CLINICAL EXAMPLE OF THE USE OF LIPOFILLING WITH DELAYED RECONSTRUCTION

• Published in: Исследования и практика в медицине
• Main Authors: A. D. Zikiryakhodzhayev, A. A. Masri, A. S. Sukhotko, F. N. Usov, M. V. Starkova, V. V. Ratushnaya, N. V. Evtyagina
• Format: Article
• Language: Russian
• Published: QUASAR, LLC 2017-03-01
• Subjects: lipofilling; autofat graft; delayed reconstructive plastic surgery; quality of life
• Online Access: https://www.rpmj.ru/rpmj/article/view/174

Malignant breast tumors are one of the causes of disability due to lack of breast or having operational defects. In most cases, the quality of the operation depends on the further social and active patient behavior.This article presents a clinical case of the use of lipofilling with reconstructive plastic surgery in breast cancer patients after complex treatment. In the particular example we show the positive effects after one session of conducted lipofiling in front of the chest wall to the right with Body-Jet hardware techniques. The purpose of this procedure was to improve the quality of cover fabrics in postoperative scar on the anterior chest wall right after comprehensive treatment, including also a cover for the such aggressive tissue treatment, as radiotherapy.It is proved that mesenchymal stromal cells, or cell-messengers that are present in all the fatty tissues, contribute to its regeneration by forming new blood vessels, or act directly on the damaged or exposed to aging structure — restore and rejuvenate the field of lipofilling. Therefore, adipose tissue is laid down by the nature of the human body a source of regeneration. In this clinical example, after successfully conducted one session of lipofilling marked improvement in skin quality in postoperative scar made after mastectomy and radiotherapy. Good autofat graft survival rate is also fixed, which was enough to implement further stages of breast reconstruction.