Fat graft and death risk?

Question

Hello!! I’m about to undergo my second procedure of fat graft and implant exchange previously I had also breast implant with fat graft but didn’t like shape and size of implant and fat was only 200 cc I want more but afraid to die from stories people telling me my dr will only do lipofilling not full liposuction just 200 cc again is there methods to prevent death risks I will do it under local and sedation Thankyou

Daniel Barrett, MD · Answer

Dear munirah97x,
I understand your concern. It is best that you consult your plastic surgeon regarding preoperative protocols that you need to follow to reduce the chance of complications. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Elizabeth Kiwanuka, MD, PhD · Answer

It's completely understandable to have concerns about undergoing surgery, especially when hearing stories from others. However, it's important to remember that with proper medical care and precautions, the risks associated with fat grafting procedures can be minimized. Here are some steps you can take to reduce the risks and ensure a safe outcome:
1. Choose a qualified and experienced surgeon: Selecting a plastic surgeon who specializes in fat grafting procedures can significantly reduce the risk of complications. Make sure to research your surgeon's credentials, experience, and track record with fat grafting and implant exchange procedures.
2. Discuss your concerns with your surgeon: Openly communicate your fears and expectations with your surgeon during your consultation. Your surgeon can address any concerns you may have, explain the procedure in detail, and discuss the steps taken to minimize risks during surgery.
3. Follow pre-operative instructions: Your surgeon will provide you with specific pre-operative instructions to follow before your procedure. This may include guidelines on medications to avoid, dietary restrictions, and lifestyle modifications. Adhering to these instructions can help optimize your safety and reduce the risk of complications.
4. Opt for a safe anesthesia option: Local anesthesia with sedation is commonly used for fat grafting procedures, as it allows for a quicker recovery compared to general anesthesia. However, it's essential to discuss your anesthesia options with your surgeon and anesthesiologist to ensure that you feel comfortable and safe during the procedure.
5. Ensure proper post-operative care: Following your surgery, it's crucial to adhere to your surgeon's post-operative instructions for optimal healing and recovery. This may include wearing compression garments, avoiding strenuous activities, and attending follow-up appointments to monitor your progress.
By taking these precautions and working closely with your surgeon, you can help minimize the risks associated with fat grafting and implant exchange procedures and increase the likelihood of a safe and successful outcome. Trusting in your surgeon's expertise and following their guidance throughout the process can provide peace of mind as you undergo your second procedure.

Connie Hiers, MD, FACS · Answer

The risk of death is very low if done properly. Your surgeon can tell you how much fat can safely be added at one time. Going over that amount will risk losing the fat and fat necrosis.  You might consider exchanging your implants for something larger.

Fat graft and death risk?

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