"SIEF"--simultaneous implant exchange with fat: a new option in revision breast implant surgery.

摘要: UNLABELLED A technique of implant exchange is reported using recipient-site preexpansion followed by autologous fat transplantation to the breast in 12 consecutive patients with implants who desired removal. Recipient-site preexpansion, used 2 weeks before grafting, may have both practical and theoretical benefits increasing subcutaneous space stimulating microcellular environment overlying prosthetic implant, allowing insertion a sufficient core volume donor graft at time explantation. In cases described, postexplantation 9 months 1 year postoperatively quantitative three-dimensional imaging was equal or greater than preexplantation composite implant. Preexpansion affords more abundant space, completely independent from subglandular submuscular planes. this new "third space" breast, it possible technically place into tissue alleviate asymmetry resulting pocket distortions caused capsular contracture drift. Observing augmentation grafting same patient unique opportunity analyze some key differences between two techniques. simultaneous (SIEF) should be added list applications where breasts early clinical utility portends use conjunction achieve better outcomes. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, V.