Techniques of transferring fat using liposuction and lipofilling have evolved and are being developed to augment and reconstruct the breast. One of the major potential problems remains the possibility of changes on mammogram, which can mimic cancer. More than 500 cases have now been done in Italy and France and it has been found that, whilst there are changes on mammogram, experienced radiologists are able to differentiate these from cancer. If the fat cells are carefully placed under the skin in small tunnels, but not in the breast tissue, the fat cells will take and grow and increase the volume of the breast. However, this technique is not for every patient. It is best suited to those who wants to increase bra size by one cup size, those who requires increased fullness in the upper pole of the breast, and after ‘conservative’ breast cancer surgery.
Patients who undergo this type of treatment must have been screened by mammogram and ultrasound before surgery according to the guidelines laid down by the American Society of Aesthetic Surgeons, and followed up with regular mammograms and ultrasound for several years. The state of knowledge is not yet sufficient for patients to walk in off the street, have the procedure and be discharged from follow up. If patients are not treated within these guidelines, fat transfer will be used inappropriately, damaging patients and causing difficult breast problems.
The technique has great potential, but should be used carefully to avoid it getting a bad reputation.
This website is designed to supply useful information but is not to be regarded as advice specific to any particular case. It does not replace the need for a thorough consultation and all prospective patients should seek the advice of a suitably qualified medical practitioner. The BAAPS accepts no liability for any decision taken by the reader in respect of the treatment they decide to undertake.