The lipofilling of breasts or breast augmentation with own fat is indicating in patients who want a breast augmentation and do not want to be carriers of a breast prosthesis. We can achieve a discreet or moderate increase in breasts as long as the patient has enough fat in other parts of the body.
Breast augmentation with own fat is an ideal method, because it avoids the possible complications of prostheses or to correct some complications that they cause such as rippling or palpation of the prosthesis in patients with poor coverage.
Limitations of lipofilling or breast augmentation with own fat:
In very thin patients the technique cannot be performed.
When the breast has a deformity, it is sometimes not possible to solve the problem with fat tissue grafting alone.
It is a surgical technique that is normally done under general anesthesia.
The fatty tissue is obtained by liposuction with specific thin and non-traumatic cannulas. This tissue that we obtain thanks to liposuction must be purified before injecting into the breasts.
The procedure we use to purify the fatty tissue is through gentle centrifugation and washing with serum. We now know that using centrifugation alone increases the risk of fibrosis and fat cell loss from necrosis. So we currently use a system called “puregraft”, which allows us to wash the extracted fat to reduce the reabsorption of the fat graft.
The procedure of injecting into the breasts is through 6 – 7 punctures in each breast and with microcannulas carefully injecting the fatty tissue to favor integration as living tissue. It is very important to avoid excessive manipulation of this tissue so that it is not reabsorbed afterwards.
Sometimes an external device can be used to prepare the breasts for implantation.
The postoperative period:
From the day after the intervention you can live practically normal life, avoiding large efforts so as not to favor the reabsorption of fat.
We will wear a sports bra for 2-3 weeks.
We consider that the grafted tissue is stable at 4 months and, if the patient wants a greater breast augmentation, we can do it again in 6-8 months.
At 9 – 12 months after the intervention we recommend doing a control mammogram.