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Breast augmentation with autologous fat injection: a report of 105 cases.

Li FC, Chen B, Cheng L - Ann Plast Surg (2014)

Bottom Line: Grafted fat volume has ranged from 120 to 250 mL (average, 205 mL) per breast per session.All women had a significant improvement in their breast size and shape postoperatively, and the breasts were soft and natural in appearance.Liposuction and autologous fat transplantation is a suitable approach for augmentation mammaplasty.

View Article: PubMed Central - PubMed

Affiliation: From the Plastic Surgery Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, People's Republic of China.

ABSTRACT

Introduction: Autologous fat transplantation has attracted great interest in breast augmentation for cosmetic purpose. In the present study, we reported our experience in fat grafting in breast in 105 cases, and some detailed procedure concerning efficacy and safety of grafting was evaluated.

Methods: Fat was harvested using 20-mL syringe attached to a 3-hole blunt cannula in a diameter not beyond 3 mm. After washing with cool normal saline to remove blood, the fat was managed with open method using cotton towel as a platform for concentration fat tissue and separating them from fluids, oil, and debris. A 14-gauge, 1-hole blunt cannula was used to place the fat through 3-mm incision on inframammary fold. The fat was infiltrated into the breast from deep to superficial subcutaneous plane.

Results: Between July 2002 and August 2010, 105 patients have undergone this procedure. The age distribution of the patients ranged from 18 to 45 years, with a mean of 31.3 years. Grafted fat volume has ranged from 120 to 250 mL (average, 205 mL) per breast per session. All women had a significant improvement in their breast size and shape postoperatively, and the breasts were soft and natural in appearance.

Conclusions: Liposuction and autologous fat transplantation is a suitable approach for augmentation mammaplasty.

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Related in: MedlinePlus

Fat tissue is carefully molded and reshaped to obtain a smooth and regular surface.
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Figure 4: Fat tissue is carefully molded and reshaped to obtain a smooth and regular surface.

Mentions: Before lipoinjection, a tiny incision was made at the lateral region of the inframammary fold. Each breast was infiltrated with tumescent solution in the retroglandular and subcutaneous layer. A 14-gauge, 1-hole blunt cannula was connected to a 20-mL Luer-Lok syringe filled with the processed fat (Fig. 3, left). During the injection, the fat was dispersed evenly into the breast tissue, whereas the cannula was withdrawn in conjunction with slow and steady pressure on the plunger, leaving behind the form of fine noodle-like adipose tissue (Fig. 3, middle). The fat is placed in multiplane from deep to subcutaneous tissue (Fig. 3, right). Approximately two thirds of the collected fat was injected into the retroglandular and intraglandular space layer by layer. The remaining tissue was injected in the subcutaneous space. After injection, the injected area was carefully molded and reshaped to adapt the outline of the desired breast (Fig. 4).


Breast augmentation with autologous fat injection: a report of 105 cases.

Li FC, Chen B, Cheng L - Ann Plast Surg (2014)

Fat tissue is carefully molded and reshaped to obtain a smooth and regular surface.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4219534&req=5

Figure 4: Fat tissue is carefully molded and reshaped to obtain a smooth and regular surface.
Mentions: Before lipoinjection, a tiny incision was made at the lateral region of the inframammary fold. Each breast was infiltrated with tumescent solution in the retroglandular and subcutaneous layer. A 14-gauge, 1-hole blunt cannula was connected to a 20-mL Luer-Lok syringe filled with the processed fat (Fig. 3, left). During the injection, the fat was dispersed evenly into the breast tissue, whereas the cannula was withdrawn in conjunction with slow and steady pressure on the plunger, leaving behind the form of fine noodle-like adipose tissue (Fig. 3, middle). The fat is placed in multiplane from deep to subcutaneous tissue (Fig. 3, right). Approximately two thirds of the collected fat was injected into the retroglandular and intraglandular space layer by layer. The remaining tissue was injected in the subcutaneous space. After injection, the injected area was carefully molded and reshaped to adapt the outline of the desired breast (Fig. 4).

Bottom Line: Grafted fat volume has ranged from 120 to 250 mL (average, 205 mL) per breast per session.All women had a significant improvement in their breast size and shape postoperatively, and the breasts were soft and natural in appearance.Liposuction and autologous fat transplantation is a suitable approach for augmentation mammaplasty.

View Article: PubMed Central - PubMed

Affiliation: From the Plastic Surgery Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, People's Republic of China.

ABSTRACT

Introduction: Autologous fat transplantation has attracted great interest in breast augmentation for cosmetic purpose. In the present study, we reported our experience in fat grafting in breast in 105 cases, and some detailed procedure concerning efficacy and safety of grafting was evaluated.

Methods: Fat was harvested using 20-mL syringe attached to a 3-hole blunt cannula in a diameter not beyond 3 mm. After washing with cool normal saline to remove blood, the fat was managed with open method using cotton towel as a platform for concentration fat tissue and separating them from fluids, oil, and debris. A 14-gauge, 1-hole blunt cannula was used to place the fat through 3-mm incision on inframammary fold. The fat was infiltrated into the breast from deep to superficial subcutaneous plane.

Results: Between July 2002 and August 2010, 105 patients have undergone this procedure. The age distribution of the patients ranged from 18 to 45 years, with a mean of 31.3 years. Grafted fat volume has ranged from 120 to 250 mL (average, 205 mL) per breast per session. All women had a significant improvement in their breast size and shape postoperatively, and the breasts were soft and natural in appearance.

Conclusions: Liposuction and autologous fat transplantation is a suitable approach for augmentation mammaplasty.

Show MeSH
Related in: MedlinePlus