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Immediate and Long-term Outcomes of Platelet-rich Plasma-assisted Lipofilling for Correction of Scar Deformities and Associated Complications Following Breast Cancer Surgery: A Single-Center Experience

https://doi.org/10.17238/2072-3180-2025-3-131-144

Abstract

Introduction. Postoperative cicatricial deformities and complications after breast reconstructive surgery following cancer treatment remain an urgent issue in modern surgery, necessitating the development and implementation of more effective correction methods.
The purpose of the study. To evaluate immediate and long-term outcomes of platelet-rich plasma (PRP)-assisted lipofilling in correcting postoperative scar deformities in breast cancer patients.
Materials and methods of research. The study included 30 patients who underwent reconstructive surgery followed by PRP-assisted lipofilling. The effectiveness of correction was evaluated using photographic and video documentation, the Vancouver Scar Scale (VSS), the Patient and Observer Scar Assessment Scale (POSAS), and the BREAST-Q questionnaire over a 12-month follow-up period.
Results of treatment. Immediate postoperative results demonstrated high aesthetic satisfaction among both patients and surgeons. PRP enhanced the vascularization and stability of transplanted fat tissues, ensuring stable long-term outcomes. No complications were identified during the year-long follow-up.
Conclusion. PRP-assisted lipofilling is an effective and safe method for correcting scar deformities following breast reconstruction. It significantly improves patients’ quality of life and ensures high aesthetic satisfaction.

About the Authors

Sh. Wang
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Shuowen Wang – a postgraduate student at the G.I. Lukomsky Faculty of Surgery № 2

119435, Moscow, Trubetskaya Street, 8, building 2



M. P. Baranova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Baranova Madina Petrovna – PhD, Head of the Department of Breast and Skin Tumors, University Clinical Hospital № 4

Dovator Street, 15, p. 2, 119048, Moscow



X. Kong
Cancer Hospital, Chinese Academy of Medical Sciences
China

Xiangyi Kong – Doctor of Medicine, leading physician, Professor at the Breast Surgery Department of the Oncological Hospital

100021, 17 Panjiayuan Nanli, Beijing, 



J. Zhang
Wuxi Branch Hospital of Nanjing University of Chinese Medicine
China

Jun Zhang – a Ph.D. Professor, Head of the Department of Breast and Thyroid Gland at the Wuxi Phyllial Hospital

214021, Zhongnan Power 8 (Hubinlu and Zhongnanlu Intersection), Wuxi



Zeting Zhou Чжоу
Pavlov First Saint Petersburg State Medical University
Russian Federation

Zeting Zhou  

6–8 Lva Tolstogo Street, Saint Petersburg, 197022



T. V. Khorobrykh
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Khorobrykh Tatiana Vitalievna – MD, Professor, Head of the Department of Faculty Surgery № 2 named after G.I. Lukomsky, Director of the University Clinical Hospital № 4

8 Trubetskaya Street, building 2, Moscow, 119435 



References

1. Golara A., Kozłowski M., Lubikowski J., Cymbaluk-Płoska A. Types of Breast Cancer Surgery and Breast Reconstruction. Cancers (Basel), 2024, № 16(18).

2. Everaars K.E, Welbie M., Hummelink S., Tjin E.P.M., de Laat E.H., Ulrich D.J.O. The impact of scars on health-related quality of life after breast surgery: a qualitative exploration. J Cancer Surviv., 2021, № 15(2), рр. 224– 233.

3. Simonacci F., Bertozzi N., Grieco M.P., Grignaffini E., Raposio E. Procedure, applications, and outcomes of autologous fat grafting. Ann Med Surg (Lond)., 2017, № 20, рр. 49–60.

4. Khorobrykh T.V., Baranova M.P., Wang Sh., He M. Use of Plateletrich plasma in oncoplastic breast reconstruction: a review of current state and prospects. Modern science: current problems of theory and practice Series: Natural and technical sciences, 2024, № 6(2), рр. 216–223. (In Russian)

5. Modarressi A. Platlet Rich Plasma (PRP) Improves Fat Grafting Outcomes. World J Plast Surg., 2013, № 2(1), рр. 6–13.

6. Tsou Y.A., Tien VH.C., Chen S.H., Shih L.C., Lin T.C., Chiu C.J. et al. Autologous Fat Plus Platelet-Rich Plasma versus Autologous Fat Alone on Sulcus Vocalis. Journal of Clinical Medicine, 2022, № 11(3), рр. 725.

7. Shaaban A., Anwar M., Ramadan R. The role of platelet rich plasma enriched fat graft for correction of deformities after conservative breast surgery. Breast Dis., 2024, № 43(1), рр. 111–118.

8. Eichler C., Üner J., Thangarajah F., Radosa J., Zinser M., Fischer L.A. et al. Platelet-rich plasma (PRP) in oncological patients: long-term oncological outcome analysis of the treatment of subcutaneous venous access device scars in 89 breast cancer patients. Arch Gynecol Obstet., 2022, № 306(4), рр. 1171–1176.

9. Gentile P., Di Pasquali C., Bocchini I., Floris M., Eleonora T., Fiaschetti V. et al. Breast reconstruction with autologous fat graft mixed with platelet-rich plasma. Surg Innov., 2013, № 20(4), рр. 370–376.

10. Abu-Ghname A., Perdanasari A.T., Davis M.J., Reece E.M. PlateletRich Plasma: Principles and Applications in Plastic Surgery. Semin Plast Surg., 2019, № 33(3), рр. 155–161.

11. Bahadoram M., Helalinasab A., Namehgoshay-Fard N., Akade E., Moghaddar R. Platelet-Rich Plasma Applications in Plastic Surgery. World J Plast Surg., 2023, № 12(1), рр. 100–102.

12. Chan O.T.M., Squire S., Schlesinger S.L. Platelet-Rich Plasma as a Novel, Non-invasive Method to Treat Breast Capsular Contractures: a Case Report. Case Reports Plast Surg Hand Surg., 2024, № 11(1), рр. 2400138.

13. Everts P.A., van Erp A., DeSimone A., Cohen D.S., Gardner R.D. Platelet Rich Plasma in Orthopedic Surgical Medicine. Platelets, 2021, № 32(2), рр. 163–174.

14. Eichler C., Baucks C., Üner J., Pahmeyer C., Ratiu D., Gruettner B. et al. Platelet-Rich Plasma (PRP) in Breast Cancer Patients: An Application Analysis of 163 Sentinel Lymph Node Biopsies. Biomed Res Int., 2020, рр. 3432987.

15. Han C., Chen C., Lu N., Xue L., Xing D., Wu W. et al. Platelet-Rich Plasma Inhibits Breast Cancer Proliferation. Clin Med Insights Oncol., 2024, № 18, рр. 11795549241298978.


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For citations:


Wang Sh., Baranova M.P., Kong X., Zhang J.,  Z., Khorobrykh T.V. Immediate and Long-term Outcomes of Platelet-rich Plasma-assisted Lipofilling for Correction of Scar Deformities and Associated Complications Following Breast Cancer Surgery: A Single-Center Experience. Moscow Surgical Journal. 2025;(3):131-144. (In Russ.) https://doi.org/10.17238/2072-3180-2025-3-131-144

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ISSN 2072-3180 (Print)