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The safety and efficacy of autologous fat grafting during second stage breast reconstruction.

The safety and efficacy of autologous fat grafting during second stage breast reconstruction. Journal of plastic, reconstructive & aesthetic surgery : JPRAS Patel, A. A., Martin, S. A., Cheesborough, J. E., Lee, G. K., Nazerali, R. S. 2020

Abstract

BACKGROUND: Patients often pursue revisions following implant-based breast reconstruction (IBR) to achieve their desired result. Fat grafting is a popular choice for patients and can be performed at second stage reconstruction or at a future date as a revisionary surgery. We investigate the best time to fat graft in IBR by comparing the outcomes of patients who received fat grafting during implant placement with those who pursued fat grafting during a tertiary procedure.METHODS: We retrospectively reviewed the charts of 157 patients (270 breasts) who underwent immediate two-stage IBR and fat grafting over a five-year period (2012-2016) at our institution. Two cohorts were created based on timing of first fat grafting procedure: immediate (IFG) and delayed (DFG). Charts were reviewed for postoperative complications or revisions.RESULTS: Complication rates were lower when fat grafting was performed during the second stage (p?=?0.0331). Patients in the DFG cohort required more than one additional revision (p?

View details for DOI 10.1016/j.bjps.2020.10.008

View details for PubMedID 33189618