Clinical effect of breast augmentation by autologous fat transplantation

doi:10.3969/j.issn.1673-7040.2015.08.003

Abstract：Objective To investigate the clinical effect of breast augmentation and breast reconstruction by autologous fat transplantation, providing references for the standardization of autologous fat transplantation. Methods From July 2011 to December 2014, 49 patients (95 breasts) undergone breast augmentation by autologous fat transplantation, 45 patients(90 breasts) undergone breast augmentation alone, and 3 patients(4 breasts) undergone breast resection, and 1 patient (1 breast) had congenital absence of the breast. Adipose tissues acquired from abdominal and thigh were centrifuged at 3000 r/min for 3 minutes. After centrifugation, the adipose tissues were injected behind the mammary gland and subcutaneous tissue layer with 18 G blunt needle attached 2 ml syringe. The photographs, X-ray and ultrasound examination before and after operations were taken to evaluate the efficacy of the procedure. Results All patients underwent once operation except for 4 patients with 2 times or more than 2 times operation. The average quantity of autologous fat injection was 161 ml in the left side of breast, and 157 ml in the right. All patients were followed up from 3 to 24 months. 21 patients (42. 86%) were satisfied, 25 patients (51. 02%) improved, 3 patients (6. 12%) not satisfied with the postoperative effect. Nodules were found in 2 patients under the X-ray and ultrasound after operation which were identified with cancer masses. Conclusion The transplantation of autologous fat for breast augmentation and breast reconstruction can get good long-term effect. To guarantee maximum contact area of the autologous fat transplanted with the area of providing fat is the key to improve the fat transplantation survival rate.