The techniques of additive mastoplastic which have been described over the years, require the use of artificial materials (silicon) which are often badly tolerated by the body and have access paths which could leave visible, unaesthetic, residual scars.
Furthermore there are universally known controversies on the use of pre-filled gel breast implants, which at the beginning of the 90s, brought about a decree that caused the suspension and use of such products, which lasted for some years.
All of the above mentioned pushed Prof. Zocchi to look for alternative solutions to additive mastoplastic with prosthesis taking into consideration the breast lipotransplant technique.

For almost a century in fact the autologous adipose tissue has been used safely and with success in many other surgical techniques for the correction of volumetric defects of soft tissues.
Its natural, soft consistency, the absence of rejection and the versatility of use in many surgical techniques have always made autologous adipose tissue an ideal filler tissue.
All of these evaluations have allowed Prof. Zocchi to put in place a new methodology, importantly taking into consideration the most modern interpretations of breast functional anatomy and of lipostructuring and lipotransplant methodologies.

Such methodology (L.S.B.) “Breast Bi-compartmental Lipostructuring” is based on the way adipose tissue is harvested , rigorously in closed cycle, with minimum manipulation by a so-called bi-compartmental technique of re-implantation, that is to say, exclusively in the pre-facial retro-glandular position, and in the under skin area and mainly at the upper pole breast level, so by avoiding the insertion of adipose tissue into the glandular structure context. From 1998 to present day over 150 patients have benefited from such methodology. The quantity of adipose tissue re-implanted varies from 160cc. to 600 cc. per breast.

Complications encountered have been minimal and transitory (two cases of pseudo cysts which regressed spontaneously and a case of micro calcification at the upper pole level) but above all, thanks to the evolution of the way it is gathered and its re-insertion, it has been possible to sensibly increase the percentage of transferred adipose tissue and its survival.
Such operations must always be preceded and followed by a correct and rigorous radiography test (mammography and/or ecography) which allows the safe evaluation of the evolution of transplanted tissue.

In the light of this above presented methodology, when carried out in the new described mode, and always respecting precise technical and anatomical parameters, it can constitute the most reliable therapeutic alternative to those cases where additive mastoplastic with prosthesis can prove either unsuitable or unacceptable by the patient herself.
Furthermore it is important to underline that this technique does not always need to be used in place of the additive mastoplastic with prosthetic implant. In fact the volumetric increase and the projection of the breast cone obtained, are more modest, even if noticeable, above all, at the upper breast pole level, a region that more frequently requires an earlier support intervention.

This new technology has already been presented by Prof. Zocchi on numerous occasions at the most important and prestigious International Plastic Surgery Conferences, and it has been the subject of a two hour Monothematic Course at the National Congress of the Italian Society of Reconstructive and Aesthetic Plastic surgery, held in Genoa in October 2005.

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