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Ann Chir Plast Esthet. 2008 Apr;53(2):169-77. Epub 2007 Oct 23.

[Fat tissue transplant: restoration of the mammary volume after conservative treatment of breast cancers, clinical and radiological considerations].

[Article in French]

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Service de chirurgie plastique reconstructrice et esthétique, hôpital de La Conception, 147, boulevard Baille, 13385 Marseille cedex 05, France.


The aim of this study is to evaluate fat tissue graft as a treatment of sequelae of breast cancer conservative surgery.


This prospective study during a nine-month period concerned 15 patients with breast cancer conservative treatment sequelae. Fat tissue has been injected at the site where the tumorectomie and subsequent radiotherapy had been performed. A mammographic and photographic checkup along with the patients' subjective evaluation were done before the operation and after the operation with a one-month, three-month, and nine-month follow-up. An objective analysis of the results was done by a panel from the pictures of the ninth month's follow-up. Preoperative and postoperative mammary volumes were calculated by a CT scan using a 3D program.


Mean fat tissue injected was 63.3cc. Mean patients' satisfaction grade was 8.1/10 at one month and 6.7/10 at nine months. The estimation of the resorption at nine months was 52.6% according to the patients while announced at 47.5% with the CT scan. Eighty percent of patients estimated the operation as "light" and 60% would be ready to have another injection. Skin tissue quality was enhanced and only one infection has been stated. Two-thirds of postoperative mammographies are still ACR 2 and one-third of the patients have had cytosteatonecrosis.


This fat tissue graft technique on irradiated skin for the correction of tumorectomy sequelae brings a simple and efficient solution, which is radiologically reliable and satisfying for the patients.

[Indexed for MEDLINE]

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