Fat grafting, also known as autologous fat transfer, is an innovative and increasingly popular surgical technique used in breast reconstruction and augmentation. This procedure involves transferring fat from one part of your body, such as the abdomen or thighs, to the breast area. Unlike traditional breast implants, fat transfer procedures use your body’s own tissue, offering a natural and effective alternative. Here’s information on how fat transfers work, their benefits, and what to expect during a procedure:

How Fat Grafting Works

The fat grafting process begins with removing fat from areas where it’s abundant, like the thighs, abdomen, or flanks, using liposuction. Harvested fat is then processed. This purified fat is meticulously reinjected into the breast area to achieve the desired shape and volume. Because the fat must establish a new blood supply to survive, the procedure often requires precise placement and may need to be repeated for optimal results.

How Fat Transfers Benefit Reconstruction

Fat grafting offers significant advantages for individuals undergoing breast reconstruction. Whether following a mastectomy, implant-based reconstruction, or radiation therapy, the procedure provides tailored solutions for many reconstruction needs. Fat transfers can enhance breast contour, disguise implant edges or rippling, and can even improve skin quality after radiation therapy.

Mastectomy or Partial Mastectomy

For individuals recovering from a mastectomy or partial mastectomy, grafting fat can play a key role in reconstructing the breast. Fat transfers help patients achieve a natural, symmetrical appearance. This procedure allows surgeons to sculpt breast tissue with precision, creating a smooth contour.

Implant-Based Reconstruction

Even in cases where implants are used, fat grafting can complement the procedure. It helps disguise the edges of implants or smooth out rippling textures, which can occur over time. This use of fat gives a more seamless and natural look to breast augmentations or reconstructions. 

After Radiation Therapy

Radiation therapy often causes changes to the breast tissue, such as hardening or dimpling. Fat transfers commonly improve the appearance of the breast and enhance skin quality. Studies have shown that fat grafting can improve skin texture and reduce scarring, making it a practical option for restoring the breast after radiation treatment.

How Grafting Can Be Effective

Fat grafting is typically performed in a hospital or outpatient surgical setting under general anesthesia. The procedure begins with liposuction to remove fat from donor areas. After processing the fat to remove impurities, the surgeon will carefully start injecting it into the breast using fine cannulas. The placement of small amounts of fat at a time helps with even distribution and increases the likelihood of fat cell survival.

During the recovery process, soreness and bruising are common at both the donor and graft sites, but typically subside within a few days. Most patients can return to regular activities in about a week. The procedure’s success depends on the survival of the transplanted fat cells, which require a sufficient blood supply in the recipient area. Following your surgeon’s guidance on post-operative care can significantly enhance the likelihood of long-term results.

Over time, the grafted fat integrates with the surrounding tissue, creating a soft, natural feel. It’s worth noting that the body will naturally reabsorb some of the injected fat. This makes follow-up procedures common for achieving the desired volume and symmetry.

Find Out If Fat Grafting Is Right for You

Fat transfer procedures offer a natural and personalized approach to breast reconstruction, with benefits ranging from improved aesthetics to enhanced overall skin health. Whether you’re contemplating this procedure after a mastectomy, as part of an implant-based reconstruction, or to address changes caused by radiation therapy, fat grafting can provide positive outcomes. If you would like to learn more, contact a trusted plastic surgeon to discuss your goals and evaluate your candidacy.