In cosmetic surgery, it is possible to increase the volume of breasts without using breast implants. Lipograft, or transfer of fat, is needed another solution for a desire for breast augmentation in a woman who wants a natural result without prosthetic foreign body. Less invasive, the lipograft technique consists essentially in sucking excess fat cells from one part of the body and injecting them back into the breasts.
Lipografting of the breasts is preferentially intended for the women who want a moderate breasts augmentation or who wish to find a more harmonious curve. One of the best indications of this technique is the filling of the upper pole of the breast, when it is found dog after pregnancy, breastfeeding or slimming, allowing the woman to return to its previous state. This aesthetic intervention is also used to correct imperfections after implant placement. It is also indicated to correct breast malformations, especially in the treatment of breast asymmetries and tuberous breasts. Finally, it is also frequently used in breast reconstruction following breast cancer.
Double advantageous procedure
To perform a natural breast augmentation with lipograft, you first have to liposuction to remove excess fat cells located under the skin, especially in the stomach, hips or breeches. This procedure is usually done under local anesthesia combined with sedation-analgesia to ensure maximum comfort. During liposuction, cannulae – very thin tubes with rounded ends, inserted through tiny incisions – are used to suck the fat under the skin. The aspiration is done in different directions in order to remove as much fat as possible and to make the liposuction more uniform. The sucked fat is then treated and purified before being collected in syringes equipped with special cannulas which are used only for transfer. Then, tiny incisions – not requiring stitches – and practically invisible are practised in the breasts to allow the injection of fat. The fat cells are then transferred in successive layers to ensure optimal results.
First of all, this intervention allows the patient to benefit at the same time from an aesthetic improvement of the breasts and the silhouette. Then, as there is no foreign body involved and the fat cells transferred to the patient come from her body, there is no risk of allergy or rejection. In addition, breast augmentation by lipograft gives very natural aesthetic results, both visually and at the touch level. Moreover, this aesthetic intervention leaves only tiny scars virtually invisible. Lastly, let us mention the permanent character of the intervention. As the transferred fat cells will be grafted to surrounding tissues, this method allows for a long-term outcome.
Disadvantages, limitations and follow-up
For the moment, the lipograft aims at an increase of a maximum cup. The retention rate of the grafted cells is approximately 70%, this rate varying according to each patient obviously. Research is taking place in Montreal and around the world to improve this rate. As with any breast procedure, micro calcifications may appear on the follow-up mammogram. This is why an ultrasound or radiological evaluation (according to the age of the patient) is done before the intervention and a follow-up is recommended. Radiologists have all modern technology to ensure this monitoring and confirm the benignity of these micro calcifications. To date, no scientific publication has linked breast lipograft to cancer.