Evidence map›Paper›PMID 39014231›Full record

ArticleAesthetic plastic surgery2025

"Autologous Breast Dermal Filler": A Novel Technique for Breast Reconstruction After Nipple- or Skin-Sparing Mastectomy in Pubertal Gigantomastia.

Xiaomu Ma, Boyang Xu, Wenyue Liu, Shangshan Li, Chunjun Liu, Jie Luan

Abstract read
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In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xiaomu MaChinese Academy of Medical Sciences, Peking Union Medical College, Plastic Surgery Hospital, No. 33 Badachu Road, Shijingshan District, Beijing, People's Republic of China.
Boyang XuChinese Academy of Medical Sciences, Peking Union Medical College, Plastic Surgery Hospital, No. 33 Badachu Road, Shijingshan District, Beijing, People's Republic of China.
Wenyue LiuChinese Academy of Medical Sciences, Peking Union Medical College, Plastic Surgery Hospital, No. 33 Badachu Road, Shijingshan District, Beijing, People's Republic of China.
Shangshan LiChinese Academy of Medical Sciences, Peking Union Medical College, Plastic Surgery Hospital, No. 33 Badachu Road, Shijingshan District, Beijing, People's Republic of China.
Chunjun LiuChinese Academy of Medical Sciences, Peking Union Medical College, Plastic Surgery Hospital, No. 33 Badachu Road, Shijingshan District, Beijing, People's Republic of China.
Jie LuanChinese Academy of Medical Sciences, Peking Union Medical College, Plastic Surgery Hospital, No. 33 Badachu Road, Shijingshan District, Beijing, People's Republic of China. luanjieplastic@126.com.ORCID 0000-0002-8927-2648

Funding

National Key Clinical Specialty Discipline Construction Program of China 1112621048
6 · The paper itself

Abstract

backgroundFor females in puberty, mastectomy caused by pathological gigantomastia usually brings significant psychological problems. Appropriate immediate breast reconstruction method is necessary.

objectivesThe aim of this study is to present a novel method of breast reconstruction that requires neither implants nor donor-site sacrifice.

methodsAll patients who were diagnosed with pathological gigantomastia and indicated for nipple-sparing or skin-sparing mastectomy (NSM or SSM) were selected. All extra skin was de-epithelialized, followed by NSM or SSM through a vertical incision on the lower pole of the breast. Then, a skin and dermal envelope in all directions was formed. Whether to preserve the nipple-areolar complex depended on its perfusion. The dermal flap was folded inward to serve as the "autologous dermal filler" and reconstruct the breast. A second surgery of inframammary fold elevation for larger projection was performed at least 6 months. Follow up for at least 1 year and record complications as well as pre- and postoperative BREAST-Q Scores.

resultsA total of 11 breasts were included. Four (36.4%) were NSM and seven (63.6%) were SSM. Nipple to sternal notch distance in NSM and SSM was 32.3±9.1cm and 35.1±4.4cm, respectively. No complications occurred, while one breast with NSM showed nipple upward displacement. The BREAST-Q indicated significant postoperative improvements in breast satisfaction (20.5 ± 11.3 vs 80.2 ± 10.4) and psychosocial well-being (23.4 ± 8.9 vs. 81.4 ± 11.3).

conclusionsPreliminary study demonstrated the efficacy and long-term safety of "autologous breast dermal filler." For adolescents, it is a less invasive autologous breast reconstruction method, or transitional plan for further adjustment in adulthood. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

BreastHypertrophyMammaplastyMastectomyAdolescentCohort StudiesEstheticsFemaleFollow-Up StudiesHumansMastectomy, SubcutaneousNipplesPatient SatisfactionPubertyRetrospective StudiesRisk AssessmentBreast reconstructionDermal flapGigantomastiaMastectomy

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.