There has recently been increased interest in the use of structural fat grafts for breast reconstruction to camouflage chest wall anomalies. Anecdotal reports of "lipofilling" have been reported to improve lateral rippling and wrinkling in saline breast implants, however there isn't a uniform consensus on how it should be done and what consequences, if any may result, in the long term. Dr. Roger Khouri, M.D. (Miami, FL.) is a national expert on this technique and has spectacular results for post mastectomy reconstruction, using the BRAVA system (an external tissue expander) with multiple cycles of fat grafting. For every woman who has additional fatty padding, the concept seems intriguing, however important questions must be first answered:
a) How long does the fat remain; b) does the fat melt, become firm, cause cysts, which will make subsequent radiographic and clincal surveillance difficult; c) will grafted fat thicken and/or loose volume as a patient's weight changes, etc.
So stay tuned, just as the Plastic Surgery community is. good luck.
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