What is Lipofilling and How is It Used for Breast Reconstruction?

Fat transfer is a useful tool to optimize breast reconstruction outcomes. I recently fat grafted a patient's TRAM flap to improve volume, projection and shaping of the reconstructed breast. Insurance will pay for 'revision of breast reconstruction' and patients benefit from the liposuction required to obtain the fat for grafting. That's a double bonus for the patient !

Fat transfer can be good options for small breasts. For medium to large breasts, multiple sessions would be required. Fat grafting can also help touch up contour issues with implants or autologous reconstructions(DIEP, Latissimus, TDAP).

Yes, fat transfer techniques can be successfully applied for breast reconstruction, but 30-50% of the fat will be resorbed after transfer. Thus, when fat transfer alone is used for breast reconstruction, it is often necessary to undergo multiple surgeries to obtain adequate volume. 
If you want to use your own tissue for a natural method of breast reconstruction, the better method is autologous tissue perforator flap breast reconstruction. While perforator flap breast reconstruction is a bigger surgery, it takes excess tissue from one part of the body with its own blood supply so that all of the tissue survives in the breast reconstruction. You can then use fat transfer in a second stage to shape and mold the details of the breast form.