Hosny, H., Mansour, S., Salem, A. (2018). The Influence of Recipient Breast Bed Quality on Fat Graft Survival. The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), 151-158. doi: 10.21608/ejprs.2018.215081
Hossam Hosny; Sahar Mansour; Ahmed Salem. "The Influence of Recipient Breast Bed Quality on Fat Graft Survival". The Egyptian Journal of Plastic and Reconstructive Surgery, 42, 1, 2018, 151-158. doi: 10.21608/ejprs.2018.215081
Hosny, H., Mansour, S., Salem, A. (2018). 'The Influence of Recipient Breast Bed Quality on Fat Graft Survival', The Egyptian Journal of Plastic and Reconstructive Surgery, 42(1), pp. 151-158. doi: 10.21608/ejprs.2018.215081
Hosny, H., Mansour, S., Salem, A. The Influence of Recipient Breast Bed Quality on Fat Graft Survival. The Egyptian Journal of Plastic and Reconstructive Surgery, 2018; 42(1): 151-158. doi: 10.21608/ejprs.2018.215081
The Influence of Recipient Breast Bed Quality on Fat Graft Survival
1The Department of Plastic Surgery , Faculty of Medicine, Cairo University, Egypt
2The Departments of Radiology, Faculty of Medicine, Cairo University, Egypt
3The Departments of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt
Abstract
Background: Fat grafting has been established as an effective method in both breast augmentation and addressing deformities. Many factors related to donor area, process of transfer and recipient area influence the survival of grafted fat. This work was done to assess objectively the influence of recipient area on fat graft survival using mammography and magnetic resonance imaging volumetry. Methods: Forty patients seeking breast enhancement procedures for various indications were classified into two groups: • Group A included thirty patients seeking augmentation or symmetrization with no history of previous breast disease or surgery. • Group B included ten patients presenting for breast enhancement following previous disease or surgery resulting obvious deformity. Radiological volume assessment was carried out preoperatively and three months following last surgical procedure. Fat harvesting, processing and transfer methods were standardized so they do not affect the results. Statistical analysis was carried out to assess survival rates and other variables and relations according to recipient bed characteristics. Results: In group A (aesthetic) the mean retention rate was 56.3%±7.7 (range 37-67%), while in group B (reconstructive) the mean retention rate was 48.8%±9.8 (range 33-66%) that required multiple grafting sessions in 40% of cases. Also it has been found that the larger the preoperative recipient area was, the more fat graft survival was obtained. Imaging modalities could evaluate postoperative complications. Conclusion: The recipient bed characteristics are a major determinant of fat graft survival being significantly lower in previously pathological bed and hence multiple sessions are frequently required.
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