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Breast Reconstruction pp 361–369Cite as

Implant Breast Reconstruction in the Setting of Postoperative Radiotherapy with Protective Lipofilling

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Abstract

Immediate two-stage prosthetic breast reconstruction in the setting of postmastectomy radiotherapy (PMRT) currently is hardly achieved because of high rates of complications and poor cosmetic outcomes as: higher risks of hematoma, seroma, wound dehiscence with possible implant exposure, infections (short-term) and resistance to expansion, pain, capsular contracture, thinning of the skin (long-term). In order to overcome these problems, some techniques have been proposed, each one with important drawbacks and complications. The authors describe a protocol based on lipofilling on irradiated expanders in patients undergoing planned or unplanned PMRT with predictable results, having eliminated the risk of tissue ulceration and implant exposure.

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Authors and Affiliations

  1. Department of Surgery “P.Valdoni”, University of Rome “Sapienza”, Plastic and Reconstructive Surgery Unit, Viale del Policlinico 155, Rome, 00161, Italy

    Diego Ribuffo M.D. & Francesco Serratore M.D.

  2. Section of Plastic Surgery, Department of Surgery, Cagliari University Hospital, S.S.554 Bivio Sestu, Monserrato (Ca), Sardinia, Cagliari, Italy

    Matteo Atzeni M.D.

Authors
  1. Diego Ribuffo M.D.
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  2. Matteo Atzeni M.D.
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  3. Francesco Serratore M.D.
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Corresponding author

Correspondence to Diego Ribuffo M.D. .

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Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

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© 2016 Springer International Publishing Switzerland

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Ribuffo, D., Atzeni, M., Serratore, F. (2016). Implant Breast Reconstruction in the Setting of Postoperative Radiotherapy with Protective Lipofilling. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_31

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  • DOI: https://doi.org/10.1007/978-3-319-18726-6_31

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

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