initials: B
authors.lastname: Chahuan
authors.forename: Valeria
authors.initials: V
authors.lastname: Berrino
authors.forename: Pietro
authors.initials: P
authors.lastname: Berrino
authors.forename: Gustavo
authors.initials: G
authors.lastname: Zucca-Matthes
authors.forename: Jean Yves
authors.initials: JY
authors.lastname: Petit
authors.forename: Mario
authors.initials: M
authors.lastname: Rietjens
mesh_terms: D000273:Adipose Tissue / Q000098:blood supply / Q000637:transplantation*; D000328:Adult; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D015331:Cohort Studies; D020878:Device Removal; D004954:Esthetics; D005260:Female; D006085:Graft Survival; D006801:Humans; D015187:Lipectomy / Q000379:methods; D016462:Mammaplasty / Q000379:methods*; D015413:Mastectomy, Simple / Q000379:methods*; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D018570:Risk Assessment; D015626:Tissue Expansion / Q000295:instrumentation* / Q000379:methods; D015625:Tissue Expansion Devices; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology