ePlasty: Vol. 12
Sequelae of Fat Grafting Postmastectomy: An Algorithm for Management of Fat Necrosis
Erin L. Doren, MD,a Rajiv P. Parikh, MD,a Christine Laronga, MD, FACS,b Matthew E. Hiro, MD,a Weihong Sun, MD,b Marie Catherine Lee, MD, FACS,b Paul D. Smith, MD,a,b and William J. Fulp, MSc

aDivision of Plastic Surgery, Department of Surgery, University of South Florida, Tampa; bComprehensive Breast Program, H. Lee Moffitt Cancer Center, Tampa, Florida; and cDepartment of Biostatistics, H. Lee Moffitt Cancer Center, Tampa, Florida.

Correspondence: edoren@gmail.com

Objective: Fat grafting is used to improve the reconstructed breast. Local recurrences following mastectomy present as palpable subcutaneous nodules; fat necrosis/oil cysts, a sequelae of fat grafting, also present as subcutaneous nodules. Our objective was to examine the frequency and factors associated with fat necrosis in the postmastectomy reconstructed breast and propose an algorithm for management. Methods: A retrospective review of a breast reconstruction database was conducted to identify patients treated with fat grafting. Clinical-pathologic data at cancer presentation, volume of fat injection, occurrence of subcutaneous nodules, and outcome were collected. Statistical analysis  .......