Abstract
Abstract
Background
Breast augmentation with implants continues to be the most popular aesthetic surgical procedure performed worldwide. Fat grafting may improve the results of breast augmentation and breast reconstruction with implants. However, fat grafting to the breast with implants carries the risk of implant puncture. To our best knowledge this is the first case in which polyurethane implant puncture during fat grafting is described.
Case presentation
We report multiple bilateral implant punctures with the cannula during fat grafting in a patient who previously underwent breast reconstruction with polyurethane implants.
Conclusions
Implants that promote tissue ingrowth may be more prone to puncture with the cannula during fat grafting. Specific planning and surgical maneuvers decrease the risk of implant puncture.
Level of evidence
Level V, case report.
Publisher
Springer Science and Business Media LLC
Reference49 articles.
1. Cosmetic (Aesthetic) National Databank Statistics. https://www.surgery.org/sites/default/files/ASAPS-Stats2018_0.pdf. Accessed 2 May 2020.
2. ISAPS International Survey on Aesthetic/Cosmetic Procedures performed in 2018. https://www.isaps.org/wp-content/uploads/2019/12/ISAPS-Global-Survey-Results-2018-new.pdf. Accessed 2 May 2020.
3. Rigotti G, Marchi A, Galie M, et al. Clinical treatment of radiotherapy tissue damage by lipoaspirate transplant: a healing process mediated by adipose-derived adult stem cells. Plast Reconstr Surg. 2007;119(5):1409–22 ((discussion1423–1424)).
4. Zheng D, Li Q, Lei H, et al. Autologous fat grafting to the breast for cosmetic enhancement: experience in 66 patients with long-term follow up. J Plast Reconstr Aesthet Surg. 2008;61:792–8.
5. Delay E, Garson S, Tousson G, et al. Fat injection to the breast: technique, results, and indications based on 880 procedures over 10 years. Aesthet Surg J. 2009;29(5):360–76.