Can fat transfer techniques be successfully applied for breast reconstruction? Or are there better methods out there?
What is Lipofilling and How is It Used for Breast Reconstruction?
Doctor Answers 24
Fat transfer techniques can aid 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 grafting has been shown to be a reasonable ancillary procedure to "touch-up" monor irregularities with breast reconstruction.
Fat grafting in breast reconstruction
Fat grafting is often used in breast reconstruction for two main reasons -
- To correct the "shelf" that occurs between the chest wall and the upper pole of the implant
- To correct contour irregularities around the implant (palpable ripples, thin areas of skin, etc.)
The fat is removed from another area of your body (abdomen, thighs, hips) and is processed to isolate the fat cells. These fat cells are then injected into the area you wish to fill. Depending on technique, a percentage (the higher the better) of this transplanted fat will "take" or live and thus correct the deformity. Sometimes, more than one surgery is required to correct an area.
Some insurance companies deem this procedure as "investigational" and will not pay for it. It is important to discuss this with your surgeon prior to undergoing fat transfer. Other options include using dermal fat grafts (leaving fat attached to skin and transplanting as a single unit) and dermal matrices such as Alloderm.
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Lipofilling or fat transfer can be very useful in breast reconstruction.
Fat transfer is not the primary technique in breast recostruction, but we often use it to add finesse and a more natural look AROUND the main reconstruction.
The main breast reconstruction is done with an implant or a flap. But there can be hollows or defects from the mastectomy around the implant or the flap. This is where filling in with fat injections can turn a good result into a great result.
Lipofilling allows fine tuning of reconstructed breast contour
Fat transfer for breast reconstruction
Hope this helps
The use fat grafting in breast reconstruction
I have also used fat grafting to correct contour deformity after lumpectomy and radiation. However, the use of fat grafting as a primary breast reconstruction technique after mastectomy has been reported but if limited successful result.
I recommend to all patients with breast cancer to work closely with all their doctors including oncologist, oncologic breast surgeon, and board certified plastic surgeon to plan out their breast reconstruction.
Lipofilling or fat grafting can be used for breast reconstruction!
Lipofilling can help give a more natural look in your breast reconstruction.
Lipofilling, also called microfat grafting or fat transfer, is the process of removing fat cells from one area of the body via liposuction, then processing them and transferring them back into another area of the body, in this case the breast. When used as part of reconstruction, lipofilling can help soften the effect of an implant for a more natural look, as well as help improve minor asymmetry between the breasts. Lipofilling can be especially successful to restore the shape of the breast following a lumpectomy, just to smooth out your contours when a full implant may not be necessary.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.