par Abboud, Nicolas M;Abboud, Marwan 
Référence Plastic and Aesthetic Regenerative Surgery and Fat Grafting: Clinical Application and Operative Techniques, Springer International Publishing, page (1085-1106)
Publication Publié, 2022-01
Référence Plastic and Aesthetic Regenerative Surgery and Fat Grafting: Clinical Application and Operative Techniques, Springer International Publishing, page (1085-1106)
Publication Publié, 2022-01
Partie d'ouvrage collectif
| Résumé : | Autologous breast augmentation using fat transfer has been widely described in the literature and is mainly limited by its repeated number of sessions required to achieve sufficient breast volume. This chapter describes a single-stage approach to breast augmentation based on the principles of power-assisted liposuction, loops, and lipofilling (PALLL). This tri-composite technique combines the native breast volume with the perimammary tissues and fat grafting. After detaching the subcutaneous adherences from the perimammary tissues, the plastic surgeon recruits a vascularized adipocutaneous advancement flap from the upper abdomen and lateral thorax with the use of internal threads (loops), resulting in the recruitment of the same cutaneous surface for both breasts. A larger volume of fat can then be grafted in the newly formed breast with minimal skin tension. The PALLL technique achieves an optimal breast volume, projection, and definition while avoiding the need for multiple sessions. |
