Autologous fat grafting to the breast for cosmetic enhancement: experience in 66 patients with long-term follow up

Lipoenxertia nas mamas: procedimento consagrado ou experimental?

“…Most studies estimate that 30%-40% of the volume is lost after the first procedure, thus requiring subsequent procedures 5,21,22,25,26 or graft overcorrection 14,16,25 . Several studies have shown high rates of patient satisfaction after fat grafting as well as good aesthetic results that are subjectively evaluated using photographs 2,[5][6][7][8]14,16,[20][21][22][23][24] . These studies considered breast fat grafting as a safe tech nique with a low number of major complications ( Table 1).…”

“…The studies generally reported that the grafts must be obtained by liposuction using the tumescent technique from body areas with an abundance of fat tissue (abdomen, flank, inner thigh, lateral thigh, medial knees, and back, as the commonly-used donor areas, in descending order) 2,[13][14][15][16]20,21 . Most of these studies emphasized that liposuction should be gentle, involve the use of syringes or a low-pressure apparatus, and avoid exposure of the fat to ambient air (closed technique) to ensure that the fatty material is handled as little as possible [2][3][4][5][6][7][8][13][14][15][16][19][20][21][22][23][24] . The obtained fat should then be purified using low-speed centrifugation ( Figure 2).…”

“…Screening was conducted primarily using mammography and breast ultrasonography 4,7,8,[10][11][12][13]15,16,21,22,25,26 by radiology teams experienced in discerning images of benign and malignant breast calcification 4,7,13,15,16,21 . All tissues with suspected abnormal radiological findings were biopsied, which revealed a low number of malignant disease confirmations [7][8][9][10][11][12]16,17,22 . Rietjens et al 13 concluded that the only case of recurrence detected in their study was likely due to underdiagnosis of the initial cancer.…”

“…Novel techniques have been developed to improve the viability and aesthetic results of fat grafts 2,4,5 . Fat grafting, which has primarily been used to correct breast deformities, has also been used for aesthetic purposes and to increase breast volume in an attempt to replace the use of breast implants [6][7][8] . Several studies have shown that fat grafting did not effectively hinder radiological breast screening 2,[9][10][11][12][13][14][15][16] .…”

Autologous Fat Transplantation – A Paradigm Shift in Breast Reconstruction

“…In 2011, detection of early breast cancer can easily be distinguished from fat necrosis and oil cysts. In fact, the radiographic changes after fat grafting to the breast are no different than those after other conventional and well-accepted breast surgery (PierrefeuLagrange et al, 2006, Coleman and Saboeiro, 2007, Gosset et al, 2008, Zheng et al, 2008, Veber et al, 2011.…”