title: [Ultrasonic examination of the breast adipose grafts after mammoplasty].
abstract: OBJECTIVE
  To present the results of PRP-adipose grafts implanatation.
  
  
  METHODS
  The study included 25 patients after transplantation of autologous adipose tissue. Autotransplantation was performed to correct volume defects of breast and to restore lost volume after polyacrylamide gel removal in 4 patients; after mastectomy in 6 cases; after complicated replacement using silicone endoprostheses in 11 patients; after previous reduction in 2 cases; after augmentation mammoplasty in 2 cases. Mean age of patients was 42 years. Patients were divided into 2 groups. Group 1 included 12 patients in whom pure adipose tissue was transplanted. Group 2 consisted of 13 patients who received autologous fat with platelet-rich plasma (PRP).
  
  
  RESULTS
  Dynamic ultrasonic monitoring showed early resorption processes (liponecrosis foci) after autologous fat injection. Locally increased vascular pattern of breast tissue is an inflammatory sign requiring anti-inflammatory therapy. PRP-adipose grafts have improved outcomes.
authors.affiliation: Petrovsky Russian Research Center of Surgery, Moscow.
authors.forename: E P
authors.initials: EP
authors.lastname: Fisenko
authors.affiliation: Chair of Plastic Surgery, Sechenov First Moscow State Medical University, Moscow.
authors.forename: O I
authors.initials: OI
authors.lastname: Startseva
authors.affiliation: Chair of Plastic Surgery, Sechenov First Moscow State Medical University, Moscow.
authors.forename: D V
authors.initials: DV
authors.lastname: Mel'nikov
authors.affiliation: Chair of Plastic Surgery, Sechenov First Moscow State Medical University, Moscow.
authors.forename: A S
authors.initials: AS
authors.lastname: Zakharenko
authors.affiliation: Chair of Plastic Surgery, Sechenov First Moscow State Medical University, Moscow.
authors.forename: K A
authors.initials: KA
authors.lastname: Kirillova
authors.affiliation: Petrovsky Russian Research Center of Surgery, Moscow.
authors.forename: A G
authors.initials: AG
authors.lastname: Ivanova
authors.affiliation: Chair of Plastic Surgery, Sechenov First Moscow State Medical University, Moscow.
authors.forename: E D
authors.initials: ED
authors.lastname: Pishchikova
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D001940:Breast / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000295:instrumentation / Q000379:methods; D008408:Mastectomy / Q000009:adverse effects* / Q000379:methods; D008991:Monitoring, Physiologic / Q000379:methods; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000601:surgery*; D012426:Russia; D019737:Transplants / Q000000981:diagnostic imaging*; D014463:Ultrasonography / Q000379:methods*