Authors: Vincent Hivernaud Bruno Lefourn Jérôme Guicheux Pierre Weiss Franck Festy AnneClaire Girard Regis Roche
Publish Date: 2015/06/18
Volume: 39, Issue: 4, Pages: 547-561
Abstract
Breast augmentation or reconstruction is a major challenge in esthetic and reconstructive surgery While autologous fat grafting AFG provides a natural filler and seems easy to harvest AFG in breast surgery is still problematic especially due to the high resorption rate associated with megavolume transfer Despite this pending issue there is growing interest in this method which is becoming more and more widespread as can be seen by the recent increase in the number of clinical studies This review aims to highlight recent knowledge in the technique of AFG to the breast and recent refined procedures to improve fat viability and longterm success of the graftRecent studies have concentrated on new techniques to improve fat viability and graft intake However all of these studies use different protocols at each step of the procedure Furthermore results may vary depending on the technique used for fat harvesting and processingThis review points out the recent advances in breast AFG techniques and their associated outcomes and complications The bibliography has been carefully examined to reach a consensus so that recommendations could be made for each step of the technique with the aim of improving graft viability and longterm volume maintenance
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