ABSTRACT
Mammary pathologies requiring volumetric restoration include malformations and distortions acquired after surgery for cancer.
Congenital malformations of the breast can have serious psychological consequences for teenagers, justifying the offer of a surgical procedure. We differentiate two major types of malformation: an anomaly of volume, and an anomaly of form and symmetry. Malformation characterized by an anomaly comprises principally the Poland syndrome and the tuberous breast. The Poland syndrome corresponds to a clinical
entity which links mammary hypoplasia and thoracic malformation of variable degree; minimal expression is agenesis of the sternal part of the pectoralis major muscle. In these cases, fat transfer allows treatment of zones difficult to correct using other techniques, notably the relief of the anterior axillary region. As in breast reconstruction after cancer, by analysis of
the distortion compared with the breast defined as ideal, we can imagine and accomplish a corrective intervention by combining different basic techniques. These interventions, which are sometimes intense, although changing considerably the morphology and influencing the psychology of the patient, often gave imperfect results. For these reasons, the provision of adipose tissue transfer as a complementary or as a unique treatment can be of major benefit in such cases. Our experience in this field has shown that it is possible to correct, completely or partly, the lack of volume in Poland syndrome in several sessions using fat transfer, even in the most difficult cases (Figure 47.1).
