Breast Augmentation Using Preexpansion and Autologous Fat Transplantation: A Clinical Radiographic Study

  title={Breast Augmentation Using Preexpansion and Autologous Fat Transplantation: A Clinical Radiographic Study},
  author={Daniel Alexander Del Vecchio and Louis P. Bucky},
  journal={Plastic and Reconstructive Surgery},
Background: Despite the increased popularity of fat grafting of the breasts, there remain unanswered questions. There is currently no standard for technique or data regarding long-term volume maintenance with this procedure. Because of the sensitive nature of breast tissue, there is a need for radiographic evaluation, focusing on volume maintenance and on tissue viability. This study was designed to quantify the long-term volume maintenance of mature adipocyte fat grafting for breast… 
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Objective breast enlargement in this study was modest but yielded disproportionately high subjective patient satisfaction reports and overall patient satisfaction was high, as measured by the abbreviated BREAST-Q.
The Volumetric Analysis of Fat Graft Survival in Breast Reconstruction
The authors' data suggest that fat retention is volume and time dependent, and patients receiving higher volumes of injected fat had slower volume loss and greater total volume retention.
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B Brava preexpansion was associated with higher initial fill volume in the setting of breast conservation therapy defects and had a significantly higher initialFill volume in comparison with those who did not.
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Fat transfer is a safe and acceptable method for aesthetic and reconstructive breast surgery and the periglandular area was a better recipient site than muscle for transferred fat.
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This review points out the recent advances in breast AFG techniques and their associated outcomes and complications as well as recommendations to improve graft viability and long-term volume maintenance.
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Power-assisted transfer of autologous fat to the breast improves the ability of the recipient site to receive the graft and allows for explantation and fat transplantation in a single session, suitable for patients who desire a natural-appearing breast that is similar in volume to their previous implant.
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The procedure is reproducible, safe and effective, and reinforces the use of this technique in breast reconstruction and as an option in cosmetic breast augmentation, however, it may require a longer learning curve to avoid complications and achieve good results.
Breast Reconstruction using Reverse Expansion and Autologous Fat Grafting - A Case Report
This work presents a case of complete breast reconstruction using reverse expansion and AFG from Copenhagen University Hospital with excellent results and no major complications and believes this method to be more convenient to the patient than the BRAVA-method.
Brava and Autologous Fat Grafting for Breast Reconstruction after Cancer Surgery
Fat grafting with perioperative use of Brava is an alternative to total breast reconstruction in total mastectomy cases and for severely deformed breast-conserving surgery breasts treated with radiation therapy, the contracted skin was difficult to extend despite Brava use, and the results were less satisfactory.
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A retrospective examination of 17 breast procedures performed using fat grafting from 1995 to 2000 finds no evidence thatFat grafting to breasts is less safe than any other form of breast surgery, and freefat grafting should be considered as an alternative or adjunct to breast augmentation and reconstruction procedures.
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Fat grafting is a simple, safe, and effective treatment option, with low morbidity in the treatment of patients who will require postoperative irradiation and even those who have rippling surrounding an implant.
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Recipient site pre-expansion and fat grafting may have early clinical adoption in cases of severe asymmetry, tuberous breasts, and other deformities that are difficult to treat with current reconstructive techniques, but studies are needed to clearly delineate its safety and its role.
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Using lipomodelling to restore the shape and softness of the breast better than any other surgical procedure before, particularly for patients with mild breast deformity, represents a considerable advance for the management of moderate sequelae of conservative breast treatment.
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  • Medicine, Engineering
    Plastic and reconstructive surgery
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A new technique of autologous fat transplantation which utilizes fat obtained by liposuction is presented, which will have wide application in the future of cosmetic and reconstructive surgery.
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  • Medicine
    Plastic and reconstructive surgery
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The concept of modifying the body contour with liposuction by developing numerous subcutaneous "tunnels" with subsequent homogeneous contractions of the overlying skin will add a new dimension to the
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