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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

A and C, Preoperative views of a 29-year-old woman with bilateral tuberous breast deformity. B and D, Postoperative view after three sessions of breast lipo?lling six months after the last procedure (injections of 210 ml, 250 ml and 280 ml, respectively).
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Figure 8: A and C, Preoperative views of a 29-year-old woman with bilateral tuberous breast deformity. B and D, Postoperative view after three sessions of breast lipo?lling six months after the last procedure (injections of 210 ml, 250 ml and 280 ml, respectively).

Mentions: Among all patients in the present study, 80 patients received 1 session of fat grafting, 20 patients received 2 sessions of fat grafting, and 5 patients received 3 session of fat grafting. An average of 205 mL of fat was transplanted at each session per breast (range, 120–250 mL). The average clinical follow-up was 18 months (range, 6–72 months). Of a total of 105 patients, 47 (44.8%) were evaluated as significantly improved (Figs. 5–7), 41 (39.0%) as improved, and 17 (16.2%) as not improved. There was no evidence of newly occurring oil cyst, fat necrosis, or breast masses seen in the postoperative MRI scan. Two patients developed benign-appearing calcifications easily distinguishable from cancer. Three patients developed small nodules that revealed fat necrosis on aspiration (Figs. 8 and 9).


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

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

A and C, Preoperative views of a 29-year-old woman with bilateral tuberous breast deformity. B and D, Postoperative view after three sessions of breast lipo?lling six months after the last procedure (injections of 210 ml, 250 ml and 280 ml, respectively).
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Related In: Results  -  Collection

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

Figure 8: A and C, Preoperative views of a 29-year-old woman with bilateral tuberous breast deformity. B and D, Postoperative view after three sessions of breast lipo?lling six months after the last procedure (injections of 210 ml, 250 ml and 280 ml, respectively).
Mentions: Among all patients in the present study, 80 patients received 1 session of fat grafting, 20 patients received 2 sessions of fat grafting, and 5 patients received 3 session of fat grafting. An average of 205 mL of fat was transplanted at each session per breast (range, 120–250 mL). The average clinical follow-up was 18 months (range, 6–72 months). Of a total of 105 patients, 47 (44.8%) were evaluated as significantly improved (Figs. 5–7), 41 (39.0%) as improved, and 17 (16.2%) as not improved. There was no evidence of newly occurring oil cyst, fat necrosis, or breast masses seen in the postoperative MRI scan. Two patients developed benign-appearing calcifications easily distinguishable from cancer. Three patients developed small nodules that revealed fat necrosis on aspiration (Figs. 8 and 9).

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