Descripción:
Treatment of breast cancer is sometimes long and requires a multidisciplinary approach. In 2010, the authors, in their centre, began to perform fat grafting for breast reconstruction using the so-called ‘reverse expansion’ technique. This consists of the insertion of a skin expander during mastectomy, in its expansion and then in its gradual deflation in the surgical theatre during fat grafting. The authors performed a complete breast reconstruction in 57 patients by reverse expansion. They harvested fat from the fat excess areas using a normal liposuction cannula. From each patient, an average of 640 ccs of fat was collected and then centrifuged in a 4000-rpm centrifuge for 3 min. The obtained adipocytes were then injected in the operated breast using a normal lipofilling cannula. We injected an average of 318.05 ccs of adipocytes for each patient each time. The average number of sessions per patient was 3.6. Reverse expansion can be a safe and effective technique for breast reconstruction in all the breast cancer patients.
