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Background Lipomodelling after breast cancer surgery has emerged as a new technique of reconstructive breast surgery for correction of postsurgical defects in order to improve the esthetic results. Controversies exist on increased risk for local recurrence. Long-term follow-up is needed to evaluate the oncological safety of lipofilling. Aim This study aimed to conduct a 2-year follow-up of patients who underwent delayed lipofilling after different oncological surgical techniques to assess the oncological safety and esthetic outcomes. Patients and method Fifty female patients were admitted to the Medical Research Institute Hospital, Alexandria University, and underwent delayed lipofilling by means of Coleman's technique following operable breast cancer by mastectomy or breast conservative surgery between January 2012 and May 2013. They were followed up clinically and radiologically every 6 months for 2 years, and esthetic outcome was evaluated using patient and doctor questionnaires and the BCCT.core program. Results The mean time from oncologic surgery to lipofilling was 19.97 ± 12.74 months. The shortest period was 3 months, and the longest was 102 months. One (2%) case of local recurrence was detected 24 months after lipofilling. Esthetic outcome was evaluated by means of a questionnaire filled up by all patients and doctors, the results of which were compared with the results of the BCCT.core computer program. A pleasant and high level of satisfaction was achieved with the technique at the end of 2 years. Conclusion Lipofilling is a new and innovative reconstructive technique for correction of breast defects and maximization of the esthetic outcomes. The oncological safety is high with no evidence of increased risk for local recurrence with acceptable esthetic results for patients and doctors. |
