Facts Grow about Fat Grafting and Lipo-Transfer

True, fat grafting into the breast is controversial. However, as we have gained experience, we find that some of the early concerns of calcifications and cysts can be minimized and the result from grafting or lipotransfer can be durable. The most important application at the present is filling contour deformities and improving the result of breast reconstruction. By layering in fat grafts, the breast can be filled and shaped with softer and more natural results. As yet, there is not a clear consensus on the best technique, the exact role of stem cells, or the correct amount to transfer at any one session. We find that layering the fat in smaller volumes is giving good results and is an idea gaining the most traction in the community. There is of course, the added benefit of body contouring elsewhere to obtain the fat needed. Breast enhancement with fat grafting still under investigation may benefit only those who wish a very modest increase in the breast size, or help those who have a modest breast asymmetry and wish to avoid a breast implant. We are not yet ready to consider fat grafting as a replacement for breast augmentation as our patients will often ask for an increase of one to two cup sizes, but liposuction candidates can put the fat to good use to provide fill in the upper breast or to improve a breast deflated after weight loss. Many studies will follow, however lipotransfer of fat grafting with care can be a durable and versatile tool for breast contouring and shaping. The bad fat can be turned into good fat in the right location!