I had prophylactic bilateral mastectomies with tissue expanders in August. Exchange to silicon implants in December. My plastic surgeon suggested fat transfer from my outer thighs to correct some creases and step off on top of the breast. He will do both thighs to keep symmetry. I was wondering about the recovery for this type of surgery. I am due to go on vacation one month after surgery. Will I need compression garments? Bruising? Thank you!
Fat Transfer for Correction After Mastectomies. Recovery Time?
Doctor Answers 4
Fat grafting is a valuable tool in breast surgery. This technique has gained more popularity over the past 7 years. There are many techniques used to harvest the fat, process the fat and then re-inject the fat. Conventional suction lipectomy is performed with a small diameter cannula, processed by separating the liquid and fibrous tissue from the fat, and then placed into syringes for re-injection or through a closed system.
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Fat transfer recovery time
Yes fat grafting can be safely done after lumpectomy and radiation. It should be done in small increments and allow enough time (at least 4 months). The blood supply is the key to successful fat grafting. Expect you thighs to be a bit swelled for at least 3 months and garments for 6 weeks.
Fat transfer for correction after mastecrtomies. Recovery time?
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. Recovery time is minimal - similar to standard liposuction ~2-4 weeks before swelling and bruising subside. I typically have garments in place for 6 weeks, which optimizes the result of the area in which the fat was obtained. The postoperative instructions will vary with each surgeon. Hope that this helps! Best wishes!
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Recovery from fat transfer breast reconstruction is quick.
1) This is often very helpful. The right technique is crucial to harvest the fat, purify it, and then inject it in multiple tiny amounts with a very thin blunt-tipped cannula.
2) Women go back to work in about four days, and exercise in two weeks. Garments not needed.
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