Treating Anisomastia and Tuberous Breast with Fat Grafting: Technique and Evaluation of Outcomes Using BREAST-Q Surveys

Autor: Sarantos, Papadopoulos, Steven D M, Colpaert, Dimitrios G, Goulis, Meletios P, Nigdelis, Grigorios F, Grimbizis, Joke, Tio, Abdallah, Abdallah
Rok vydání: 2020
Předmět:
Zdroj: Aesthetic plastic surgery. 45(6)
ISSN: 1432-5241
Popis: In the surgical correction of tuberous breast deformity, implants and regional flaps play a prominent role. Lately, fat grafting has been used as an alternative, but there is evidence that patient satisfaction is higher after correction with implants compared with lipofilling.We report a tuberous breasts correction series of ten cases, enrolled between 2015 and 2018. Percutaneous fasciotomies and fat grafting were performed by the Body-Jet technique. Analysis of outcomes was undertaken with BREAST-Q surveys.The breast satisfaction scores increased from 0 to 75 (p0.01), the psychological well-being scores from 20 to 70 (p0.01) and the sexual well-being scores from 18.5 to 58 (p = 0.02), while the physical well-being scores remained stable (from 68 to 63, p = 0.2). The median outcome satisfaction score was 86.Scores of patient-reported outcomes after lipofilling can reach and even exceed those of patients corrected with implants, at the cost of more interventions. Fat grafting is beginning to establish itself as a true alternative in the treatment of tuberous breast deformity in patients with the appropriate fat deposits.This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266 .
Databáze: OpenAIRE