Breast Augmentation Fat Injection
Does breast augmentation fat injection actually work? It has been almost twenty years since a number of plastic surgeons began to attempt breast enlargement by the use of fat injection. At that time the American Society of Plastic Surgeons issued a warning to its members against the injection fat into women’s breasts. Fears of the development of breast calcifications making mammogram interpretation difficult, unpredictability of results and fat necrosis were some of the issues raised and persist to the current times.
Recently this method has been revised and advocated by some well-respected plastic surgeons. A few short-term peer reviewed articles have been published. At this time I cannot recommend this procedure to my patients because of several concerns I have with fat injection. There is no doubt that calcifications can be produced in the breasts after fat injection and although many can be easily interpreted by a radiologist as benign, some may require further evaluation with biopsy. The amount of breast enlargement obtained is not as controllable and in most cases significant as implant augmentation. When fat is injected, only a portion of the fat cells survive. The ultimate result and fat survival is dependent on surgeon technique and experience. Fat necrosis can occur with death of transplanted fat cells causing hard breast lumps, which may persist. The procedure may require more than one session and the ultimate survival of the transplanted may not be determine for a year.
Fat injection has been successful in filling out small contour irregularities in patients after liposuction and breast reconstruction. In experienced hands gluteal augmentation has been successful. For time being I am withholding judgment on this procedure for my patients. Some patients desiring a small augmentation may be potential candidates so stay tuned.By Dr. Richard Linderman