Immediate Large-Volume Grafting of Autologous Fat to the Breast Following Implant Removal

Abstract

Power-assisted transfer of autologous fat to the breast improves the ability of the recipient site to receive the graft and allows for explantation and fat transplantation in a single session. This approach is suitable for patients who desire a natural-appearing breast that is similar in volume to their previous implant.

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

“…After screening (Figure 1), a total of 23 articles was included. [4][5][6][10][11][12]21,[24][25][26][29][30][31][32][33][34][35][36][37][38][39][40][41] All of the articles were English-written articles. The risk of bias across the studies (Table 1) was measured using ACROBAT-NRSI 42 and was considered moderate in the preintervention (68.2% of studies), postintervention (72.7% of studies), and overall (72.7% of studies) ratings.…”

“…Our minimal sample size was 10 patients, and the mean follow-up period was at least 1 year after the last fat grafting session. By including studies up to February 20 2016, we included three new articles, [24][25][26] one of which practiced high-volume grafting (range, 300-600 cc) and one of which added to the number of BRAVA-prepared patients. The authors believe this can add value to this paper in comparison to previous reviews.…”

Introduction of ligated vessels promote the retention and regeneration of free fat: constructing a fat flap in tissue engineering chamber

“…Although radiotherapy is the most important factor associated with the number of treatment sessions according to a metaanalysis [33]. Limited layer for transplantation was an obvious obstacle even muscular and submuscular layers were considered as target layers [34]. According to present clinical principle, grafted fat should be scattered [21,35] and bolus fat transplantation should be avoided [12].…”

Application of Fat Grafting in Cosmetic Breast Surgery

“…52,53 Other reported complications include persistent pain at the site of injection, hematoma formation, fat necrosis, oil cyst formation and calcification, infection, and development of breast striae. [54][55][56][57] At the donor site, regional deformation has also been reported to occur. 54 If a new, palpable lump is felt following fat grafting procedures to the breast, a mammogram is indicated for initial evaluation, and subsequent biopsies may be indicated if the imaging results are inconclusive.…”

“…[54][55][56][57] At the donor site, regional deformation has also been reported to occur. 54 If a new, palpable lump is felt following fat grafting procedures to the breast, a mammogram is indicated for initial evaluation, and subsequent biopsies may be indicated if the imaging results are inconclusive. 4,22 In 2016, Groen et al conducted a systematic review investigating the outcomes and complications of autologous fat grafting in cosmetic breast augmentation.…”