Breast Augmentation With Autologous Fat Injection

Abstract

IntroductionAutologous fat transplantation has attracted great interest in breast augmentation for cosmetic purpose. In the present study, we reported our experience in fat grafting in breast in 105 cases, and some detailed procedure concerning efficacy and safety of grafting was evaluated.MethodsFat was harvested using 20-mL syringe attached to a 3-hole blunt cannula in a diameter not beyond 3 mm. After washing with cool normal saline to remove blood, the fat was managed with open method using cotton towel as a platform for concentration fat tissue and separating them from fluids, oil, and debris. A 14-gauge, 1-hole blunt cannula was used to place the fat through 3-mm incision on inframammary fold. The fat was infiltrated into the breast from deep to superficial subcutaneous plane.ResultsBetween July 2002 and August 2010, 105 patients have undergone this procedure. The age distribution of the patients ranged from 18 to 45 years, with a mean of 31.3 years. Grafted fat volume has ranged from 120 to 250 mL (average, 205 mL) per breast per session. All women had a significant improvement in their breast size and shape postoperatively, and the breasts were soft and natural in appearance.ConclusionsLiposuction and autologous fat transplantation is a suitable approach for augmentation mammaplasty.

The Subfascial Approach to Primary and Secondary Breast Augmentation with Autologous Fat Grafting and Form-Stable Implants

“…54,[56][57][58] Although various surgical procedures have been described for improving survival of fat grafts, including washing, 36,61,62 centrifugation, 27,63-65 decantation, 61 and not washing, 66 there is still controversy about their esthetic outcome, complications, and long-term results. 36,54,[56][57][58] Coleman and Saboeiro 27 introduced the structural fat grafting technique and emphasized the importance of removing nonviable aspirate components, such as oil and blood cells by centrifugation. 65 Following the initial description, Coleman's technique has been popularized; it also emphasizes an atraumatic method of fat harvesting, centrifugation, and, especially, a small amount of fat injection in order to provide maximal contact Primary and Secondary Breast Augmentation between fat and the recipient tissue.…”

“…In fact, there are numerous clinical studies that corroborate esthetic outcome and patient satisfaction. [26][27][28][29][30][31][32][33][34][35][36]54,[56][57][58] First introduced by Bircoll 23,24 in the 1980s for esthetic breast surgery, autologous fat grafting had the major advantage of autologous tissue transplantation in terms of natural and long-term results, even when secondary and tertiary surgical sessions were necessary. However, at that time, the American Society of Plastic and Reconstructive Surgery (ASPRS) Ad Hoc Committee on New Procedures concluded that the potential scarring and calcifications could interfere with diagnosis of breast cancer.…”

“…[12][13][14][15][16][17][18][19][20][21][22] As observed with the subfascial approach, there has been a resurgence in the use of autologous fat grafting for breast surgery for a variety of indications over the past 10 years. [23][24][25][26][27][28][29][30][31][32][33][34][35][36] In fact, autologous fat grafting has been performed more frequently since 2008, when new clinical recommendations were released. 37,38 Based on various clinical studies, the American Society of Plastic Surgeons (ASPS) concluded that fat grafting may be considered for treatment of breast defects associated with oncological diseases and esthetic deformities.…”

Correcting Shape and Size Using Temporary Filler after Breast Augmentation with Silicone Implants

“…There are few alternative methods for a patient who is not satisfied with the size and form of the implant but does not want repeated surgery to remove the existing implant and re-implant a different one, or has experienced difficulty with an autologous fat graft due to a thin body [2]. Therefore, the authors of this paper report that relatively satisfactory results using a filler to improve the size and shape of the implant that has already been inserted into the breast.…”

“…Even though revision using an autologous fat graft has been attempted, implanted fat absorption and a sacrificed donor site are disadvantages, requiring repetitive procedures [2,3]. There are few alternative methods for a patient who is not satisfied with the size and form of the implant but does not want repeated surgery to remove the existing implant and re-implant a different one, or has experienced difficulty with an autologous fat graft due to a thin body [2].…”