Grafted fat placement?

Question

Is the fat transffered in the muscle or in the breast tissue? If transffered to muscle, does/ can the fat cause long term felling of tightnes/weight or breathing problems?

Alan Gonzalez, MD, FACS · Answer

Hello @Diligent327739, thank you for your question. A fat graft is usually performed to enhance the breast and give it more volume by injecting fat into the breast tissue rather than into the muscle. Since fat is placed where breast tissue would normally be, this makes the breasts appear and feel more natural. Currently, I am not aware of any method of implanting fat into muscle. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

John L. Burns Jr., MD · Answer

Fat is harvested using liposuction and placed into the breast tissue.  the chest muscle is very thin and lies on top of the rib case making is almost impossible to place fat into the muscle.

John Michael Thomassen, MD · Answer

The fat is placed in the breast tissue along multiple criss-crossed tunnels with a cannula so the fat has ample access to surrounding blood supply.

Daniel Barrett, MD · Answer

Dear Diligent327739,
in case of fat transfer to breasts, fat is transferred to fat tissue and not muscle or gland. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Fat is placed mainly inside breast tissue to give fullness to the breasts. Some fat can be added very carefully to the deep surface of the skin.  In those ladies who need reconstruction after mastectomy, fat can be carefully added to muscle in some cases and in specific areas. No, it will not interfere with breathing.

Mats Hagstrom, MD (license on probation) · Answer

Each plastic surgeon will have their own technique of grafting fat. Most of the fat is typically grafted in the subcutaneous, fat layer and below the skin, as well as below the breast tissue. some surgeons may graft into the pectoralis muscle and some probably avoid this.
There’s no documented issues reported with grafting into the pectoralis muscle to my knowledge. 
Delivering consistent quality, liposuction and fat transfer results is more difficult than most people realize. There is substantial difference in outcomes, depending on which provider you choose.
During in person, consultations, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. Always confirming that after pictures were taken at least 3 to 6 months from the date of the procedure. Early fat transfer results can look very impressive but do not in any way represent final results.
Best,
Mats Hagstrom, MD

Grafted fat placement?

Answers (6)

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