Autologous Fat Grafting for Treatment of Breast Implant Capsular Contracture: A Study in Pigs.

Autor:	Roça GB; Dr Roça is a plastic surgeon in private practice in Curitiba, Paraná, Brazil contato@guilhermeroca.com.br., Graf R; Dr Graf is Professor, Dr Freitas is Professor and Head of Unit, and Mr Maluf is a resident in the Plastic Surgery Unit, Federal University of Paraná, Brazil., da Silva Freitas R; Dr Graf is Professor, Dr Freitas is Professor and Head of Unit, and Mr Maluf is a resident in the Plastic Surgery Unit, Federal University of Paraná, Brazil., Salles G Jr; Drs Salles, Francisco, and Noronha are Professors at Pontifical Catholic University of Paraná, Brazil., Francisco JC; Drs Salles, Francisco, and Noronha are Professors at Pontifical Catholic University of Paraná, Brazil., Noronha L; Drs Salles, Francisco, and Noronha are Professors at Pontifical Catholic University of Paraná, Brazil., Maluf I Jr; Dr Graf is Professor, Dr Freitas is Professor and Head of Unit, and Mr Maluf is a resident in the Plastic Surgery Unit, Federal University of Paraná, Brazil.
Jazyk:	angličtina
Zdroj:	Aesthetic surgery journal [Aesthet Surg J] 2014 Jul; Vol. 34 (5), pp. 769-75. Date of Electronic Publication: 2014 Jul 01.
DOI:	10.1177/1090820X14533184
Abstrakt:	Background: Capsular contracture (CC) is a common complication after breast augmentation. Autologous fat grafting may be effective for restoring tissue vascularization and function. Objective: The authors evaluated the efficacy of autologous fat grafting in a porcine model as a treatment for CC after breast augmentation. Methods: This prospective study was performed in 20 female 30-day-old pigs. Each animal was implanted with three 30-cc textured silicone implants (stage 1 of the experiment). Group A served as the untreated control group. To induce CC, 2 mL of autologous fibrin glue was applied to the pericapsular space in group B and C animals at implantation. Three months after implantation (stage 2), the CCs of all groups were assessed by Baker classification and applanation tonometry (AT). Liposuction was performed in group B to harvest fat for these animals. Three months after group B underwent fat grafting, all 3 groups were reevaluated. Reassessments included Baker classification, AT, histologic analysis, and tensiometry (stage 3). Results: The deposition of mature and immature collagen was similar for the 3 groups. The amount of fat remaining around the implanted capsules did not differ significantly between the groups. At stage 3, group B exhibited significantly larger tonometry areas than did group C. The CCs in groups B and C were significantly thicker than those of group A, but the difference between groups B and C was not significant. Capsule rupture forces did not differ significantly between groups A and B but were significantly higher in group C compared with the other groups. Conclusions: Results in this animal model indicate that pericapsular lipoinjection may be a promising treatment for CC in humans. (© 2014 The American Society for Aesthetic Plastic Surgery, Inc.)
Databáze:	MEDLINE
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