Breast Appearance Reconstruction Disproportion
Conditions
Keywords
Goldilocks Mastectomy, Fat grafting, Breast reconstruction, skin sparing mastectomy
Brief summary
Investigators in this study describe a new perspective for female patients that will undergo skin-sparing mastectomy in which there will be an immediate reconstruction of the mastectomized breast for more satisfactory aesthetic results.
Detailed description
This study introduces a new perspective for women who will undergo mastectomy especially Goldilocks mastectomy in which the investigators do fat grafting to the medial and lateral pillars of the breast as well as the inferior dermal flap in order to have a voluminous remaining breast shape that is close enough in size with the contralateral breast for more aesthetic results and to observe the lipografted tissue reaction after radiotherapy
Interventions
PROCEDUREGoldilocks mastectomy and fat transfer
Skin sparing mastectomy (Goldilocks mastectomy), then autologous fat grafting in the medial and lateral breast pillars as well as the inferior dermal flap
Sponsors
Alexandria University
Abouqir General Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Female patients * Age 20 - 65 years old * females with unilateral breast malignancy * candidate for Goldilocks mastectomy procedure
Exclusion criteria
* Females with ages beyond the study frame. * Females refusing to participate * Fameles that not accepting the liposuction, lipofilling procedure * Females with contralateral previously operated or mastectomized breast.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Immediate breast reconstruction and equalizing the operated breast cup size with the no-operated breast cup size | 6 months follow up post-surgical | fat grafting to the Goldilocks mastectomy flaps to have the mastectomized breast cup size to be aesthetically close to the contralateral non-operated breast cup size, also 5 point Likert scale was used to evaluate the patient satisfaction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate the skin changes and the trophic effect of radiotherapy on the fat grafted tissue | through the radiotherapy course and 1 month after | observe and evaluate the skin changes to the skin flaps of the mastectomy side after radiotherapy and evaluate if the fat grafted tissue can resist the trophic effect of radiotherapy |
Countries
Egypt
Outcome results
None listed