Composite Breast Remodeling after Implant Removal by Tissue Recruitment and Loops Fixation with Power-Assisted Liposuction and Lipofilling (PALLL)

Marwan H. Abboud, Ayush K. Kapila, Svetlana Bogaert, Nicolas M. Abboud

Résultats de recherche: Contribution à un journalArticle 'review'Revue par des pairs

9 Citations (Scopus)

Résumé

Background: An increasing number of women wish breast implant removal whilst maintaining an acceptable projection and form were possible. Objectives: The authors propose a technique to remodel the breast after implant removal utilizing internal suture loops to project the breast, recruit abdominal and axillary tissue cranially and medially, and provide a matrix for lipofilling. Methods: A prospective analysis was performed of consecutive patients undergoing implant extraction followed by power-assisted liposuction loops and lipofilling. Patient characteristics were measured. The aesthetic results were evaluated by 2 independent raters. Patient-reported satisfaction was measured by standardized questionnaires. Results: Implants in 52 patients with an average age of 55 and body mass index of 23.7 were extracted followed by breast remodeling. A total of 73% of patients had implants for aesthetic reasons, 41% were smokers, and 43% of the reconstruction cases received radiotherapy. A total of 28% had implant extraction for rupture, 58% for capsular contracture, and 14% due to pain and migration. The average volume of the implants removed was 292 cc, followed by an average lipofilling of 223 cc, yielding a ratio of 0.76 to 1. The average tissue recruited by loops was 82.5 cc. Independent raters measured 79% of results as good, 13% as acceptable, and 8% as requiring improvement; 80% of patients were satisfied to very satisfied. Conclusions: The authors propose implant extraction followed by power-assisted liposuction loops and lipofilling can provide footprint definition, sustained projection, and high patient satisfaction. Moreover, the recruitment of a vascularized adipo-cutaneous flap by loops allows a reduced ratio of fat grafting to implant volume.

langue originaleAnglais
Pages (de - à)770-782
Nombre de pages13
journalAesthetic Surgery Journal
Volume41
Numéro de publication7
Les DOIs
étatPublié - 1 juil. 2021
Modification externeOui

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