Breast augmentation by autologous fat transfer

Abstract

The best candidates for cosmetic breast augmentation by autologous fat transfer are those seeking a modest increase in size who (1) have adequate fat deposits for harvest by liposuction, (2) understand that an unpredictable proportion of the transplanted fat and associated volume will resorb during the healing phase, (3) are aware that multiple sessions may be required to achieve a suitable size increase, and (4) are aware that saline or silicone implants are options that deliver predictable size augmentation and reject those options. The authors discuss indications, preoperative evaluation, technique, and possible complications. Current literature demonstrates low complication rates in experienced hands, mammographic changes distinct from cancer at a rate no higher than that of other cosmetic breast operations, and no apparent effect on the incidence of breast cancer.