Immediate fat grafting after breast conserving surgery: evaluation of oncologic safety and cosmetic outcome

Abstract

Introduction Overtime, breast cancer surgical management evolved from the more invasive radical mastectomy to modified radical mastectomy to breast conservative surgery. Oncoplastic breast surgery consists of volume displacement and volume replacement techniques. In the literature; we aim to assess immediate lipofilling as an alternative option for volume replacement.Aim of the workThe aim of the present work is to assess oncological and cosmetic outcome in patients with breast cancer undergoing breast conservative surgery and immediate lipofilling.SubjectsAfter approval of the medical ethics committee of Alexandria Faculty of medicine, an informed consent was taken from all patients to include their data in this study. The study includes twenty female patients presenting with early breast cancer who are candidate for breast conservation surgery and who are admitted in the Alexandria Main University hospital, surgical oncology unit from december 2019 to january 2021.MethodsThe breast cancer patients undergoing breast conservative surgery will be lipofilled, oncologic safety and cosmetic outcome will be studied Exclusion criteria:Stage III or IV breast cancerAll contraindications to BCSPatients refusing BCSPatients refusing lipofilling Collagen vascular diseaseBreast cancer in pregnant womenResults ConclusionsImmediate fat grafting is a promising technique for reconstruction after BCS. It can prevent donor site morbidity and scarring in major flaps ,and also it can reduce a delayed procedure for symmetrization .It is associated with high amount of patient and physician satisfaction . It does not seem to have any effect on local or systemic recurrence