Injertos de tejido adiposo en cirugía estética mamaria

Abstract

Fat grafting has become one of the main tools in Plastic Surgery and as it could only be, the breast is the main target organ of our performance. Since we introduced the technique in our private practice in 2009 we have been increasing its use. The top three indications are: breast augmentation, correction of defects and asymmetries and more recently breast augmentation combining both techniques. Breast enhancement with fat is indicated for patients who want to increase the volume without using implants. It must be explained very well to the patient what we can achieve in terms of volume and projection of the breast, along with the potential problems of cysts and microcalcifications in mammograms. Adipose tissue is a great complement to the implants, and we can correct deformities and asymmetries that with implants are much more difficult to solve. Breast augmentation combining both techniques is the final result of the therapeutic evolution as we combine the advantages of both: the firmness and stable volume supported by the implants and the plasticity of the adipose tissue to achieve greater symmetry. © 2014 Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE).