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Breast augmentation with fat grafting still controversial.

I have just  attended the American Society of Plastic Surgeons national meeting in Toronto, Canada.  As always, this was a great and educational meeting and I am planning on adopting a few new techniques into my practice.

One of the “hot” new topics in plastic surgery is fat grafting for breast augmentation.  This is a seldom performed procedure and the vast majority of plastic surgeons still consider this a “taboo” procedure.   For a few plastics surgeons (and many non-plastic surgeons), this has become a routine part of their practice.

I spent a good portion of this year’s meeting trying to separate the hype of this procedure from reality — Here are a few of the important points that I can share with a patient considering this type of procedure:

  • It is very controversial!
  • Whether fat grafting impairs the ability to detect breast cancer by radiographic studies such as mammogram is not entirely known.
  • Whether fat grafting for breast augmentation will increase a woman’s risk of breast cancer in the future is unknown.
  • The best method of fat harvesting and transfer is not entirely known or standardized.
  • A period of breast expansion with the BRAVA system is necessary before grafting (3 weeks to 3 months).
  • The procedure definitely works and a fairly significant increase in breast size is achievable.
  • Often multiple grafting procedures are necessary to achieve significant change.
  • The “feel” of the fat grafted breast is soft and natural (when things go well).
  • It is more possible to “shape” the breast with fat grafting than is possible with an implant alone.
  • Very few plastic surgeons currently offer this procedure.

I currently do not offer fat grafting for breast augmentation, mostly for reasons stated above.  Stay tuned.  When these procedures are proven safe and techniques are better understood, I certainly will.

For now I will continue to do breast augmentation with implants.  This is a reliable,  well understood procedure with a good track record of safety.

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Posted in: breast augmentation

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2121 N 1700 W, Layton, UT 84041 801.525.8741


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