I had a nipple sparing mastectomy in 2017 which was direct to implant ... I would like to use fat transfer to build up my breasts . As I've had nipple sparing does that mean I have a small amount of residual breast tissue under the nipple? As I have no breast tissue would transferred fat survive in my breast? I assume it requires a blood supply which I assume can be obtained via the skin ? I've heard conflicting opinions but assume it's a viable technique as it's now widely used in recon.
May 3, 2023
Answer: Breast fat grafting after implant-based breast reconstruction Fat grafting after mastectomy and implant-based breast reconstruction is very common. In this context, the fat grafts add additional thickness to the mastectomy flaps, which can eliminate or reduce visible implant rippling and improve the contour of the breast, especially in transitional areas like the chest and under arm. In order to survive, fat grafts need to be gently harvested, carefully processed, and injected into the recipient site in small droplets to maximize contact with the soft tissues they are injected into so that they can receive nutrition by diffusion. Over time, capillaries will send new blood supply to the fat grafts, ensuring longterm survival.
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May 3, 2023
Answer: Breast fat grafting after implant-based breast reconstruction Fat grafting after mastectomy and implant-based breast reconstruction is very common. In this context, the fat grafts add additional thickness to the mastectomy flaps, which can eliminate or reduce visible implant rippling and improve the contour of the breast, especially in transitional areas like the chest and under arm. In order to survive, fat grafts need to be gently harvested, carefully processed, and injected into the recipient site in small droplets to maximize contact with the soft tissues they are injected into so that they can receive nutrition by diffusion. Over time, capillaries will send new blood supply to the fat grafts, ensuring longterm survival.
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April 17, 2023
Answer: Fat grafting of breasts Fat grafting of breasts after reconstruction was one of the first areas were fat grafts were used. Although there is significant experience accumulated in that field, it is still very challenging procedure, which usually requires 2-3 stages of fat grafting to achieve desired volume and shape. It would be in your best interest to have a consultation with a board certified plastic surgeon who has significant experience in this procedure. Hope this helps. Good luck.
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April 17, 2023
Answer: Fat grafting of breasts Fat grafting of breasts after reconstruction was one of the first areas were fat grafts were used. Although there is significant experience accumulated in that field, it is still very challenging procedure, which usually requires 2-3 stages of fat grafting to achieve desired volume and shape. It would be in your best interest to have a consultation with a board certified plastic surgeon who has significant experience in this procedure. Hope this helps. Good luck.
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