Cosmetic Techniques, Mammaplasty
Conditions
Brief summary
Prospective observational study to evaluate effects on washing to improve viability of fat grafts in breast lipofilling.
Interventions
1. Identification of the donor site Procedure carried out in single sessions under GA. Abdominal site identified and outlined with a skin marker. 2. Fat Harvesting Berlin autologous lipotransplantation technique used according to the BEAULI protocol described by Ueberreiter et al. Infiltration solution -Klein'solution contains 1 cc of epinephrine (1:500,000) diluted in 500 cc of 0.001% lactate ringer solution (LRS). 3. Fat Processing After aspiration of nonviable components of the aspirate, fat graft washed using Lactate Ringer Solution for three times. The fat processing and washing were performed by the same assistant for all patients. 4. Fat Transfer (Injection) Fat is injected in small amounts as the needle is gradually withdrawn. Periglandular planes and intrapectoral planes are used. Intraparenchymal injection avoided.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with breast defect post breast surgery and unsatisfied. The first lipofilling procedure delayed for at least 9 months after the completion of radiotherapy. Patient on chemotherapy deferred until at least 6 month of last chemotherapy.
Exclusion criteria
* Patients are excluded if they experienced local recurrence or distant metastasis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measure fat graft resorption rate after washing with buffered lactate by volumeric MRI imaging | 6 month after breast lipofilling | MRI Breast performed before the first lipofilling session, at 1st and 6th months after the lipofilling procedure. Volume measurement performed using OsiriX (v7.0.3, 64 bit , Pixmeo c) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Confounding factors | 6 month after breast lipofilling | To identify confounding factors that affect fat resorption rate in breast lipofilling To evaluate the fat resorption following breast lipofilling with volumetric MRI imaging |
Countries
Malaysia