Breast Fistula Repair after Autologous Fat Graft: A Case Report

We report the case of a 55-year-old female patient who attended our clinic for the presence of a scar retraction in the upper pole of the left breast as a complication of breast augmentation. In the scar area, we observed an orifice that probing revealed to be a fistula. The patient was referred to...

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Main Authors: Francesco Maria Klinger, Fabio Caviggioli, Davide Forcellini, Valeriano Vinci, Luca Maione, Giorgio Pajardi, Marco Klinger
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/547387
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author Francesco Maria Klinger
Fabio Caviggioli
Davide Forcellini
Valeriano Vinci
Luca Maione
Giorgio Pajardi
Marco Klinger
author_facet Francesco Maria Klinger
Fabio Caviggioli
Davide Forcellini
Valeriano Vinci
Luca Maione
Giorgio Pajardi
Marco Klinger
author_sort Francesco Maria Klinger
collection DOAJ
description We report the case of a 55-year-old female patient who attended our clinic for the presence of a scar retraction in the upper pole of the left breast as a complication of breast augmentation. In the scar area, we observed an orifice that probing revealed to be a fistula. The patient was referred to surgical intervention under general anesthesia to obtain scar contracture release using autologous fat graft; one month after autologous fat injection, following healing of the fistula, the patient underwent a second surgical procedure to replace the left breast implant. Unexpectedly, two weeks after the surgical procedure, complete healing of the breast fistula within the scar area was observed; this observation was confirmed during the second surgical step for left breast implant repositioning, when we observed the absence of the fistula orifice in the breast implant cavity. Upon clinical examination at 1-year followup, tissue integrity was preserved. The patient's satisfaction was excellent. We have observed a possible additional effect of fat graft.
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series Case Reports in Medicine
spelling doaj-art-b9215334e18848d4acdfacc9bae8c1e02025-02-03T05:52:45ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/547387547387Breast Fistula Repair after Autologous Fat Graft: A Case ReportFrancesco Maria Klinger0Fabio Caviggioli1Davide Forcellini2Valeriano Vinci3Luca Maione4Giorgio Pajardi5Marco Klinger6Università degli Studi di Milano and MultiMedica Holding S.p.A., U.O.C Chirurgia Plastica 2, Via Milanese, 300—20099 Sesto San Giovanni, Milano, ItalyUniversità degli Studi di Milano and MultiMedica Holding S.p.A., U.O.C Chirurgia Plastica 2, Via Milanese, 300—20099 Sesto San Giovanni, Milano, ItalyUniversità degli Studi di Milano and IRCCS Istituto Clinico Humanitas, 20089 Rozzano, Milano, ItalyUniversità degli Studi di Milano and IRCCS Istituto Clinico Humanitas, 20089 Rozzano, Milano, ItalyUniversità degli Studi di Milano and IRCCS Istituto Clinico Humanitas, 20089 Rozzano, Milano, ItalyUniversità degli Studi di Milano and MultiMedica Holding S.p.A., U.O.C Chirurgia Plastica 2, Via Milanese, 300—20099 Sesto San Giovanni, Milano, ItalyUniversità degli Studi di Milano and IRCCS Istituto Clinico Humanitas, 20089 Rozzano, Milano, ItalyWe report the case of a 55-year-old female patient who attended our clinic for the presence of a scar retraction in the upper pole of the left breast as a complication of breast augmentation. In the scar area, we observed an orifice that probing revealed to be a fistula. The patient was referred to surgical intervention under general anesthesia to obtain scar contracture release using autologous fat graft; one month after autologous fat injection, following healing of the fistula, the patient underwent a second surgical procedure to replace the left breast implant. Unexpectedly, two weeks after the surgical procedure, complete healing of the breast fistula within the scar area was observed; this observation was confirmed during the second surgical step for left breast implant repositioning, when we observed the absence of the fistula orifice in the breast implant cavity. Upon clinical examination at 1-year followup, tissue integrity was preserved. The patient's satisfaction was excellent. We have observed a possible additional effect of fat graft.http://dx.doi.org/10.1155/2011/547387
spellingShingle Francesco Maria Klinger
Fabio Caviggioli
Davide Forcellini
Valeriano Vinci
Luca Maione
Giorgio Pajardi
Marco Klinger
Breast Fistula Repair after Autologous Fat Graft: A Case Report
Case Reports in Medicine
title Breast Fistula Repair after Autologous Fat Graft: A Case Report
title_full Breast Fistula Repair after Autologous Fat Graft: A Case Report
title_fullStr Breast Fistula Repair after Autologous Fat Graft: A Case Report
title_full_unstemmed Breast Fistula Repair after Autologous Fat Graft: A Case Report
title_short Breast Fistula Repair after Autologous Fat Graft: A Case Report
title_sort breast fistula repair after autologous fat graft a case report
url http://dx.doi.org/10.1155/2011/547387
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AT valerianovinci breastfistularepairafterautologousfatgraftacasereport
AT lucamaione breastfistularepairafterautologousfatgraftacasereport
AT giorgiopajardi breastfistularepairafterautologousfatgraftacasereport
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