Long-term outcome of lipomodeling in Poland's syndrome: about our first case with an eleven-years' follow-up

• Published in: Annales de chirurgie plastique et esthétique 2015-02, Vol.60 (1), p.65-69
• Main Authors: Coudurier, J, Ho Quoc, C, Ismail, M, Dlimi, C, Tourasse, C, Delay, E
• Format: Article
• Language: fre
• Subjects: Adipose Tissue - transplantation; Female; Humans; Longitudinal Studies; Mammaplasty; Poland Syndrome - surgery; Young Adult
• ISSN: 1768-319X
• DOI: 10.1016/j.anplas.2014.06.001

Poland's syndrome is a rare congenital malformation with thoracic and breast deformities very difficult to treat. Several techniques can be used involving, sometimes, implant insertion. Most of the classic techniques could not be used in this patient. Particularly, the transfer of the latissimus dorsi flap could not be performed because of the agenesis of the muscle. Lipomodeling is used, in our team, for breast reconstruction since 1998. This case was described and published one year after the end of the reconstruction in 2004. The immediate outcome appeared very satisfying and effective but some surgeons remained skeptical. An important question remains: what about the long-term efficiency and stability of the reconstruction? In this review, we report our first case of severe Poland's syndrome treated eleven years ago with lipomodeling. The patient was twelve years old. She had a severe form of Poland's syndrome. Five fat grafting sessions were performed between 2001 and 2003, for a total transfer of 809 ml. Today, outcome is very satisfying with a natural breast shape, consistency and sensitivity. An increase of volume in the reconstructed breast is noted. It is due to a rapid and significant weight gain by the patient. We performed two shorts movies describing this outcome one year and ten years after the reconstruction. It confirms the stability and the sustainability of the reconstruction. Lipomodeling does not interfere with breast ultrasound surveillance. Fat grafting deeply improved outcomes and management of thoracic and breast deformities in Poland's syndrome.