Erschienen in:
01.03.2016 | Übersichten
Breast augmentation with fat transfer
verfasst von:
Alberto Di Giuseppe
Erschienen in:
Journal für Ästhetische Chirurgie
|
Ausgabe 1/2016
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Abstract
Objective
The author presents 5 years’ experience with fat transfer to the breast (Shiffman and Di Giuseppe, Liposuction, principles and practice, 2006), in order to increase volume and shape.
Patients and methods
A total of 250 cases were reviewed and followed up. Harvesting of fat was accomplished with a VASER™ (Valeant Pharmaceuticals North America LLC, Bridgewater, NJ, USA) ultrasound device in all cases. Fat washing and preparation was initially performed with the Pure-Graft® system (Cytori Therapeutics Inc., San Diego, CA, USA), whereas the GID 700 system (The GID Group, Inc., Louisville, CO, USA) has been used during the past 2 years. Other systems of fat collection tried were the Aquavage (MD Resource Corporation, Livermore, CA, USA) and the Origins fat canister (Valeant Pharmaceuticals).
Results
The quality and stability of results have been improved by meticulous observation of technical details, as well as finesse in the refinement of fat handling. The selected technique for fat harvesting and preparation includes the 3.7 mm 3-grooves probe from the VASER™ system, with the power set at 40 % of total. Cannula size for fat extraction is 3.0 mm. Power of suction reduced to 30 % of total for the VentX (Valeant Pharmaceuticals) aspiration system of VASER 2.0.
Conclusion
After many attempts, a systematic approach to body contouring, fat harvesting and preparation for successful breast augmentation is presented. The rate of survival is around 80 % of the total implanted tissue, which could be increased to 90 % with stem cell adjunct.