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Total envelope fat grafting restores thickness of mastectomy skin flaps with low complication rates

Researchers found that the technique of total envelope fat grafting, which combines implant reconstruction, acellular dermal matrix and fat grafting to create a composite breast reconstruction, restored the thickness of mastectomy skin flaps with low complication rates.

A retrospective review included 36 breasts in 22 patients with an average age of 47 years.

Thirteen patients underwent a single fat transfer, and eight patients underwent a second fat transfer for residual visible implant irregularities or to increase overall volume. Mean follow-up period was 11 months.

The researchers observed a total complication rate of 19%, with capsular contracture reported in three breasts, oil cyst reported in one breast, fat necrosis reported in one breast and minor incision breakdown reported in one breast. However, no infections or implant removals occurred, and all reconstructions were rated as good or excellent by the primary surgeon.

A repeated transfer was performed in 39% "to modestly increase the overall breast volume rather than correct any deformity," according to the researchers. - by Abigail Sutton

Disclosure: The researchers report no relevant financial disclosures.