Natural recovery
Your own fat is an ideal material: alive, warm, natural to the touch; 50–70% of the injected volume survives, so large defects are corrected in stages with an interval of 3–4 months. Lipofilling closes retractions after sectoral resections, hides the edges of implants, and improves the quality of irradiated skin (stem effects of adipose tissue). Bonus: delicate liposuction of the sampling area. Oncological safety has been confirmed - the procedure is performed after agreement with the oncologist and control imaging.
Indications
- fibroadenoma growing or 2+ cm, phyllodes tumors - sectoral resection;
- breast cancer - organ-preserving radical resection or mastectomy according to indications;
- BRCA carriage - preventive surgery with reconstruction;
- gland abscess - opening and sanitation;
- defects after oncological operations - reconstruction with implants/lipofilling.
Organ preservation and reconstruction
Modern mammology strives to preserve the breast whenever it is oncologically safe: radical resection with urgent histology of the margins + subsequent radiation therapy is not inferior in survival to mastectomy in the early stages. When mastectomy is necessary, reconstruction (simultaneous or delayed - expander/implant, lipofilling for final correction) restores quality of life. Axillary lymph node dissection is performed as indicated; The IHC profile of the tumor (ER/PR/HER2/Ki-67) determines systemic treatment. All operations are performed with an aesthetic suture.
