Breast Augmentation Using Preexpansion and Autologous Fat Transplantation: A Clinical Radiographic Study

@article{DelVecchio2011BreastAU,
  title={Breast Augmentation Using Preexpansion and Autologous Fat Transplantation: A Clinical Radiographic Study},
  author={Daniel Alexander Del Vecchio and Louis P. Bucky},
  journal={Plastic and Reconstructive Surgery},
  year={2011},
  volume={127},
  pages={2441-2450}
}
Background: Despite the increased popularity of fat grafting of the breasts, there remain unanswered questions. There is currently no standard for technique or data regarding long-term volume maintenance with this procedure. Because of the sensitive nature of breast tissue, there is a need for radiographic evaluation, focusing on volume maintenance and on tissue viability. This study was designed to quantify the long-term volume maintenance of mature adipocyte fat grafting for breast… 
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References

SHOWING 1-10 OF 17 REFERENCES
Fat Grafting to the Breast Revisited: Safety and Efficacy
TLDR
A retrospective examination of 17 breast procedures performed using fat grafting from 1995 to 2000 finds no evidence thatFat grafting to breasts is less safe than any other form of breast surgery, and freefat grafting should be considered as an alternative or adjunct to breast augmentation and reconstruction procedures.
Autologous Fat Grafting to the Reconstructed Breast: The Management of Acquired Contour Deformities
TLDR
Fat grafting is a simple, safe, and effective treatment option, with low morbidity in the treatment of patients who will require postoperative irradiation and even those who have rippling surrounding an implant.
Breast reconstruction for breast asymmetry using recipient site pre-expansion and autologous fat grafting: a case report.
TLDR
Recipient site pre-expansion and fat grafting may have early clinical adoption in cases of severe asymmetry, tuberous breasts, and other deformities that are difficult to treat with current reconstructive techniques, but studies are needed to clearly delineate its safety and its role.
[Efficacy of lipomodelling for the management of sequelae of breast cancer conservative treatment].
TLDR
Using lipomodelling to restore the shape and softness of the breast better than any other surgical procedure before, particularly for patients with mild breast deformity, represents a considerable advance for the management of moderate sequelae of conservative breast treatment.
Cosmetic breast augmentation utilizing autologous fat and liposuction techniques.
  • M. Bircoll
  • Medicine, Engineering
    Plastic and reconstructive surgery
  • 1987
TLDR
A new technique of autologous fat transplantation which utilizes fat obtained by liposuction is presented, which will have wide application in the future of cosmetic and reconstructive surgery.
Influences of Centrifugation on Cells and Tissues in Liposuction Aspirates: Optimized Centrifugation for Lipotransfer and Cell Isolation
TLDR
Excessive centrifugation can destroy adipocytes and adipose-derived stem cells, but appropriate centrifugations concentrates them, resulting in enhanced graft take, and the authors tentatively recommend 1200 g as an optimized centrifugal force for obtaining good short- and long-term results in adipose transplantation.
Body Contouring by Lipolysis: A 5‐Year Experience with over 3000 Cases
  • Y. Illouz
  • Medicine
    Plastic and reconstructive surgery
  • 1983
The concept of modifying the body contour with liposuction by developing numerous subcutaneous "tunnels" with subsequent homogeneous contractions of the overlying skin will add a new dimension to the
Vacuum-assisted closure: microdeformations of wounds and cell proliferation.
TLDR
Finite element modeling of the VAC device is consistent with this mechanism of action and shows that most elements stretched by VAC application experienced deformations of 5 to 20 percent strain, which are similar to in vitro strain levels shown to promote cellular proliferation.
Accuracy of MRI volume measurements of breast lesions: comparison between automated, semiautomated and manual assessment
The aim of this study was to investigate the efficacy of a dedicated software tool for automated and semiautomated volume measurement in contrast-enhanced (CE) magnetic resonance mammography (MRM).
...
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