The History of Fat Grafting to the Breasts

The History of Fat Grafting to the Breasts

1893
Gustav Neuber

Gustav Neuber

Gustav Neuber reports for the first time on fat grafting in the plastic surgery literature.

1895
Vincenz Czerny

Vincenz Czerny

Vincenz Czerny performs the first breast reconstruction by transferring a lipoma from the buttocks to the breast.

1910
Eugene Hollander

Eugene Hollander

Eugene Hollander publishes the first report of fat injection in the history of plastic surgery.

1919
Erich Lexer

Erich Lexer

Erich Lexer publishes Free Transplantations, a 2-volume textbook devoted to grafting with some clinical applications for fat graft breast augmentation and reconstruction.

1920
Alessandro Pennisi

Alessandro Pennisi

Alessandro Pennisi publishes Fat Grafts in Surgery, a book entirely devoted to fat grafting.

1950
Lyndon Peer

Lyndon Peer

Lyndon Peer conducts the first scientific studies on the biology of fat graft survival.

1987
Mel Bircoll

Mel Bircoll

Mel Bircoll publishes his experience with breast augmentations using liposuctioned fat. Unfortunately his results are unimpressive and radiographic technology of the time is unable to differentiate with certainty calcifications of fat necrosis from cancer lesions.

1987
American Society of Plastic Surgeons

American Society of Plastic Surgeons

Moratorium of the American Society of Plastic Surgeons imposes a two decade freeze on any attempt to perform fat grafting to the breasts, leaving implanst as the only alternative for breast augmentation.

1999
Roger K. Khouri

Roger K. Khouri

Roger K. Khouri invents the EVE external breast expander device. Presentation of the scientific study by Dr. Thomas J Baker proving efficacy wins first prize at the American Society for Aesthetic Plastic Surgeons Annual Meeting.

2001
Sydney R. Coleman

Sydney R. Coleman

Sydney R. Coleman publishes Structural Fat Grafting, a monograph detailing his technique of fat grafting.

2001
EVE

EVE

EVE becomes available as a means of enlarging the healthy breast without surgery based upon the principle of sustained external tissue expansion.

2004
Roger K. Khouri

Roger K. Khouri

Roger K. Khouri realizes that the EVE-enlarged breast is an ideal recipient for the autologous fat grafts (AFT) needed to augment and reconstruct the breast. He obtains ethics committee approval and starts a large clinical study to prove the safety and efficacy of EVE/AFT.

2005
Scott Spear

Scott Spear

Scott Spear publishes his experience with fat grafting as an adjunct to other breast reconstruction methods and opens the door to its acceptance by the plastic surgery community in the United States.

2007
Gino Rigotti

Gino Rigotti

Gino Rigotti publishes the first report on the benefit of fat grafting for the treatment of radiation tissue damage.

2008
The American Society of Plastic Surgeons

The American Society of Plastic Surgeons

The American Society of Plastic Surgeons reverses its 20-year moratorium on fat grafting to the breast, realizing that if properly performed, the procedure is effective and poses no significant risk.

2009
Roger K. Khouri

Roger K. Khouri

Roger K. Khouri presents his study of breast augmentation with EVE and fat graft at the American Society of Plastic Surgeons Annual Meeting. Study reveals that the procedure is safe and effective.

2009
Emmanuel Delay

Emmanuel Delay

Emmanuel Delay publishes Fat Injection to the Breast: Technique, Results, and Indications that is based upon his personal experience over 10 years. This is the world’s largest and best -documented series at the time and shows that fat grafting the breast is safe and effective.

2010
Gino Rigotti

Gino Rigotti

Gino Rigotti publishes an epidemiologic study based upon his 10 years of experience with 1000 patients showing that fat grafting has no effect on breast cancer recurrence. This confirms Emmanuel Delay’s findings.

2010
Roger K. Khouri

Roger K. Khouri

Roger K. Khouri’s presentation of Post Mastectomy Breast Reconstruction with EVE + AFT is awarded Best Scientific Report at the prestigious European Association of Plastic Surgeons. He subsequently presented this award-winning study at the American Association of Plastic Surgeons Annual Meeting.

2011
Numerous studies

Numerous studies

Numerous studies confirm the safety of grafting the breast with unprocessed liposuctioned fat. Major plastic surgery societies recognize that EVE + AFT is an accepted alternative method of breast reconstruction.

2012
Plastic and Reconstructive Surgery Journal

Plastic and Reconstructive Surgery Journal

Plastic and Reconstructive Surgery Journal publishes Roger K. Khouri’s 6-year, multicenter study. The results: pre-expansion with EVE prior to fat grafting is key to successful, single-stage large-volume breast augmentations.

2012
Roger K. Khouri and Gino Rigotti

Roger K. Khouri and Gino Rigotti

Roger K. Khouri and Gino Rigotti present their combined experience with immediate breast reconstruction with fat grafting at the American Association of Plastic Surgeons Annual Meeting.