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?
Fat Transfer to Even out Breasts After Lumpectomy?
Doctor Answers 6
Fat transfer after lumpectomy
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.
There are many options for breast reconstruction including tissue exapnders and implants, latissimus flaps with implants, fat grafting for small contour problems, TRAM flaps, DIEP flaps, SGAP, and IGAP flaps to name a few. You require an exam first to figrue out what is best for you..
Fat grafting, breast contoring, lumpectomy, breast augmentation
Micro Fat Transfer to the breasts has become more common in the Cosmetic Surgery practice. I have been doing this for 7 years. The grafted fat helps with the contour and can reverse the changes due to irradiation injury. i have seen complete clinical reversal of the radiation damage and this has been reported by many surgeons with large volumes of clinical experience- Riggotti, Coleman
The area from where the fat is harvested should have a pleasing contour- no resultant deformity!
The procedure can be repeated if necessary- 1/5 patients needs a touch up.
With Warm Regards,
Trevor M Born MD
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Use of fat grafting to the breast following radiation may not be advisable.
Your concerns are valid and the risks of lipoinjection (fat grafting via injection) are related to the donor site and/or the recipient site.
Irregualrities at the donor site can occur. Radiation may also increase the risks of failure of the fat to survive and "take". Furthermore, although it was controversial in the past, fat injection to the breasts has only recently been discussed as an option. Most likely, your history of radiation puts you at a higher risk of complications.
FAT TRANSFER AFTER LUMPECTOMY
Be well and good luck!
Fat transfer to even out breasts after lumpectomy?
At our Breast Reconstruction Center, we have utilizing this technique almost routinely to maximize the aesthetic outcomes after lumpectomy or mastectomy. We have utilized the micro-fat grafting technique, and have been obtaining maximal fat graft survival into the breast. After harvesting of the fat from areas with excess fat, usually the belly, hips, or thighs, the fat is processed and injected back into the breast using the aforementioned techniques. Our patients have been very happy with the results as well as the areas where the liposuction was performed. Contour has been much improved using the micro-fat grafting technique, and the downtime is minimal.
Fat grafting has become a mainstay in breast reconstruction and has added another edge to breast reconstruction for aesthetics with minimal morbidity and complications.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.