Although the aesthetic remodeling of breasts by fat grafting has been done for many years, in the 1980s the American Society of Plastic Surgery imposed a moratorium on this technique because it could mask or hinder the diagnosis of breast cancer. Nowadays, it is a procedure that has taken on new vigor and interest in the realm of cosmetic surgery. In this article, we provide patients with an overview of Michigan breast augmentation using fat grafts.
The technique of fat grafting (liposculpture, lipoimplantation, etc.) has improved considerably, greatly increasing the percentage of cases with good or excellent results in the medium and long term. In addition to this success, the percentage of calcifications that occur has been drastically reduced and the results differ less from those who undergo other breast procedures such as breast augmentation with silicone implants or Michigan breast reduction. Breast augmentation using fat grafts is now a reliable technique that does not mask breast cancer as long as the patient carries out the appropriate protocols before and after surgery. Neither have there been any published studies that relate this treatment to the development of breast cancer.
The Surgical Process
The technique and premises do not differ much from other forms of liposculpture in Michigan. It is important that the patient has a sufficient donor area in order to provide fat for the breasts. Check out our frequently asked lipo questions to learn more about this topic.
During the surgery, the subcutaneous fat of one or several areas of the body will be aspirated through specialized instruments until the desired volume is obtained. Subsequently, the extracted fat is processed to obtain the correct cell population for grafting.
The liposuction and lipoimplant will be performed through multiple puncture points, implanting tiny amounts of fat cross-linked in the retro-pectoral, retro-mammary and subcutaneous space. The distribution of fat in each breast and in each patient can be customized by placing the necessary amounts in the different regions of focus.
The operation, which will be performed by a board-certified plastic surgeon in Michigan, can take place under local anesthesia with sedation or more commonly, general anesthesia. The length of surgery is typically greater than breast augmentation with implants due to the added work of fat extraction and the meticulous technique used in the implantation.
Advantages
The factors in favor of this technique are clear. It allows your surgeon to improve the patient’s overall silhouette when extracting fat from other areas of the body. The increase is made with the patient’s own tissues avoiding certain risks of breast implants such as encapsulation, rupture of the synthetic implant, and adenopathies. The placement of the fat can be very selective, placing the right amounts in each place according to the wishes of the surgeon and the patient. Finally, the process of breast aging is totally natural as opposed to that of synthetic implants.
Disadvantages
As factors against the technique, we can say that it is a longer procedure (at least two hours), the patient must have enough donor fat to meet the volume needed to reach their goals. We can also say that patients generally need at least two procedures and sometimes three to obtain the desired results as opposed to a single breast implant surgery. In addition to this, not all types of breasts can be treated using this specific technique, as certain restrictions apply.
Postoperative follow-up
As with any mammary augmentation in Michigan, postoperative care is very important to success. You should perform certain mammographic tests and even resonances to monitor the condition of the implanted fat and your mammary gland (just as you should to monitor the condition of an implant).
After the surgery, some calcifications may arise in the breasts, which are easily differentiated from the typical microcalcifications of breast cancer. A very high percentage of other breast surgeries (augmentation, breast reduction in MI, or mastopexy) also generate calcifications in the postoperative period. Even patients without previous breast surgeries may present calcifications. However, if calcifications or suspicious signs of breast cancer are detected on a mammogram, it is advisable to perform more tests or even biopsies.
Candidates for this type of surgery should be clear that postoperative care should be as strict as in patients with breast implants in Michigan.
Special considerations
In very lean patients, there is the possibility of feeling the edges of a breast implant. In these cases, a mixed technique can be performed in which the plastic surgeon, along with implants, uses fat grafts in the superficial layers of the breast in order to “hide” the implant as much as possible. The results are improved considerably by providing softer and more natural contours.
As a compensatory option in patients who undergo definitive removal of the implant (voluntary or due to the appearance of complications), a fat graft could be performed simultaneously. In these cases, once the prosthesis is removed, a fat graft is performed. In this way, it is possible to attenuate the effect of the removal of the implant. Follow our breast surgery blog for more knowledge filled articles like these!
The post Breast Augmentation Using Fat Grafts Explained appeared first on SurgeonGate.
source https://umassmedicalschool.com/2019/03/11/breast-augmentation-using-fat-grafts-explained/
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