Mastopexy with Fat Graft Augmentation

Mastopexy encompasses many techniques to reshape the gland into a more youthful and attractive shape. Skin reduction and glandular tailoring are important components for success. Autologous fat grafting has become a commonplace tool for enhancing results in aesthetic and reconstructive breast surgery. Small volumes can be transferred safely to get predictable improvements in cleavage and transitions around implants and following mastopexy. Tuberous breast, Poland’s chest wall and breast deformities, and soft tissue deficiencies such as rippling and double bubble deformities, and breast asymmetries can all be improved or corrected with fat grafting. Large volume fat grafting combined with pre-expansion can be used for primary augmentation and treatment of secondary deformities. Fat grafting as an adjunctive procedure during mastopexy has a role in helping to reshape the gland by targeting areas of deficiency in the upper pole, cleavage, and tail of the breast, correcting volume asymmetries, and helping to improve the quality of thin atrophic skin when present. In certain cases, fat grafting combined with mastopexy can provide patients with upper pole restoration and correction of ptosis without the need for prosthetic implants.