Breast Augmentation and Reconstruction Via Fat Transfers

April 16, 2007 -

In the late 1800’s, plastic surgeons began to perform breast augmentation and reconstruction through fat transfers from other parts of the body, just as fat transfers are used today to build volume in the eye area. At present, a select number of plastic surgeons are performing breast augmentation through fat transfers in order to achieve the most natural compatible results for breast augmentation and reconstruction patients. The ease of the procedure had grown greater due to the advent of liposuction whereby fat cells from the lumbar area or other fatty tissue areas of the body could be liposuctioned out, prepared and injected into the breast area. Liposuctioned fat can be used for a variety of breast issues, including: tuberous breast deformity, inadequate soft tissue coverage over breast implants, capsular contraction, and wrinkling that occurs in some breast implant patients. Mammography testing for the detection of breast cancer may be inhibited. MRI Scans usually allow for differentiation between calcification and breast cancer.  

Candidacy for the procedure is not as broad as traditional liposuction because it is highly dependant on the amount of fat that is able for liposuction in other areas of the body. Reasonable expectations for the procedure are important as well. Results are partially dependant upon the technique because a percentage of fat cells can dissipate over time. There is a risk for complications. Though, complications can usually be managed. Complications include fat necrosis calcifications, trauma to the donor site, infection, and imperfections in the results.

During the procedure, a liposuction cannula (hollow tube) is inserted into the area where the fat is to be removed. Then, the fat cells are suctioned out through the cannula in a vacuum like way. Finally, the fat cells are refined. This is technique driven. The technique can play a role in the survival of the fat cells. The fat cells are then injected in 5 or more different areas of the breast close to the blood supply. The procedure requires up to 2 hours for the first 100cc’s and 45 minutes for each additional 100ccs. The procedure may total four of more hours of time.

The benefits of breast augmentation or reconstruction through fat transfers are great. The procedure does not require an incision. The material is biocompatible in all patients. Most patients are satisfied with the results of the procedure.