Megavolume Autologous Fat Transfer: Part II. Practice and Techniques

Publisher: Plastic & Reconstructive Surgery Journal

The 2014 June issue of Plastic and Reconstructive Surgery, the official medical journal of the prestigious American Society of Plastic Surgeons (ASPS), published our most recent study that outlines our theory and principles of what makes our megavolume fat transfer to the breast for augmentation and reconstruction so successful.

Summary: The authors describe the techniques that use the principles of fat grafting to allow them to successfully graft megavolumes (250-ml range) of autologous fat into breasts. The Brava external volume expansion device preoperatively increases the volume and vascularity of the recipient site. Low- pressure liposuction and minimal centrifugation are used to gently extract and purify the adipose tissue with minimal trauma. Even and diffuse reinjection of the fat increases graft-to-recipient interface and reduces interstitial fluid pressure. Postoperative Brava use protects the graft and acts as a three-dimensional immobilizing splint. By adhering to these techniques, we have been able to graft megavolumes of fat into the breasts of over 1000 patients and obtain substantial long-term volume retention.

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