Complete breast reconstruction with fat grafting is an appealing technique because it does not add scars or use flaps, is autologous, and has the secondary benefit of liposuction. It is a multiple stage surgery and usually requires balancing of the contralateral breast. After using this technique since 2001, the authors narrowed the indications, the ideal candidate being a patient with small breasts and enough donor sites for up to 4 or 5 lipomodeling sessions. Breast reconstruction with fat grafting alone in total breast reconstruction has very limited indications, because lipomodeling in combination with other autologous reconstruction gives very nice results.
Key points
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In case of total breast reconstruction with fat grafts, patients should be carefully selected depending on their fat deposits, on the shape and size of the contralateral breast, and patient acceptance of multiple surgeries.
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When delayed breast reconstruction is performed, the breast envelope can be reconstructed using a combination with an abdominal advancement flap.
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With each lipomodeling session, more fat grafts can be transferred.
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This surgery is a surgery with very satisfying results if the case selection is good and the surgeon is experienced with fat grafting.
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Radiation Therapy and Immediate Breast Reconstruction
The Use of TIGR Matrix in Breast Aesthetic and Reconstructive Surgery
Indications and Controversies for Complete and Implant-Enhanced Latissimus Dorsi Breast Reconstructions
Indications and Controversies for Abdominally-Based Complete Autologous Tissue Breast Reconstruction
Patient-Centered Breast Reconstruction Based on Health-Related Quality-of-Life Evidence
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