Application of autologous fat grafting in breast augmentation

Objective To report our experience of breast augmentation patients with fat grafting. Methods The treatment of 560 patients with fat grafting for breast augmentation was summarized in our hospital from Jan. 2011 to Dec. 2015. Fat was harvested using low negative pressure liposuction technique with 3-hole blunt cannula (diameter 2.5 mm). The fat was managed using cotton pad for concentration of fat tissue and separating them from fluids, oil, and debris. A diameter 2.5 mm, 1-hole blunt cannula was used to place the fat through 3-mm incision on inframammary fold, fat grafting with multi-level and multi-tunnel and multi-point injection ways, regularly taking picture for imaging evaluation. Results All patients were successfully performed with breast augmentation, and no severe complications occurred. Grafted fat volume ranged from 180 to 400 ml (average, 235 ml) per breast. Most of women had a significant improvement in their breast size and shape postoperatively, and the breasts were soft and natural in appearance. The patients were followed up for 18-24 months, and the outcome were satisfactory. Conclusions Autologous fat grafting for breast augmentation simplifies the operation procedure with satisfied results (natural breast and body contouring) and avoids the complications of breast prosthetic procedures. Key words: Transplantation, autologous; Fats; Injections; Surgical sponges; Breast augmentation