Breast augmentation with fat grafting results in natural looking breasts. No major incisions are made. Specific areas of the breast can be treated such as the lower poles or cleavage area. Lipofilling is indicated to add small to moderate volumes to the breast.
At the outpatient clinic the surgeon will examine both breasts and will check for asymmetry, volume distribution, nipple position, congenital malformations, skin laxity and chest wall malformations. Smoking is absolutely forbidden and a reason not to perform the procedure. Any history of breast cancer should be mentioned as well as any genetic predisposition to develop breast cancer. A preoperative mammogram will be performed or in specific cases a MRI scanner. These exams are reference exams for future purposes (to compare possible microcalcifications). Your expectations and wishes will be discussed and a 3D simulation will be performed.
The lipofilling procedure lasts about 2 to 3 hours and is performed in day clinic admission under general anesthesia. Before the operation the surgeon will mark the areas where fat will be removed from (thighs, buttock region, abdomen, love handle region). Liposuction is performed and the liposuctioned fat is processed (washed or centrifuged) to obtain purified fat. This fat is re-injected in the subcutaneous layers of the breast and not in the breast gland itself. The small stab incisions are closed with reservable sutures or with steristrips (puncture holes).
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The recovery period after lipofilling is approximately one week. Discomfort is mainly due to the liposuction procedure. A pressure garment (lipopanthy) is indicated to provide support and comfort for 3 weeks. Patients can experience some bruising or numbness after liposuction. The breasts heal very well and most patients are not complaining of any discomfort in this region. The swelling disappears over a periode of two weeks as well as the bruising. Skin care will be prescribed and a sports bra is indicated for 3 weeks.
Fat is carefully removed with the standard liposuction technique (low vacuum pressure). The removed fat is processed to obtain purified and viable fat without blood components and the oil fraction. This viable fat is re-injected with small cannulas following a specific protocol (structural fat grafting).