Because breast tissues are made of a mammary gland and fat, lipofilling increases breast volume. The procedure consists in harvesting fat tissue from the flanks or the abdomen, centrifuging and purifying the fat tissue in order to graft it into the chest area. The injected fat cells react as a fat tissue graft and the result is permanent.
The procedure is recommended with the following previsions:
- Patient under 35 years old
- No personal or family history of breast cancer.
- Normal preoperative exams (mammography, ultrasound and MRI).
- Necessary quantity of adipose tissue available: In order to add one cup size to both breasts, at least 300 cc of adipose tissue are required for each breast. This means that at least 1 liter of fat must be harvested in order to obtain 600 cc of purified fat cells.
In case of implants situated in front of the pectoral muscle, a lipofilling of the cleavage may be necessary in order to hide the upper part of the implant. It usually requires less than 150 cc of adipose tissues and can be performed on a thin patient.
The preoperative preparation implies 2 mandatory consultations, a radiological check-up with mammography, ultrasound and MRI.
Smoking must be avoided because it reduces the vascularization of the tissues and does not favor a good engraftment.
The surgery is performed under general anesthesia, and takes between 2 and 3 hours. It is carried out in a day-hospital surgical facility, and the patient is dismissed on the same day.
The incisions for liposuction are very discrete. As the fat which has been suctioned is filtered, centrifuged and purified before being injected through very thin cannulas, the procedure leaves no marks on the chest.
After the procedure
In order to secure the donor sites, a pressure garment is placed after the surgery and must be worn for a period of 1 month. A compressive dressing will secure the breasts during the first 4 days and will be replaced by a soft medical bra which will be worn day and night for a period of 1 month.
Please be aware that a major edema will appear in the treated areas but it will disappear within a period of 2 months following the surgery. It is important that patients maintain a stable body weight, since the adipose tissue grafted into the breast will be sensitive to weight fluctuations. The definitive volume and skin retraction will become stable within 6 months after treatment.
The first shower is permitted the day after the surgery, but baths should be avoided during the first month. The scars need to be protected from the sun during the first year after the surgery in each and every case!
For more information, please consult the fact sheet of the authority of the French Society of Plastic Reconstructive and Aesthetic surgery (Société Française de Chirurgie Plastique Reconstructrice et Esthétique – SOFCPRE).