Mammary lipofiling seen to the hospital complex of Dax

Rainibarijaona Lanto Nirina Aimé, Rakotonirina Andriamaro Martial, Rakotoarivony Valerie Kamary, Andriamihajason Lova, Housni Ibrahim, Eric Rousseau, Hery Rakotovao Andrianampanalinarivo


Background: Taken care therapeutics of breast cancer is in constant evolution. She links, according to the stadium of illness, a specific treatment of the cancer and mammary reconstruction which makes integral part of the treatment of breast cancer today. The lipofilling or lipostructure is one of the techniques used in mammary reconstruction.

Methods: A descriptive retrospective study on lipofilling accomplished in Hospital complex of Dax, France from January 1st, 2016 till October 31st, 2017 was accomplished, to assess the rate of aesthetic and psychological satisfaction of the patients on the basis of breast Q, then to assess its effectiveness and its security. The statistical analysis was made with the software Excel of Microsoft Office 2007.

Results: Authors could record 52 lipofillings at 40 patients among 1212 gynecological surgical operations is 4.29% surgical activities. 47 cases (90.38%) of lipofilling were accomplished at 35 patients after a surgery for breast cancer accomplishing a frequency of 3.87% of surgical activity. The women from 49 to 54 years old are the most concerned the median age of which was of 52 years (37 and 73 years) and the patients are still sexually active in 26 cases (74.29%). The mastectomy was practiced in 32 cases (91.45%). An immediate reconstruction was accomplished at 29 (82.86%) patients. The back big rag autologous was used in 22 cases (62.85%). In 33 cases (94.27%), the lipofilling was accomplished to supplement the reconstruction among which by the back big rag at 22 patients (62.5%) and by mammary prosthesis at 11 patients (31.42%). One took a sample in 32 cases of a volume from 400 to 700 ml of grease average of which was 456.38 ml (200-800 ml). A volume from 200 to 300 ml was injected at 17 patients (36.17%) with an average of 264.14 ml (100-600 ml). No repetition of the cancer was recorded during this study. A score of more than 60 was recorded in every domain for the valuation of satisfaction in more than 90% cases.

Conclusions: With the evolution of the taking care of the cancers of breast, mammary reconstruction by lipofilling is a technology which goes know a big development. It is a new way of natural reconstruction at the mastectomy patients who wish, more and more a less aggressive surgical gesture with good result.


Aesthetics, Cancer, Grease, Lipofilling, Surgery

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Guizard AV, Tretarre B. Estimate of impact and of mortality by cancer in France of 1980 has 2005. HCL, Inserm Invs Francim. 2008.

Arriagada R, The MG, Rochard F, Contesso G. Conservative treatment versus mastectomy in early breast cancer: patterns of failure with 15 years of follow-up dated. Institute Gustave-Roussy Breast Cancer Group. J Clin Oncol Off J Am Soc Clin Oncol. 1996;14(5):1558-64.

Mojallal A, Gebert L, Butcher F, Shipkov H. Transplant of adipose cloths in mammary reconstruction after surgery of breast cancer. In: Fitoussi A, Benoit C. Surgery of breast cancer and mammary reconstruction. 2nd ed. Elsevier Masson; 2017: 89-135.

Delay E, Guerid S. Fatty transfer in surgery of the breast. Surgical Technical EMC-plastic Surgery, Reconstructrice Aesthetic. 2017;12(4):1-12.

Zocchi ML, Zocchi L. Broad volume breast fat transfer: technical evolutions and safety aspects based one to 800 huts and 26 years of follow up. Euro J Plast Surg. 2017;40:367-82.

Cogliandro A, Barone M, Tena S, MarolliCoppola M, Persichetti P. The role of lipofilling after breast reconstruction: evaluation of outcomes and patient with Breast-Q satisfaction. Aesth Plast Surg. 2017;41:1325-31.

Morrow M, Li Y, Alderman AK. After mastectomy and patient perspectives one reconstruction decision making Access to breast reconstruction. JAMA Surg. 2014;149:1015-21.

Lead T, Valuation multicentrique of the quality of life and of the satisfaction of the patients according to the questionnaire BREAST-Q© after mammary reconstruction for cancer by rag of DIEP or rag of back big muscle. thesis of medicine: human medicine: Claret. 2014:118.

Quentin F, High authority of health. Reconstruction of the breast by cutanéo-fatty rag free from the abdomen, with vascular anastomose. Technology DIEP. 2011.

Couturaud B, Mojallal A, Veber M. Reconstruction by back big rag. In: Fitoussi A, Benoit C. Surgery of breast cancer and mammary reconstruction. 2nd edition. Elsevier Masson; 2017:201-260.

Mundy LR, Homa K, Klassen LF, Pusic AL, Kerrigan CL. Breast cancer and reconstruction: normative dated for interpreting the Breast-Q. Plast Reconstr Sur. 2017;139:1046e.

Mojallal A, Foyatier JL. Historical review of the employs of adipose tissue transfer in plastic explosive and reconstructive surgery. Ann Chir Plast Esthet. 2004;49(5):419-25.

Hoquoc C, Carrabin N, Meruta A, Piat JM, Delay E, Faure C. Lipofilling and breast cancer: where we are in 2015. J Gynécol Obstét Biol Repr. 2015;44(9):812-7.

Bayti T, Panouilleres M, Tropet Y, Bonnetain F, Pauchot J. Lipofilling in mammary reconstruction. Retrospective study of satisfaction and of quality of life regarding 68 patients. Ann Chir Plast Esthet. 2016;61(3):190-9.

Van Turnhout AA, Fuchs S, Brone LK, Nieumehuis EJC, Sluis WB. Surgical result and autologous fat cosmetic findings in grafting after breast conservation surgery and radiotherapy for breast cancer: a retrospective cohort study of 222 large grafting sessions in 109 patients. Aesth Plast Surg. 2017;41:1334-41.

Kasem A, Wazir U, Headon H, Mokbel K. Breast Lipo Filling: a review of current practice. Arch Plast Surg. 2015;42(2):126-30.

Ferraro GA, Francesco F, Tirino V. Effects of a new centrifugal method on fat cell viability for autologous fat grafting. Plastic Plast Surg. 2011;35:341-8.

Fabiocchi L, Semprini G, Cattin F, Dellachiesa L, Fogacci T. Expansion of Frisoni G. Reverse: a new technique of breast reconstruction with autologous tissue. J Plast Reconstr Aesthet Surg. 2017;70:1537-42.

Naidu NS. The role of lipopolysis after breast reconstruction: evaluation of patient satisfaction and results of Breast Q. Aesth Plast Surg. 2017;41:1332-3.

Quoc HC, Piat JM, Carrabin N, Meruta A, Faure C, Delay E. Mammary reconstruction exclusively by fat transfer and pre-expansion BRAVA: evaluation of efficacy on 45 cases. Ann Chir Plast Esthet. 2016;61(3):183-9.

Johns N, Fairbairn N, Track M, Ewing A, Tong L, Raine C. breast reconstruction and other Autologous using immediately liporempli extended latissimuus dorsi the beat. J Plast Reconstr Aesthet Surg. 2018;71(2):201-8.

Delay E, Delaporte T, Sinna R. Alternatives to breast prostheses. Ann Chir Plast Esthet. 2005;50:657-72.

Delay E. Lipomodeling of the reconstructed breast. In: Spear SE, eds. Breast surgery: principles. Philadelphia: Lippincott Williams and Wilkings; 2006: 930-46.

Bricoll M, Novack BH. Autologous transplant using liposuction techniques. Ann Plast Surg. 1987;18:327-9.

Debald M, Pech T, Kaiser C, Paik MD, Bruenagel WG, Kalff JC. lipo-filling effects after breast cancer surgery in post-radiation patients: a results analysis and algorithm proposal. Eur J Plast Surg. 2017;40(5):447-54.

Fertsch S, Hagouan M, Munder B, Schulz T, Abu-Ghazaleh A, Schaberick J. The increased risk of recurrence was associated with some risk factors in breast cancer patients after the reconstruction of DIEP-beat and the lipopolysis: a corresponding cohort studies with 200 patients. Gland Surg. 2017;6(4):315-23.

Stumpf Centimeter, Biazus JV, Zucatto FSAE, Cericatto R, Cavalheiro JAC, Damin APS. Immediate reconstruction with the major fact of autologous grafting: influence in breast cancerregional recurrence. Reverend Colonel Bras Cir. 2017; 44 (2): 179-86.

Khan LR, Raine CR, Dixon JM. Immediate lipoplasty in breast conservation surgery. Eur J Surg Oncol. 2017; 43 (8): 1402-8.

Delay E, Guerid S, Meruta AC. Indications and controversies in lipoplombage for partial breast reconstruction. Clin Plast Surg. 2018;45(1):101-10.

Cogliandro A, Barone M, Tena S, Coppola MM, Persichetti P. The role of lipofilling after breast reconstruction: evaluation of outcomes and patient satisfaction with Breast-Q. Aesth Plast Surg. 2017;41:1325-31.