Amr Abdulbaky, Ahmed Elmahrouky
AmrAbdulbaky, Ahmed Elmahrouky, Ahmed Sayed, Ahmed Gamal
Ashrf Abo-Elftooh Khalil, Ahmed F. AboRady, Ahmed Nawwar, Ahmed Ragab Morsi
Khaled E. Soliman M.D, Medhat M. Anwar M.D, Yasser S. Ahmed M.D, Samy E. Ibrahim M.D, Moustafa M. Abd El-Baki M.D, Mohamed H. Sultan M.Sc.
Hisham Mostafa (MD)1 , Usama Lotfi (MD, MRCS)1 , Ahmed Abdulrahman (MSc) 2
Mohamed El-Maadawy, MD, Ahmed Gamal, MD & Usama Lotfi, MD
Mahmoud S. Elbasiouny
Ahmed El-Marakby¹, Ahmed Faragaly¹
Hossam Elmahdy, M.D, Walied Eldaly, M.D, Baker Ghoneim, M.D
Dina Hany1,*, MD, Wafi Fouad2,*, MD and Ramy Mikhael Nageeb1,*, MD
Dina Hany1,*, MD, Wafi Fouad2,*, MD and Ramy Mikhael Nageeb1,*, MD
Khaled E. Soliman1 , Noha M. Ragab2 , Omar Shebl Zahra3
1Emad Abdellatif Daoud1M.D and 2Dahlia M. Dalam, M.D
Mohamed Riad and Basem M. Sieda
Ahmed Mahmoud Hussein1MD; Nader Makram Milad1MD; Mohammed Diaa Sarhan 1 MD; Ahmed Shaddad Abdel Wahed2 M.Sc.
1Gamal El Zaiady, 2Rasha Abdelkader, 2Sameh El Noamani
Ahmed A. Nawar, Rasha Abdelkader, Fady M. Yacoub
Abdrabou N. Mashhour MD
1Amr Saleh Elbahaey, 2Ahmed Aly Radwan
Clinical and Experimental Evaluation of Delayed Lipomodelling after Breast Cancer Surgeries
Background: The sequelae of conservative treatment of breast cancer are difficult to treat. Lipomodelling
offers a new treatment option, consisting of transferring to the deformed breast, fatty tissue that has been
meticulously harvested and prepared. We evaluated the efficacy, complications and esthetic outcomes of
lipomodelling after breast cancer surgeries and the oncological safety on experimental level. Material and
Methods: The study included 50 female patients undergoing delayed lipomodelling after breast cancer
surgery using the Coleman technique. Patients, after mastectomy or breast conservative surgery with tissue
defect and/or deformities, will undergo delayed lipomodelling at least 6 months after completion of
radiotherapy. Experimental study on Balb C white female mice, included lipofilling after mastectomy of
induced breast cancer. Results: Sixty five sessions were carried out on 50 patients from September 2013 to
June 2015.The mean of total amount of pure fat injected was 179.31 ± 99.17 ml for all sessions. The mean
follow up duration was 15.38 ± 5.37 months. Complications were minimal; mainly fat necrosis after 15
sessions. Local recurrence occurred in one case. Patients’ and doctor satisfaction were evaluated and
esthetic outcomes were assessed by the BCCT.core (Breast Cancer Conservation Treatment. cosmetic
results) software program. On experimental pre-clinical study, no local recurrence occurred in Balb C
mice in all lipofilling specimens excised after mastectomy for breast cancer. Conclusion: Lipomodelling of
the breast is safe, simple, cheap and feasible technique with low rate of complications and does not affect
the radiological follow up after breast cancer surgery.
Keywords: Breast cancer, Lipomodelling, Local recurrence, Coleman’s technique.