The augmentation with fat grafting (or lipofilling breast), is a minimally invasive technique, under local anesthesia. It differs from traditional breast augmentation without scarring them prosthesis. It allows to increase the volume and sculpt the breast without adding breast implants, but only thanks to the adipocytes and stem cells contained in your adipose tissue. This type of intervention is indicated for all women who wish to change their breast shapes by increasing it without using prosthetics. It must be said that generally the lipofilling of the breasts may require an additional session, especially when the patient’s wishes are to have sufficiently large breasts.
This technique is also used for the integration and complement of breast reconstruction with prosthesis; the integration of breast reconstruction with autologous tissues; the treatment of tissue damage caused by radiotherapy; the integration of missing volumes in outcomes of quadrantectomies and the correction of mammary asymmetries.
The Intervention of Mastoplasty with Fat Grafting
The regions from which fat is most commonly taken are the abdomen, the hips, and the back, but this does not exclude the possibility of withdrawal from the arms, thighs or buttocks. The collection takes place through micro-incisions in which the suction cannula is inserted, and with the Coleman technique which allows the removal of the adipose tissue without traumatizing it, thus allowing the use of the vital adipocytes for the mammary implantation. After collection, the tissue containing the adipocytes and the stem cells is prepared by centrifugation. The adipose tissue is infiltrated into the breast through small incisions that leave scars almost invisible.
Today there are systems of fat preparation in a sterile circuit that allow to further reduce the risk of infections.
For Whom Is Indicated the Mammoplasty with Fat Grafting
A woman who decides to undergo this type of intervention wants to improve her image in a non-invasive way, in order to improve her perception of herself.
The candidate for this type of procedure is the one who needs minor adjustments or breast corrections.
- to correct small imperfections in the breast
- to naturally increase the size of the breasts
- To improve the result achieved with a previous additive mastoplasty
- To correct any folds present at the medial border of the breasts after breast augmentation (wrinkling and rippling)
- To optimize the appearance of the breast after breast reconstruction
- to improve slight asymmetries between the two breasts
- for patients who do not like the idea of having foreign bodies in the breasts
- to optimize the correction of the lower pole in patients who have tuberous and already glandular expansion mats
The preliminary visit to the breast augmentation consists in the evaluation by Dr. Domenico Campa of what the patient needs. It is very important to try to understand what are the wishes of those who undergo this intervention, offer advice and explain the procedure that will be used and what to expect in the following months. A proper awareness is an important aspect of the process and careful planning of the intervention guarantees the patient’s success and full satisfaction.
Postoperative: After Breast Implant with Fat Grafting
The hospitalization for a fat graft surgery is not very demanding: it is a minimally invasive procedure performed in Day Surgery, that is, with surgery in the morning and patient discharged already in the late afternoon. Home stay is not required, so the return to work is possible the next day or, if the patient does not feel it, two or three days later. However, for a period of about a month, the use of a specific bra is recommended.
Risks and Complications
Any surgical procedure, however modest and performed on patients in good general conditions, can rarely lead to the rare onset of general or specific complications. Among the specific ones it should be remembered a partial engraftment, a partial correction and limited asymmetries.
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