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Lipografting in breast reconstruction after breast cancer treatment: literature review

ABSTRACT

Introduction:

The treatment of breast cancer through mastectomy greatly impacts patients’ quality of life, causing an increasing number of searches for reconstructive procedures. The fat graft, also known as lipografting, was described by Neuber in 1893, and has increased its use and acceptance over the years. According to the Sociedade Brasileira de Cirurgia Plástica (Brazilian Society of Plastic Surgery), reconstructive surgeries correspond to 39.7% of plastic procedures performed in Brazil, with breast reconstructions being 6.1% of this number, constituting part of breast cancer treatment. The present study aimed to review the use of lipografting in breast reconstruction after breast cancer treatment.

Methods:

A review of the literature was carried out using the databases of PubMed, MEDLINE, LILACS and SciELO, using the descriptors: “breast reconstruction”; “fat grafting”; and “breast cancer”.

Results:

In total, 838 articles were found in the databases searched, of which 20 were selected for data extraction after applying the inclusion and exclusion criteria.

Conclusion:

It was found that autologous fat is a well-established procedure for mammary reconstruction, despite presenting some possible complications. Furthermore, more long-term studies should be conducted to address the understanding and safety of the procedure.

Keywords:
Mammoplasty; Autologous transplantation; Mastectomy; Breast neoplasms; Adipose tissue

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