A combination of fat grafting with inferior dermal flap in breast reconstruction following prophylactic mastectomy: A cohort study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00209805%3A_____%2F25%3A00080222" target="_blank" >RIV/00209805:_____/25:00080222 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/25:00143607 RIV/65269705:_____/25:00081810

Result on the web

<a href="https://www.sciencedirect.com/science/article/pii/S1748681525001913?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S1748681525001913?via%3Dihub</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.bjps.2025.03.020" target="_blank" >10.1016/j.bjps.2025.03.020</a>

Result language

angličtina

Original language name

A combination of fat grafting with inferior dermal flap in breast reconstruction following prophylactic mastectomy: A cohort study

Original language description

BACKGROUND: Breast reconstruction following prophylactic mastectomy in women with ptotic or hypertrophic breasts often poses challenges. We describe a combined technique of large-volume fat grafting (&gt;100 mL) and an inferior dermal flap, aiming to improve aesthetic outcomes and patient satisfaction. METHODS: We conducted a retrospective analysis of 21 patients undergoing immediate breast reconstruction with the described technique. All patients were asked to complete the BREAST-Q questionnaire preoperatively and at least 12 months postoperatively (median interval: 20 months). Statistical analysis (Wilcoxon signed-rank test) was used to assess changes in satisfaction and well-being; aesthetic outcomes were scored by an independent, multidisciplinary team. RESULTS: Among 13 patients with complete BREAST-Q data, satisfaction with the breasts increased significantly from a median score of 38-85 (p = 0.002), psychosocial well-being from 57-70 (p = 0.045), and physical well-being (chest) from 68 to 81 (p = 0.045). Sexual well-being rose from 47-63 (p = 0.023). Aesthetic evaluation by an independent panel showed notable improvements in breast symmetry, shape, and overall appearance. Minimal and asymptomatic fat necroses or oil liponecrotic pseudocysts were observed. CONCLUSIONS: Combining large-volume fat grafting with an inferior dermal flap appears promising for women with ptotic breasts, yielding high satisfaction and low complication rates. Despite requiring multiple operative stages, this autologous reconstruction technique may offer a less invasive alternative for high-risk patients seeking natural outcomes without implants.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of plastic, reconstructive &amp; aesthetic surgery : JPRAS

ISSN

1748-6815

e-ISSN

1878-0539

Volume of the periodical

104

Issue of the periodical within the volume

May 2025

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

14

Pages from-to

231-244

UT code for WoS article

001459912500001

EID of the result in the Scopus database

2-s2.0-105001024601