Fat grafting for deep inferior epigastric perforator flap refinements in breast reconstruction: The hybrid autologous reconstruction

Andrea Spano, Daniele Bordoni, Pierfrancesco Cadenelli, Giuseppe Falco, Maurizio Bruno Nava

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Breast reconstruction performed using deep inferior epigastric perforator flap (DIEP) is currently applied in reconstructive microsurgery and can be considered the gold standard of autologous breast reconstruction. Nowadays it is important to focus on the aesthetic outcome recreating symmetrical natural-appearing breasts while preserving patient safety and quality of life. Clinical experience has shown that poor abdomen shape and partial marginal liponecrosis of the flap may follow large perforator flaps. Additional lipofilling procedures may be necessary to improve aesthetic outcomes of the reconstructed breast or abdominal donor site. In selected patients the abdomen is not the only source of fat that can be transferred to reconstruct the breast. In those patients we developed a two-stage procedure consisting in a first step with moderate-sized DIEP flap and a second one with fat injection harvested from different body areas. Usually one lipofilling injection was enough because of the high rate of fat intake in the highly vascularized new breast tissue. The authors call this procedure the Hybrid Autologous breast reconstruction.

Original languageEnglish
Title of host publicationStem Cells in Aesthetic Procedures: Art, Science, and Clinical Techniques
PublisherSpringer-Verlag Berlin Heidelberg
Pages635-649
Number of pages15
Volume9783642452079
ISBN (Print)9783642452079, 364245206X, 9783642452062
DOIs
Publication statusPublished - Nov 1 2014

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Spano, A., Bordoni, D., Cadenelli, P., Falco, G., & Nava, M. B. (2014). Fat grafting for deep inferior epigastric perforator flap refinements in breast reconstruction: The hybrid autologous reconstruction. In Stem Cells in Aesthetic Procedures: Art, Science, and Clinical Techniques (Vol. 9783642452079, pp. 635-649). Springer-Verlag Berlin Heidelberg. https://doi.org/10.1007/978-3-642-45207-9_42