Our Summary

This research paper is a review of studies that have combined the use of implants and fat grafting in reconstructing breasts, often after a mastectomy due to breast cancer. The researchers looked at the safety, rate of complications, the number of surgeries needed, and the patients’ satisfaction with the results.

The researchers found 12 studies that fit their criteria and analyzed the results. These studies included 753 breast reconstructions in 585 patients. The rate of complications was relatively low (7.9%), and the amount of fat grafted to the breast varied.

The results showed that combining implants and fat grafting is a safe and effective way to reconstruct breasts. The rate of short-term complications was similar to that of using implants alone, and there was a potential to significantly lower the risk of long-term complications. Moreover, patients were generally satisfied with the results after an average of 1.7 fat grafting sessions.

FAQs

  1. Is combining implants and fat grafting a safe method for breast reconstruction?
  2. What is the rate of complications for breast reconstruction using implants and fat grafting?
  3. How many fat grafting sessions are typically needed for satisfactory results in breast reconstruction?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast reconstruction using implants and fat grafting is to maintain a healthy lifestyle before and after the procedure. This includes following a balanced diet, quitting smoking, and staying physically active. By taking care of your overall health, you can improve the success and longevity of your breast reconstruction results.

Suitable For

Patients who are typically recommended breast reconstruction include those who have undergone a mastectomy due to breast cancer, have a genetic predisposition to breast cancer (such as BRCA gene mutations), have significant breast asymmetry, have experienced trauma or injury to the breast, or have undergone lumpectomy and desire breast symmetry. In general, patients who are in good overall health, have realistic expectations, and have a positive outlook on the procedure are considered good candidates for breast reconstruction.

Overall, this research paper highlights the benefits of combining implants and fat grafting in breast reconstruction and suggests that this approach can be a safe and effective option for patients seeking breast reconstruction after mastectomy. It is important for patients to discuss their options with their healthcare provider to determine the best approach for their individual needs and goals.

Timeline

Before breast reconstruction:

  1. Patient undergoes mastectomy due to breast cancer
  2. Patient consults with plastic surgeon to discuss reconstruction options
  3. Patient and surgeon decide on a reconstruction plan, which may include implants, autologous tissue transfer, or a combination of both
  4. Patient undergoes preparatory procedures such as tissue expanders or fat grafting to prepare the chest area for reconstruction

After breast reconstruction:

  1. Patient undergoes breast reconstruction surgery, which may involve implants, autologous tissue transfer, or a combination of both
  2. Patient may require additional surgeries for revisions or adjustments to achieve desired results
  3. Patient undergoes fat grafting to enhance the shape and symmetry of the reconstructed breast
  4. Patient undergoes follow-up appointments to monitor healing and address any concerns
  5. Patient experiences improved self-esteem and body image following successful breast reconstruction.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with combining implants and fat grafting for breast reconstruction?

  2. How many surgeries will be needed to achieve the desired results with this combination technique?

  3. What is the expected recovery time after undergoing breast reconstruction with implants and fat grafting?

  4. How long do the results typically last with this combination technique compared to using implants alone?

  5. Can you provide before and after photos of patients who have undergone breast reconstruction using this combination technique?

  6. Are there any specific criteria or medical conditions that may make me a better candidate for this combination technique compared to using implants alone?

  7. How will the size and shape of my breasts be determined when combining implants and fat grafting for reconstruction?

  8. Will I need to undergo any additional procedures or treatments in the future to maintain the results of breast reconstruction with implants and fat grafting?

  9. What is the overall satisfaction rate among patients who have undergone breast reconstruction with implants and fat grafting, and what are some common reasons for dissatisfaction?

  10. Are there any specific lifestyle changes or precautions I should take after undergoing breast reconstruction with implants and fat grafting?

Reference

Authors: Alessandri Bonetti M, Carbonaro R, Borelli F, Amendola F, Cottone G, Mazzocconi L, Mastroiacovo A, Zingaretti N, Parodi PC, Vaienti L. Journal: Medicina (Kaunas). 2022 Sep 6;58(9):1232. doi: 10.3390/medicina58091232. PMID: 36143908