Skip to main content

Hybrid Breast Reconstruction

  • Chapter
  • First Online:
Breast Reconstruction

Abstract

Fat injection has established itself as a useful technique for the management of defects and asymmetries after breast reconstruction [1, 2]. Today, however, fat is considered not just as an autologous “filler” that can correct volumetric defects in various areas of the breast but also as a regenerator of the injected tissues, thanks in part to stromal vascular fraction cells [3, 4]. This regeneration is an important issue in breast surgery due to the damage caused to the tissue by radiotherapy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Delay E, Meruta AC, Guerid S. Indications and controversies in Total breast reconstruction with Lipomodeling. Clin Plast Surg. 2018;45(1):111–7.

    Article  Google Scholar 

  2. Delay E, Guerid S, Meruta AC. Indications and controversies in Lipofilling for partial breast reconstruction. Clin Plast Surg. 2018;45(1):101–10.

    Article  Google Scholar 

  3. Rigotti G, Marchi A, Galie M, et al. Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg. 2007;119(5):1409–22.

    Article  CAS  Google Scholar 

  4. Serra-Renom JM, Muñoz-Olmo JL, Serra-Mestre JM. Fat grafting in postmastectomy breast reconstruction with expanders and prostheses in patients who have received radiotherapy: formation of new subcutaneous tissue. Plast Reconstr Surg. 2010;125(1):12–8.

    Article  CAS  Google Scholar 

  5. Ribuffo D, Atzeni M, Serratore F, et al. Cagliari University Hospital (CUH) protocol for immediate alloplastic breast reconstruction and unplanned radiotherapy. A preliminary report. Eur Rev Med Pharmacol Sci. 2011;15(7):840–4.

    PubMed  CAS  Google Scholar 

  6. Salgarello M, Visconti G, Barone-Adesi L. Fat grafting and breast reconstruction with implant: another option for irradiated breast cancer patients. Plast Reconstr Surg. 2012;129(2):317–29.

    Article  CAS  Google Scholar 

  7. Costantini M, Cipriani A, Belli P, et al. Radiological findings in mammary autologous fat injections: a multi-technique evaluation. Clin Radiol. 2013;68(1):27–33.

    Article  CAS  Google Scholar 

  8. Petit JY, Lohsiriwat V, Clough KB, et al. The oncologic outcome and immediate surgical complications of lipofilling in breast cancer patients: a multicenter study--Milan-Paris-Lyon experience of 646 lipofilling procedures. Plast Reconstr Surg. 2011;128(2):341–6.

    Article  CAS  Google Scholar 

  9. Lewin R, Jepsen C, Hallberg H, et al. Immediate breast reconstruction with a wise pattern mastectomy and NAC-sparing McKissock vertical bipedicle dermal flap. J Plast Reconstr Aesthet Surg. 2018;71(10):1432–9.

    Article  Google Scholar 

  10. Serra-Renom J, Garrido MF, Yoon T. Augmentation mammaplasty with anatomic soft, cohesive silicone implant using the transaxillary approach at a subfascial level with endoscopic assistance. Plast Reconstr Surg. 2005;116(2):640–5.

    Article  CAS  Google Scholar 

  11. Serra-Renom JM, Fontdevila J. New marking designs for vertical scar breast reduction. Aesthet Surg J. 2004;24(2):171–5.

    Article  Google Scholar 

  12. Serra-Renom JM, Guisantes E, Yoon T, et al. Endoscopic breast reconstruction with intraoperative complete tissue expansion and partial detachment of the pectoralis muscle. Ann Plast Surg. 2007;58(2):126–30.

    Article  CAS  Google Scholar 

  13. Serra-Mestre JM, Fernandez Peñuela R, DʼAndrea F, et al. Endoscopic delayed breast reconstruction with expanders and implants via the axillary incision made for sentinel lymph node biopsy or lymphadenectomy. Ann Plast Surg. 2018;80(2):100–3.

    PubMed  CAS  Google Scholar 

  14. Strong AL, Cederna PS, Rubin JP, et al. The current state of fat grafting: a review of harvesting, processing, and injection techniques. Plast Reconstr Surg. 2015;136(4):897–912.

    Article  CAS  Google Scholar 

  15. Serra-Mestre JM, Fernandez Peñuela R, Foti V, et al. Breast cleavage remodeling with fat grafting: a safe way to optimize symmetry and to reduce intermammary distance. Plast Reconstr Surg. 2017;140(5):665e–72e.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Serra-Mestre, J.M., Serra-Renom, J.M. (2020). Hybrid Breast Reconstruction. In: Mayer, H. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-34603-4_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-34603-4_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-34602-7

  • Online ISBN: 978-3-030-34603-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics