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

Can fat transfer techniques be successfully applied for breast reconstruction? Or are there better methods out there?

Doctor Answers 26

Fat grafting

Fat grafting has been shown to be a reasonable ancillary procedure to "touch-up" monor irregularities with breast reconstruction.


New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

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 !

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 65 reviews

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.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 25 reviews

Lipofilling or fat transfer can be very useful in breast reconstruction.

Hi.

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.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Fat transfer for breast reconstruction

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.

Breast reconstruction

Yes, indeed, lipofilling, or taking fat using liposuction from one area of the body (flanks, thighs, for instance) and placing the fat in the areas the breast for reconstruction is very commonly done- a portion of the fat does become absorbed by the body and so it is important to review what areas realistically can be treated ..

Samuel Lin, MD, FACS
Boston Plastic Surgeon
4.9 out of 5 stars 24 reviews

Lipofilling allows fine tuning of reconstructed breast contour

Lipofilling is a technique that allows the reconstructive surgeon to harvest fat cells using liposuction from an area of excess.  These fat cells are then purified and may be reinjected, or grafted, into areas of deficiency.  Often these areas include the upper and inner aspect of the breast, the cleavage area, that is difficult to fill naturally with an implant.  Lipofilling allows a surgeon to fill focal deficits in these and other aspects of the breast to yield the most natural looking result.

Emily A. Williams, MD
Spokane Plastic Surgeon
4.8 out of 5 stars 46 reviews

Fat transfer for breast reconstruction

Fat transfer is a great adjunct to breast reconstruction. It can help with autologous flaps to add volume to certain areas as well as implants where there maybe some rippling. Generally fat transfer maybe needed more than once to get the desired outcome and the patient will benefit by getting rid of unwanted fat in certain areas. Its a win- win for the patient.

Hope this helps

Ritu Chopra, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 33 reviews

Fat grafting

Fat grafting is commonly used in breast reconstruction. Fat can improve contour and add thickness after mastectomy or lumpectomy. It can be used to help contour after breast reconstruction with implants. Many options exist. Obtain a consultation.

William C. Rigano, MD
Dayton Plastic Surgeon
4.4 out of 5 stars 10 reviews

The use fat grafting in breast reconstruction

Fat Transfer is utilized widely in breast reconstruction. I use fat transfer in both implant base and autologous tissue reconstructions after mastectomy. To optimize fat take, I harvest fat using nontraumatic techniques.
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.

Mytien Goldberg, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 5 reviews

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.