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Aesthetic Plastic Surgery
Published in: Aesthetic Plastic Surgery 5/2022

07-06-2022 | Breast Augmentation | Original Article

How Do Positions of Nipple and Inframammary Fold Change After Autologous Breast Augmentation with Fat Grafting?

Authors: Shangshan Li, Boyang Xu, Chunjun Liu

Published in: Aesthetic Plastic Surgery | Issue 5/2022

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Abstract

Background

Breast augmentation with autologous fat grafting was widely used. However, it is unclear how does this kind of surgery affect the morphologic change of breast. This study aimed to explore the change of nipple and inframammary fold (IMF) levels, which are important aesthetic landmarks of breast that further explore whether this kind of surgery could correct the asymmetry of nipple and IMF.

Methods

Preoperative and postoperative measurements were performed in the patients who received fat grafting with or without fasciotomy. The position levels of nipple and IMF were measured. The preoperative and postoperative discrepancies and the difference of these levels after surgery were also calculated.

Results

As for the IMF asymmetry, in the fasciotomy plus fat grafting group, the asymmetry was significantly reduced after surgery, while there was no significant difference in the fat grafting group. As for the nipple asymmetry, fat grafting could not correct the asymmetry in both fasciotomy plus fat grafting group and fat grafting group. As for the morphological change after surgery, both nipple and IMF were descended significantly after surgery. The descending range of IMF in the preoperative higher group was larger than the preoperative lower group. On the preoperative IMF higher side, descending degree of IMF was significantly larger in the fasciotomy plus fat grafting group than fat grafting group.

Conclusions

Fat grafting with fasciotomy can improve IMF asymmetry but cannot improve nipple asymmetry. Both IMF and nipple were lowered somehow after surgery, which might be related to the breast enlargement.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266
Literature
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Gutierrez-Ontalvilla P, Naidu NS, Blanco EL et al (2020) Autologous fat grafting with percutaneous fasciotomy and reduction of the nipple-areolar complex for the correction of tuberous breast deformity in teenagers. Aesthetic Plast Surg 44(2):264–269CrossRef
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Ho Quoc C, Sinna R, Gourari A et al (2013) Percutaneous fasciotomies and fat grafting: indications for breast surgery. Aesthetic surg J Am Soc Aesthetic Plast Surg 33(7):995–1001CrossRef
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Sambuy MTC, Nakamoto HA, Bolliger R et al (2020) Randomized controlled trial of limited fasciotomy with injection of adipose graft for dupuytren’s disease. Acta Ortop Bras 28(4):159–164CrossRef
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Voglimacci M, Garrido I, Mojallal A et al (2015) Autologous fat grafting for cosmetic breast augmentation: a systematic review. Aesthetic surg J Am Soc Aesthetic Plast Surg 35(4):378–393CrossRef
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Duncan AM, Al Youha S, Joukhadar N et al (2022) Anatomy of the breast fascial system: a systematic review of the literature. Plast Reconstr Surg 149(1):28–40CrossRef
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Ji K, Luan J, Liu C et al (2014) A prospective study of breast dynamic morphological changes after dual-plane augmentation mammaplasty with 3D scanning technique. Plos one 9(3):e93010CrossRef
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Metadata
Title
How Do Positions of Nipple and Inframammary Fold Change After Autologous Breast Augmentation with Fat Grafting?
Authors
Shangshan Li
Boyang Xu
Chunjun Liu
Publication date
07-06-2022
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 5/2022
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-022-02959-8

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Invited Discussion: “How do Positions of Nipple and Inframammary Fold Change After Autologous Breast Augmentation with Fat Grafting?”