Fat transfer after lumpectomy

Ricardo Rodriguez, MD answers: Fat transfer to even out breasts after lumpectomy?

I am a 40-year-old woman with a lean athletic build. I went through a lumpectomy in 2005 due to a tiny, grade 3 cancer found. I had chemo and radio and now I'm considering fat transfer to even up my breasts (one is now an A cup where it was previously a B cup). I have yearly MRI scans and am healthy and well, but worry that my body (legs, butt) will become scared and lumpy from this procedure. I am of Caribbean origin. Any advice?


Ricardo Rodriguez, MD
1 month ago
By Ricardo Rodriguez, MD - Baltimore Plastic Surgeon

 I strongly recommend that you find somebody who is VERY well experienced in fat grafting, because individual surgeon expertise has a lot to do with results.

I have done a lot of fat grafting in my time, but like Dr. Placik, I was very hesitant to try it on breast tissue, much less irradiate ttissue. This changed when a landmark article by a group in Italy was published in the American Journal of Plastic Surgery in 2007. Several patients with varying degrees of radiation damage were treated successfully.

I myself have done it on a few patients, and I have been surprised how well the irradiated tissue responds.

The theory is that the stem cells present in the fat tissues actually work to repair the irradiated tissue.

Check out the link below for more info on stem cells.

Web reference: http://www.cosmeticsurg.net/blog/2009/08/12/lumpectomy-reconstruction-fat-g
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