There is a hollowed or sunken area above the implant. Can the fat grafting help? Or would it be worth while?
Hollowed Breasts After Mastectomy with Implant Reconstruction
Doctor Answers 10
Hollowed breasts after mastectomy with implant reconstruction.
Working with your breast surgeon during the oncologic procedure for your breast, some fat is harvested during the same surgery, which in turn is placed back into the breast area. This will give a small breast mound immediately after the procedure. An external expander device is then used for several weeks after the initial procedure while you are sleeping. The expander will have the same befits as the internal tissue expander, owever it is simply worn on the outside as a vest, without having an implanted prosthetic. It has been shown to increase vascualrity, increase blood supply (important for radiated breasts especially), as well as expand the breast framework for which the fat will be placed in the future.
Once adequate expansion has been obtained after several weeks of wearing the external expander vest, a simple outpatient procedure will be performed in which liposuction will be performed from areas where you have excess fat. Instead of wasting this fat, it will be harvested, washed, and then transferred back directly into the breast to give the additional volume to reconstruct the breast. The liposuction may be performed from the abdomen, flanks, hips, thighs, buttocks, etc., until enough fat has been obtained to give adequate volume for your reconstructed breast. Multiple micro-fat grafts will then be placed throughout the expanded breast framework within its well-vascularized bed. Sometimes this will take a few small outpatient procedures, separated by several weeks, to obtain the results. Fat grafting allows precise placement of where the fat should go in order to perfectly contour the breast shape.
The newly-reconstructed breast mound has now been recreated with the use of only your own fat via liposuction with the hopes for a breast mound that looks and feels much like a "normal" breast. The results thus far have been superb and patients have raved about their overall results. Have a discussion about ALL options available for breast reconstruction with your plastic surgeon, and together, decide which breast reconstruction technique is best for you.
Upper pole hollowing after implant based breast reconstruction
Upper pole hollowing is a very common problem after implant based breast reconstruction. Improvement in this area can generally be achieved with fat grafting. The fat used is generally harvested from your abdomen and flanks by liposuction and then injected to fill the hollowed areas. Most patients are very happy with the results!
See my answer: Fat grafting to improve results of breast reconstruction
It is very common to have upper pole hollowing after placement of an implant for breast reconstruction. The reason it that most current implants are round while the breast is not. There is a tail of the breast that extends upwoard toward the collar bone. Fat grafting is a great way to repair that defect. We currently use it on selected patients who have good results but are looking for a more natural appearance. The benefits of fat grafting is the short downtime, and MANY of our patients like to have some fat taken out of the belly and put in th breast.
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Hollowing in Upper Pole of Reconstructed Breasts
You have several options to correct/improve the hollowing that you describe. First, why are you likely experiencing this hollowing? Without an examination, I would suggest that the skin envelope is likely a bit larger than the implant used. So one option to improve this is to go with a larger silicone gel implant. Another option would be to consider the form-stable "ultra-cohesive" silicone gel implants (ie. Allergan 410 or Mentor CPG implants) - but these are only available in an investigation study. Another option as my colleagues suggest is to fine tune your results with fat micrografting to "fill" in the upper pole. Others have also advocating using acellular dermal matrices to correct this problem. So in summary, the good news is you likely have many treatment options. Please visit with a board certiifed plastic surgeon in your area to learn more.
Fat grafting will work
This is a common issue with breast reconstruction and fat grfating works very well. The fat grafting technique very mush surgeon dependent and I have a meeting in New Orleans April 15-16 regarding different techniques.
Hollowed Breasts After Mastectomy with Implant Reconstruction
That is what I would recommend. Fat grafts with PRP + Stem Cell activation to help with the survival of the grafts. From MIAMI
Fat grafting to upper pole of breast after reconstruction
You describe a common deformity following breast reconstruction. There is often a hollow in the upper pole. Fat grafting is very helpful for this.
Fat grafting to improve results with implant reconstruction
Your question is a very good one. Breast reconstruction after mastectomy is giving better results than ever before but it is not uncommon to have contour issues such as a depression or sunken area around the edges of the implant. Fat grafting is very helpful for this.
Hollow area above implant after breast reconstruction
Fat grafting for the hollow area above your implant is the best solution for your problem. It is minimally invasive and usually an outpatient procedure. The only downside is that it may take more than one treatment to get complete correction. Make sure you go to a plastic surgeon that does this technique frequently since the results are very technique dependent.
Implants after mastectomy
Very commonly patients have hollowing in the upper lateral pole after breast reconstruction and it is more common with implants. Fat grafting may help and you should discuss this with your surgeon.
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