Autologous fat grafting (fat transfer) is a technique in which fat is harvested from the patient using liposuction and after centrifuging, this fat is introduced in the sub-dermal and retro-glandular portions of the breast to augment the breast.
This technique has also been used to fill up post lumpectomy defects following breast conservation surgery for breast cancer.
Advantages of the procedure:
- No foreign material or implant is used
- Double benefit of liposuction from the donor site
- Relatively cheap as compared to an implant based reconstruction
- Day care procedure
- Natural feel & contour of the breast
- Only 70-80% of fat cells transferred by this technique survive, therefore, there is some amount of volume reduction after the procedure. In some cases, multiple sittings might be required to achieve the desired results.
- As these fat cells die, they can sometimes give rise to calcifications, which can be confused for malignant/benign lesions on a mammogram
- Haematomas & bruising in the immediate post-op period
The following video demonstrates a case of primary breast augmentation using fat grafting: