scholarly journals Large-Volume Autologous Fat Grafting to the Breast

2021 ◽  
Vol 41 (Supplement_1) ◽  
pp. S16-S24
Author(s):  
Maurice Y Nahabedian
Keyword(s):  
Large Volume ◽  
Breast Augmentation ◽  
Small Volume ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Level Of Evidence ◽  
Autologous Fat ◽  
General Consensus

Abstract Autologous fat grafting in the setting of breast augmentation and reconstruction has become globally accepted and routinely performed. There is general consensus that small-volume grafting is reproducible and predictable; however, large-volume fat grafting (>100 mL) is less predictable and is not as commonly performed. The aim of this article was to review outcomes following large-volume and megavolume fat grafting in the setting of breast augmentation and reconstruction. Level of Evidence: 4

Primary Breast Augmentation with Autologous Fat Grafting Alone: Evaluation of Patient Satisfaction Using the BREAST-Q

2020 ◽  
Vol 40 (11) ◽  
pp. 1196-1204
Author(s):  
Alexis Deschler ◽  
Nathaniel Stroumza ◽  
Rachel Pessis ◽  
Arié Azuelos ◽  
Michael Atlan
Keyword(s):  
Patient Satisfaction ◽  
Breast Augmentation ◽  
Well Being ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Level Of Evidence ◽  
Autologous Fat ◽  
Large Breast ◽  
High Satisfaction Rate ◽  
Aesthetic Breast

Abstract Background Autologous fat grafting (AFG) for primary aesthetic breast augmentation has grown in popularity over recent years but patient satisfaction has never been objectively evaluated. Objectives The aim of the present study was to use the standardized BREAST-Q questionnaire to evaluate satisfaction in patients who had received primary aesthetic breast augmentation with AFG alone. Methods All recipients of primary aesthetic breast augmentation by AFG performed between 2013 and 2017 in our plastic surgery department were included. The primary endpoint was assessment of patient satisfaction with the standardized breast augmentation BREAST-Q questionnaire. Three additional questionnaires were used to evaluate patient and surgeon satisfaction. Results In total, 42 patients (84 breasts) underwent breast augmentation by AFG. Mean patient age was 34 years (range, 23-53 years). The mean volume of reinjected fat was 312.2 mL per breast (range, 130-480 mL). We observed significant improvement in all BREAST-Q postoperative items (excluding physical well-being) with a mean increase of 39 points (95% confidence interval: 28.97, 49.03; P < 0.001) regarding patient satisfaction with breasts. Overall, 82% of patients were satisfied with the result of their liposuction. Minor complications were encountered in 6 of our patients (14%). Conclusions Breast augmentation by AFG enhances patient satisfaction as measured by the BREAST-Q. This procedure has a high satisfaction rate and improves quality of life. Breast augmentation by AFG is a valid surgical option for moderate breast augmentation but is not an alternative to implants in large breast augmentation. Level of Evidence: 4  

scholarly journals Methods used for evaluation of volume retention rate in autologous fat grafting for breast augmentation

2019 ◽  
Vol 132 (18) ◽  
pp. 2223-2228 ◽  
Author(s):  
Cheng-Long Wang ◽  
Si-Si Luan ◽  
Adriana C. Panayi ◽  
Min-Qiang Xin ◽  
Jie Luan
Keyword(s):  
Breast Augmentation ◽  
Retention Rate ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Autologous Fat ◽  
Volume Retention

The Effect of Autologous Fat Grafting on Edema and Ecchymoses in Primary Open Rhinoplasty

2019 ◽  
Author(s):  
Kyle Gabrick ◽  
Marc Walker ◽  
Andrew Timberlake ◽  
Fouad Chouairi ◽  
Ean Saberski ◽  
...  
Keyword(s):  
Immune Modulation ◽  
Statistical Significance ◽  
Three Dimensional ◽  
Fat Grafting ◽  
Area Measurement ◽  
Open Rhinoplasty ◽  
Autologous Fat Grafting ◽  
Level Of Evidence ◽  
Autologous Fat ◽  
Soft Tissue Filler

AbstractBackgroundAutologous fat is a safe and effective soft tissue filler. Recent evidence also suggests improved wound healing and immune modulation with fat grafting.ObjectivesThe aim of this study was to describe a novel technique utilizing fat grafting during primary open rhinoplasty. We hypothesize a more rapid resolution of bruising and edema.MethodsPatients who underwent rhinoplasty were reviewed and compared by presence or absence of concurrent fat grafting. Three-dimensional images were analyzed employing Mirror (Vectra, Canfield Scientific, NJ). Ecchymoses were outlined utilizing a magnetic lasso followed by an area measurement. Volumetric edema measurements were also taken and assessed. Edema and ecchymosis were measured at 2 and 6 weeks postoperatively. Statistical significance was defined as P < 0.05.ResultsSixty-two patients were included. Thirty-three patients (53.2%) received autologous fat grafting and 29 (46.8%) did not. Age, gender, surgical approach, and osteotomy distribution were similar between the groups. The fat grafted group showed 7.29 cm2 fewer ecchymoses (P < 0.001) and 0.73 cc less edema (P = 0.68) in the early postoperative interval. Six weeks postoperatively, the fat grafted group showed 1 cc less edema (P = 0.36) with negligible differences in bruising.ConclusionsAutologous fat grafting is a useful adjunct to rhinoplasty and is associated with significantly fewer ecchymoses in the acute postoperative period.Level of Evidence: 4

Autologous Fat Grafting for Primary Breast Augmentation: A Systematic Review

2011 ◽  
Vol 35 (5) ◽  
pp. 882-890 ◽  
Author(s):  
James H. Rosing ◽  
Granger Wong ◽  
Michael S. Wong ◽  
David Sahar ◽  
Thomas R. Stevenson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Breast Augmentation ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Autologous Fat

scholarly journals Severe fat embolism after autologous fat grafting in vaginal tightening and breast augmentation surgery

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094910
Author(s):  
Chenyu Wang ◽  
Xiaojun Wang ◽  
Jiuzuo Huang ◽  
Nanze Yu ◽  
Xiao Long
Keyword(s):  
Breast Augmentation ◽  
Donor Site ◽  
Pulmonary Arteries ◽  
Aesthetic Surgery ◽  
Maximum Size ◽  
Fat Embolism ◽  
Donor Site Morbidity ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Autologous Fat

Autologous fat grafting has become increasingly popular in the field of aesthetic surgery because of its biocompatibility and low donor site morbidity. However, some fatal complications may occur following the surgery. We herein describe a woman who developed severe fat embolism after autologous fat grafting for vaginal tightening and breast augmentation surgery. The patient developed symptoms of dyspnea and hypoxemia. Computed tomography pulmonary angiography showed multiple filling defects in the bilateral pulmonary arteries and branches with a maximum size of approximately 1.2 × 0.7 cm. Fat embolism was assumed to have occurred by injection of fat directly into the vessels around the vagina. Further research is needed to elucidate the anatomical mechanism underlying this phenomenon.

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