情境初次想到时
Breast volume loss after childbirth and breastfeeding
这是怎样的情境
After pregnancy and breastfeeding many women notice that the upper breast has emptied and the skin envelope has loosened. The situation is a change in volume and shape rather than a disease, so people compare options that restore fullness: implants, autologous fat grafting, or accepting the change. Questions typically concern how much volume fat can add, how many sessions are needed, whether the result lasts, and whether future breastfeeding or screening is affected.
常见顾虑: natural look · not wanting implants · future breastfeeding · screening anxiety
在此情境中权衡的条件
每个条件由实体页面的事实回答；[n] 标记指向来源。
How much volume fat grafting can add
- Typical size increase
- Surgeon quoted by ASPS: ideal candidate wants half a cup to one cup; a larger increase may take two to three procedures[2]organizationFat transfer for breast augmentation: The ins and outs of this implant alternativeAmerican Society of Plastic Surgeons
- Suitable for
- People wanting a relatively small increase in breast size who have enough donor fat (ASPS)[1]organizationFat Transfer Breast AugmentationAmerican Society of Plastic Surgeons
How much of the graft remains
- Pooled volume retention
- 54% (95% CI 48.5–59.5%) across 25 studies, follow-up 3–36 months[3]journalVolume retention rate after breast autogenous fat grafting and related influencing factors: A systematic review and meta-analysis (Hu S, Xu H; PMID 38160589; DOI 10.1016/j.bjps.2023.12.003) – abstract recordJournal of Plastic, Reconstructive & Aesthetic Surgery (via Europe PMC)
- Retention by fat preparation method
- Centrifugation 51.5% vs sedimentation 38.7% pooled retention[3]journalVolume retention rate after breast autogenous fat grafting and related influencing factors: A systematic review and meta-analysis (Hu S, Xu H; PMID 38160589; DOI 10.1016/j.bjps.2023.12.003) – abstract recordJournal of Plastic, Reconstructive & Aesthetic Surgery (via Europe PMC)
Number of sessions
- Sessions
- More than one session may be needed because part of the graft is resorbed[1]organizationFat Transfer Breast AugmentationAmerican Society of Plastic Surgeons
Effect on breast imaging
- Oncologic safety evidence
- Meta-analysis of 15 studies (8,541 participants): no difference in overall survival, disease-free survival or local recurrence between patients who had fat grafting after breast cancer surgery and controls[4]journalThe oncological safety of autologous fat grafting: a systematic review and meta-analysis (Goncalves R et al.; BMC Cancer; PMCID PMC9004160) – abstract recordBMC Cancer (via Europe PMC)
- Imaging note
- Fat necrosis, cysts and calcifications can appear on mammograms and must be interpreted by a radiologist[1]organizationFat Transfer Breast AugmentationAmerican Society of Plastic Surgeons
相关问题
가슴 지방이식 후 임신하거나 수유하면 이식한 지방은 어떻게 되나요?지방이식 뒤의 임신·수유가 결과를 어떻게 바꾸는지 추적한 공개 연구는 거의 없습니다. 거꾸로 수유 경험이 있는 사람이 이식 후 유지율이 더 높았다는 후향 연구(70명, 41.0% 대 30.4%)와, 204개 유방을 다변량 분석했을 때 임신·수유력이 아니라 수술 전 가슴 부피가 유의한 요인이었다는 연구가 있습니다. 이식 후 두 번의 임신 때마다 염증성 유방염이 재발한 증례 보고가 1건 있으므로…출산 후 가슴성형, 수술 계획에서 무엇이 달라지나요?출산 후 가슴성형은 부피 감소와 처짐이 함께 있는 경우가 많습니다. 그래서 보형물로 부피만 늘릴지, 유방거상술을 함께 할지 검토하게 됩니다. 영국 NHS는 보형물 수술의 위험으로 모유량 감소를 들고 있으므로, 앞으로 임신이나 수유 계획이 있다면 상담 때 알려야 합니다. 수유 종료 뒤 수술 시기에 대한 통일된 기준은 이 문서의 출처에 제시되어 있지 않습니다.
如何核实机构
不要依赖排名，请使用韩国针对此类手术存在的公开记录。
- 在保健福祉部的先进再生医疗实施机构指定名单中核对指定编号。
- 涉及细胞分离或处理时，核对细胞处理设施许可登记（K-ARM）。
- 机构自行发布的病例数、成功率和“首例”说法，在独立记录确认之前只视为官方声明。
参考来源
- 等级 C · organizationFat Transfer Breast Augmentation — American Society of Plastic Surgeons · 证据页
- 等级 C · organizationFat transfer for breast augmentation: The ins and outs of this implant alternative — American Society of Plastic Surgeons · 证据页
- 等级 B · journalVolume retention rate after breast autogenous fat grafting and related influencing factors: A systematic review and meta-analysis (Hu S, Xu H; PMID 38160589; DOI 10.1016/j.bjps.2023.12.003) – abstract record — Journal of Plastic, Reconstructive & Aesthetic Surgery (via Europe PMC) · 证据页
- 等级 B · journalThe oncological safety of autologous fat grafting: a systematic review and meta-analysis (Goncalves R et al.; BMC Cancer; PMCID PMC9004160) – abstract record — BMC Cancer (via Europe PMC) · 证据页