Fat Grafting

Fat Grafting

Fat grafting, also known as fat injections, is a innovative technique employed by plastic surgeons for breast reconstruction. During this procedure, fat tissue is harvested from areas like the thighs, abdomen, or buttocks using liposuction. This harvested fat is then skillfully transferred to the breast, offering a method of breast reconstruction referred to as autologous fat transfer. Typically performed under general anesthesia, fat grafting can also be used for minor aesthetic adjustments in breast shape, balance, or position post-reconstruction, a variation sometimes termed lipofilling, which has been in use for some time and can be done under local or general anesthesia.

Advantages of Fat Grafting

Fat grafting offers several benefits, including:

  1. Natural Compatibility: As the transferred fat is sourced from your own body, there’s no risk of rejection.

  2. Implant-Free Option: It provides an alternative to breast implant reconstruction for those who prefer not to use implants.

  3. Natural Feel: A breast reconstructed through fat grafting closely mimics the texture of natural breast tissue.

  4. Swift Recovery: Recovery from fat grafting is typically straightforward and rapid.

  5. Sensation and Softness: Many women report that their fat-graft-reconstructed breast regains some sensation and feels soft, akin to their unreconstructed breast.

Risks of Fat Grafting

Despite its advantages, fat grafting carries certain risks, including:

  1. Common Surgical Risks: As with any surgery, there is a potential for bleeding and infection.

  2. Fat Necrosis: Some of the injected fat tissue may degrade, leading to the formation of scar tissue, known as fat necrosis. A higher volume of fat injected in a single session slightly increases the risk of fat necrosis.

  3. Volume Maintenance: Over time, the body reabsorbs some of the injected fat, leading to a potential loss of breast volume. Additional sessions may be required to achieve optimal results.

  4. Limitations on Future Procedures: If fat grafting fails, the area used for grafting may become unavailable for future flap reconstruction surgery.

  5. Brava Device Extension: The use of the Brava device extends the overall procedure timeline by several weeks.

  6. Long-term Research: While studies suggest fat grafting doesn’t increase the risk of breast cancer recurrence, further research with longer follow-ups is needed to assess its long-term benefits as a stand-alone breast reconstruction option.

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