Breast Reconstruction after a Bilateral Mastectomy Using the BRAVA Expansion System and Fat Grafting
Summary: Fat graft breast reconstruction following a mastectomy is always limited by the size of the skin envelope, which affects the amount of graft that can be injected in 1 session. Because the fat graft naturally resorbs in all patients, several sessions of fat grafting are necessary. BRAVA’s ne...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer
2013-11-01
|
Series: | Plastic and Reconstructive Surgery, Global Open |
Online Access: | http://journals.lww.com/prsgo/Fulltext/2013/11000/Article.11.aspx |
id |
doaj-6556172e67284d13bdc9e4a3cdb5404e |
---|---|
record_format |
Article |
spelling |
doaj-6556172e67284d13bdc9e4a3cdb5404e2020-11-24T23:59:47ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742013-11-0118e7110.1097/GOX.000000000000002201720096-201311000-00011Breast Reconstruction after a Bilateral Mastectomy Using the BRAVA Expansion System and Fat GraftingOndrej Mestak, MD0Jan Mestak, MD, PhD1Martin Bohac, MD2Ahmed Edriss, MD3Andrej Sukop, MD, PhD4From the Department of Plastic Surgery, 1st Medical Faculty of Charles University in Prague, Bulovka Hospital, Budinova, Prague, Czech RepublicFrom the Department of Plastic Surgery, 1st Medical Faculty of Charles University in Prague, Bulovka Hospital, Budinova, Prague, Czech RepublicDepartment of Plastic Surgery, Ruzinov Hospital, Ružinovská, Bratislava, Slovak Republic;From the Department of Plastic Surgery, 1st Medical Faculty of Charles University in Prague, Bulovka Hospital, Budinova, Prague, Czech RepublicDepartment of Plastic Surgery, 3rd Medical Faculty of Charles University in Prague, University Hospital Kralovske Vinohrady, Srobarova, Prague, Czech Republic.Summary: Fat graft breast reconstruction following a mastectomy is always limited by the size of the skin envelope, which affects the amount of graft that can be injected in 1 session. Because the fat graft naturally resorbs in all patients, several sessions of fat grafting are necessary. BRAVA’s negative pressure causes a “reverse” expansion of the skin envelope, thus permitting more space for the fat graft. This allows decreasing number of required procedures for an adequate breast reconstruction. We operated on a 38-year-old patient 4 years after bilateral mastectomy without irradiation for breast cancer. Before the procedure, the patient was instructed to wear the BRAVA system for 12 hours daily for 2 months before the first session, at all times between the sessions and for 1 month following the last fat grafting session. We performed 3 fat grafting sessions, as planned. Altogether, we injected 840 cm3 of fat on the right side and 790 cm3 of fat on the left side. Four months after the last operation, the patient was very satisfied with her new breasts. The breasts were soft, with good sensation and a natural feel. Using the BRAVA external expansion system for the enhancement of fat grafting is a suitable technique for breast reconstruction after a mastectomy. This technique produces soft and natural feeling breasts in fewer operative sessions, with a minimal risk of complications. Patient compliance, however, is greatly needed to achieve the desired results.http://journals.lww.com/prsgo/Fulltext/2013/11000/Article.11.aspx |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ondrej Mestak, MD Jan Mestak, MD, PhD Martin Bohac, MD Ahmed Edriss, MD Andrej Sukop, MD, PhD |
spellingShingle |
Ondrej Mestak, MD Jan Mestak, MD, PhD Martin Bohac, MD Ahmed Edriss, MD Andrej Sukop, MD, PhD Breast Reconstruction after a Bilateral Mastectomy Using the BRAVA Expansion System and Fat Grafting Plastic and Reconstructive Surgery, Global Open |
author_facet |
Ondrej Mestak, MD Jan Mestak, MD, PhD Martin Bohac, MD Ahmed Edriss, MD Andrej Sukop, MD, PhD |
author_sort |
Ondrej Mestak, MD |
title |
Breast Reconstruction after a Bilateral Mastectomy Using the BRAVA Expansion System and Fat Grafting |
title_short |
Breast Reconstruction after a Bilateral Mastectomy Using the BRAVA Expansion System and Fat Grafting |
title_full |
Breast Reconstruction after a Bilateral Mastectomy Using the BRAVA Expansion System and Fat Grafting |
title_fullStr |
Breast Reconstruction after a Bilateral Mastectomy Using the BRAVA Expansion System and Fat Grafting |
title_full_unstemmed |
Breast Reconstruction after a Bilateral Mastectomy Using the BRAVA Expansion System and Fat Grafting |
title_sort |
breast reconstruction after a bilateral mastectomy using the brava expansion system and fat grafting |
publisher |
Wolters Kluwer |
series |
Plastic and Reconstructive Surgery, Global Open |
issn |
2169-7574 |
publishDate |
2013-11-01 |
description |
Summary: Fat graft breast reconstruction following a mastectomy is always limited by the size of the skin envelope, which affects the amount of graft that can be injected in 1 session. Because the fat graft naturally resorbs in all patients, several sessions of fat grafting are necessary. BRAVA’s negative pressure causes a “reverse” expansion of the skin envelope, thus permitting more space for the fat graft. This allows decreasing number of required procedures for an adequate breast reconstruction. We operated on a 38-year-old patient 4 years after bilateral mastectomy without irradiation for breast cancer. Before the procedure, the patient was instructed to wear the BRAVA system for 12 hours daily for 2 months before the first session, at all times between the sessions and for 1 month following the last fat grafting session. We performed 3 fat grafting sessions, as planned. Altogether, we injected 840 cm3 of fat on the right side and 790 cm3 of fat on the left side. Four months after the last operation, the patient was very satisfied with her new breasts. The breasts were soft, with good sensation and a natural feel. Using the BRAVA external expansion system for the enhancement of fat grafting is a suitable technique for breast reconstruction after a mastectomy. This technique produces soft and natural feeling breasts in fewer operative sessions, with a minimal risk of complications. Patient compliance, however, is greatly needed to achieve the desired results. |
url |
http://journals.lww.com/prsgo/Fulltext/2013/11000/Article.11.aspx |
work_keys_str_mv |
AT ondrejmestakmd breastreconstructionafterabilateralmastectomyusingthebravaexpansionsystemandfatgrafting AT janmestakmdphd breastreconstructionafterabilateralmastectomyusingthebravaexpansionsystemandfatgrafting AT martinbohacmd breastreconstructionafterabilateralmastectomyusingthebravaexpansionsystemandfatgrafting AT ahmededrissmd breastreconstructionafterabilateralmastectomyusingthebravaexpansionsystemandfatgrafting AT andrejsukopmdphd breastreconstructionafterabilateralmastectomyusingthebravaexpansionsystemandfatgrafting |
_version_ |
1725446100034256896 |