Fat grafting safety after MX and reconstruction for DCIS??

Nolton9

Hi,

I would be very interested to hear what others have been told about the safety of fat-grafting (lipofilling) after a breast reconstruction?

My breast surgeon has recommended a 2 year wait between my last cancer surgery and having it, as there is, apparently, some 'thought' and/or evidence to suggest that women who have had DCIS, especially extensive DCIS at a younger age may be just slightly more likely to experience a recurrence afterwards.

I've read up a little now and it seems that there is some evidence but in the lab and possibly one or 2 studies that support this view. (I think there is a thought that the fat could somehow stimulate any residual cancer cells - sorry too simple explanation!) but small numbers and possibly other related factors that caused the recurrence in the in-situ/DCIS groups

My story is: I had a mastectomy and DIEP almost two years ago, unfortunately and very annoyingly I found some residual, superficial DCIS just a few months after the DIEP operation. So 2 lumpectomies/ WLEs were needed to clear that. Consequently my rather lovely DIEP looks far less lovely and I need further reconstruction this year. Fat grafting has been recommended but not for 2 years.

Many thanks for reading and I look forward to any help/advice.