Our Summary

This research paper discusses a technique for reconstructing breasts using fat grafting. In this procedure, fat is removed from one part of the body through liposuction and then used to rebuild the breast. This method is appealing because it doesn’t leave additional scars or require the use of tissue flaps. It does, however, typically require multiple surgeries and often involves adjusting the size of the other breast to match. The authors, who have been using this technique since 2001, suggest that it works best for patients with small breasts and enough body fat to allow for four or five fat grafting sessions. They also note that using fat grafting alone for total breast reconstruction is not often the best choice, as combining it with other methods tends to produce better results.

FAQs

  1. What is the process of complete breast reconstruction with fat grafting?
  2. Who is the ideal candidate for breast reconstruction with fat grafting?
  3. What are the benefits and limitations of breast reconstruction with fat grafting?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast reconstruction with fat grafting is to have realistic expectations about the results. While this technique can provide natural-looking results and minimize scarring, it may require multiple stages and balancing procedures to achieve the desired outcome. It is important for patients to understand that the process may take time and patience, but the end result can be very satisfying. Additionally, patients should have enough donor sites for lipomodeling sessions to ensure successful reconstruction.

Suitable For

Patients who are typically recommended for breast reconstruction with fat grafting are those who have undergone mastectomy or lumpectomy for breast cancer, as well as those who have experienced trauma or congenital defects affecting the breast. Ideal candidates for this technique are those with small breasts and enough donor sites for multiple lipomodeling sessions. Patients who are looking to avoid additional scars or the use of flaps, and who desire a natural and autologous reconstruction method, may also benefit from breast reconstruction with fat grafting. It is important for patients to be in good overall health and have realistic expectations for the outcomes of the surgery.

Timeline

Before breast reconstruction:

  1. Consultation with a plastic surgeon to discuss options for breast reconstruction
  2. Decision-making process to determine the best approach for reconstruction, which may include discussing the use of implants, tissue expanders, or autologous tissue
  3. Pre-operative appointments and preparations for surgery, including medical evaluations and imaging tests

After breast reconstruction:

  1. Surgery to perform the breast reconstruction using fat grafting technique
  2. Recovery period, which may involve pain management and monitoring for any complications
  3. Follow-up appointments with the plastic surgeon to monitor healing and discuss further treatments or revisions
  4. Completion of multiple lipomodeling sessions to achieve desired results
  5. Adjustment of the contralateral breast to achieve symmetry, if necessary
  6. Long-term follow-up to monitor the results of the reconstruction and address any concerns that may arise

What to Ask Your Doctor

  1. What are the different options for breast reconstruction, and why do you recommend fat grafting as a technique for me?

  2. How many stages of surgery will be involved in the fat grafting process for my breast reconstruction?

  3. What are the risks and potential complications associated with fat grafting for breast reconstruction?

  4. How long is the recovery period after each stage of fat grafting for breast reconstruction?

  5. Will I need to have any additional procedures or treatments after the fat grafting for optimal results?

  6. How long do the results of fat grafting for breast reconstruction typically last?

  7. Will I need to have any follow-up appointments or monitoring after the fat grafting for breast reconstruction?

  8. Are there any specific lifestyle changes or precautions I should take before or after the fat grafting for breast reconstruction?

  9. Can you show me before and after photos of other patients who have undergone fat grafting for breast reconstruction?

  10. Are there any alternative or complementary treatments or procedures that may enhance the results of fat grafting for breast reconstruction?

Reference

Authors: Delay E, Meruta AC, Guerid S. Journal: Clin Plast Surg. 2018 Jan;45(1):111-117. doi: 10.1016/j.cps.2017.08.009. Epub 2017 Sep 18. PMID: 29080652