Stellenwert der autologen Fetttransplantation in der Brustheilkunde

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• 作者：Dr. D. Rezek
• 关键词：Lipofilling ; Lipotransfer ; Brustheilkunde ; Mammakarzinom ; Lipofilling ; Fat grafting ; Senology ; Breast cancer
• 刊名：Journal f篓鹿r ?sthetische Chirurgie
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：8
• 期：2
• 页码：50-56
• 全文大小：447 KB
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• 作者单位：Dr. D. Rezek (1)
  
  1. Marien-Hospital gGmbH, Pastor-Jan脽en-Str. 8鈥?8, 46483, Wesel, Deutschland
  
• 刊物主题：Surgery; Head and Neck Surgery; Plastic Surgery; Otorhinolaryngology; Dermatology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1867-4313

文摘

Background Autologous fat transfer is a surgical procedure for transfer of a persons own body fat to improve the shape, the volume and the tissue surface of the recipient region. Aims and methods This article describes the importance and state of the art of autologous fat transfer. Special emphasis is given to the indications and patient selection with a detailed description of each stage of the method and the characteristics of adipose tissue. Discussion Lipotransfer is indicated for correction of congenital defects in breast shape, volume and form. Acquired shape and volume problems after excision of benign lesions or after reduction mammaplasty and breast augmentation can also be corrected with autologous fat transfer. Even a modest augmentation of the breasts is possible. In patients after breast reconstruction with implants or flaps, autologous fat grafting can be used to ameliorate the covering soft tissue thickness and improve the contour and skin perfusion, especially after radiotherapy. Fat grafting can be performed even after breast conserving surgery after a latent period and when residual disease can definitely be excluded. Fat should be aspirated gently, well processed and carefully grafted. A meticulous follow-up monitoring is necessary postoperatively Results Complications after lipotransfer are mostly slight and occur due to inadequate patient selection or inappropriate surgery. Fat may only be transplanted into a healthy breast. The success of this procedure is dependent on profound knowledge of the method and an accurate performance of every single step of the surgery, as measured by parameters, such as volume stability, unaffected assessment of the breast in radiological imaging and oncological safety