“Reverse expansion”: A new technique of breast reconstruction with autologous tissue

The treatment for breast cancer is sometimes long and requires a multidisciplinary approach. In 2010, in our centre we began to perform fat grafting for breast reconstruction using the so-called "reverse expansion" technique. This consists in the insertion of a skin expander during mastectomy, in its expansion and then in its gradual deflation in the surgical theatre during fat grafting. We have performed a complete breast reconstruction in 57 patients using reverse expansion. We have harvested fat in the fat excess areas using a normal liposuction cannula.

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