Our Summary

This research study reviewed the use of a specific surgical technique called LIFT (Latissimus Dorsi flap and immediate fat transfer) in breast reconstruction after breast cancer surgery. The researchers looked at previous studies and collected data on patient outcomes after having this type of reconstruction.

The average age of the patients in these studies was 51 years, and most of them had a Body Mass Index (BMI) of around 26. They found that about 65% of patients needed more fat grafting after the initial surgery. There were some complications, including total loss of the flap (3%), wound-related issues (14.5%), fluid buildup (18.2%), and fat tissue death (14.5%).

When they compared LIFT to another type of reconstruction (using tissue from the abdomen), they found that LIFT resulted in fewer wound-related complications.

In conclusion, LIFT is a viable option for breast reconstruction, especially for patients who aren’t good candidates for other types of reconstruction using free tissue transfer. However, it doesn’t eliminate the need for further fat grafting after the initial surgery.

FAQs

  1. What is the LIFT technique in breast reconstruction?
  2. What are the common complications after the LIFT breast reconstruction surgery?
  3. How does the LIFT technique compare to other types of breast reconstruction methods?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast reconstruction using the LIFT technique is to be prepared for the possibility of needing additional fat grafting procedures after the initial surgery. It’s important to discuss with your surgeon the potential for complications, such as wound-related issues or fluid buildup, and to closely follow their post-operative care instructions to minimize these risks. Additionally, it’s important to have realistic expectations about the outcome of the reconstruction and to communicate openly with your healthcare team about any concerns or questions you may have throughout the process.

Suitable For

Patients who are typically recommended for breast reconstruction include those who have undergone mastectomy (partial or full removal of one or both breasts) as part of breast cancer treatment, those who have a strong desire to restore their breast shape and size, and those who are in good overall health and do not have conditions that would interfere with healing after surgery. Additionally, patients who have realistic expectations about the outcomes of breast reconstruction and are willing to undergo multiple procedures if necessary are also good candidates for this type of surgery.

Timeline

Before breast reconstruction:

  1. Patient is diagnosed with breast cancer and undergoes mastectomy or lumpectomy to remove the cancerous tissue.
  2. Patient discusses options for breast reconstruction with their healthcare provider and decides to proceed with surgery.
  3. Patient undergoes pre-operative consultations and evaluations to determine the best surgical approach for reconstruction.

After breast reconstruction:

  1. Patient undergoes the LIFT procedure, which involves using tissue from the back (Latissimus Dorsi flap) and fat transfer to reconstruct the breast.
  2. Patient may experience complications such as total loss of the flap, wound-related issues, fluid buildup, or fat tissue death.
  3. Patient may require additional fat grafting after the initial surgery to achieve desired results.
  4. Patient undergoes post-operative follow-up appointments to monitor healing and address any concerns or complications.
  5. Patient continues to follow-up with their healthcare provider for long-term monitoring and care after breast reconstruction.

What to Ask Your Doctor

  1. What are the benefits and drawbacks of LIFT compared to other types of breast reconstruction surgery?
  2. What is the success rate of LIFT in terms of achieving a natural-looking breast shape and feel?
  3. What are the potential complications and risks associated with LIFT surgery?
  4. How many additional surgeries or procedures might be needed after the initial LIFT surgery?
  5. How long is the recovery time for LIFT surgery, and what can I expect in terms of pain and discomfort?
  6. Will I have any limitations or restrictions on activities following LIFT surgery?
  7. How will LIFT surgery impact my ability to undergo future breast cancer screenings or treatments?
  8. Are there any long-term effects or considerations to keep in mind with LIFT reconstruction?
  9. What are the qualifications and experience of the surgical team performing the LIFT reconstruction?
  10. Are there alternative options or techniques for breast reconstruction that I should consider before making a decision?

Reference

Authors: Escandón JM, Escandón L, Ahmed A, Weiss A, Nazerali R, Ciudad P, Langstein HN, Manrique OJ. Journal: J Plast Reconstr Aesthet Surg. 2022 Nov;75(11):4106-4116. doi: 10.1016/j.bjps.2022.08.025. Epub 2022 Aug 23. PMID: 36241504