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Fat Graft for Breast Contouring & Asymmetry

Dr Kourosh Tavakoli is Australia's Super Specialised Breast Surgeon
Dr Kourosh Tavakoli is Australia's Super Specialised Breast Surgeon
Dr Kourosh Tavakoli Member Of Australian Society Of Plastic Surgeons, International Society of Aesthetic Plastic Surgery, Australasian Society of Aesthetic Plastic Surgery, UNSW Australia, Fellow of the Royal Australasian College of Surgeons

Dr Tavakoli’s Principles in Fat Grafting in Breast Cosmetic and Reconstruction

Fat Grafting (Lipofilling) Technique has been around since the 1980s but has become far more refined in recent times. In women with a small amount of breast tissue and body fat, Breast implants can become palpable at the edges and in some cases the implant edge can become visible in the cleavage area and lower pole of the breasts. Mostly used by Dr Tavakoli to treat women with extremely bony cleavages, it can also be used to avoid implant rippling and implant visibility; as such, it is a common and very popular procedure.

Indications

    1. Fat grafting is used to correct slight breast asymmetry during Breast augmentation using implants. This is usually preferred to the use of  different size implants where possible, as the fat can be accurately targeted  & injected into the breast areas of uneven tissue thickness.
    2. Camouflage technique to cover up boney prominences over sternum and pronounced ribs.
    3. Camouflage technique to provide coverage over rippling and wrinkling breast implants in thin patients with low upper body fat.
    4. Tuberous correction almost invariably utilises Fat Grafting technique to bring symmetry and lower pole curvature.

 Fat Grafting Breast Augmentation Surgical Image

Technique: The fat is removed from the patient’s tummy, inner or outer thigh regions using very fine liposuction cannulas. The fat then gets prepared meticulously on a side table during surgery. The fat is loaded into 10ml syringes for injection into area of hollowness or rippling or asymmetry ; the fat provides a  fantastic coverage to the  concerned area and disguises rippling and implant visibility. This procedure can be done during  breast augmentation or at a later date.

Post-op Care: The area of liposuction is generally tender for up to 3 weeks. The fat grafted area is swollen and little tender and may get bruised.

Result: Up to 70% of the fat injected will “take” and gets incorporated into the body. This figure is much lower in smokers. The fat that is not incorporated is safely excreted by the kidneys with no harm.

  • Fat graft for breast surgery procedure - step 1
  • Fat graft for breast surgery procedure - step 2
  • Fat graft for breast surgery procedure - step 3
  • Fat graft for breast surgery procedure - step 4
  • Fat graft for breast surgery procedure - step 5

Case study 1:  40 yo female , 3 pregnancies, boney cleavage, minimal body fat, 350cc ultra high profile textured round gel implants, dual plane pocket. Fat grafting to the sternum 35 mls.

Fat grafting combined with breast implants before and after photo


Case study 2: 
26 yo female with bony cleavage. 395cc moderate plus anatomical textured gel implants placed in a dual plane pocket. 48 mls of fat transferred to the cleavage and sternum.

Case study 3: 25 yo female, asymmetrical breasts, right breast 305cc CPG teardrop implant and left breast 270cc CPG teardrop implant with 50 mls of Fat Grafting. (click to enlarge)

Implants and fat grafting to the sternum before and after photo 2

Case study 4: 25 yo female with bony cleavage and minimal body fat. 330cc high projecting anatomical textured gel implants placed in a dual plane pocket. 50 mls of fat transferred to the right breast.

Case study 5: 25 yo female with bony cleavage and minimal body fat. 375cc moderate plus anatomical textured gel implants placed in a dual plane pocket. 45 mls of fat transferred to the right breast / cleavage, and 30 mls of fat transferred to the left breast / cleavage.

Case study 6: Bony cleavage and hollow chest appearance, corrected with fat graft. Video filmed at 5 weeks post-op.

Fat graft for breast contouring before

Case study 7: 21 yo patient, pre-op size A cup. CPG 323 345cc implants placed in a dual plane pocket and fat grafting to lower pole.

Bilateral breast augmentation with CPG 323 345cc anatomical implants in a dual plane pocket and fat grafting to the lower pole of both breasts.

Case study 8: 19 yo patient, tuberous breasts. Mentor 322 375cc implants, high dual plane pocket and fat grafting.

Tuberous breasts corrected with fat grafting and CPG 322 375cc anatomical implants in a high dual plane pocket

Case study 9:

Thin breast augmentation needing external fat graft 30ml.