Format

Send to

Choose Destination
Plast Reconstr Surg. 2014 Jun;133(6):1369-77. doi: 10.1097/PRS.0000000000000179.

Megavolume autologous fat transfer: part II. Practice and techniques.

Author information

1
Miami, Fla.; Verona, Italy; Ann Arbor, Mich.; and Houston, Texas From the Miami Breast Center; the Herbert Wertheim College of Medicine at Florida International University; the University of Verona; and the University of Michigan Medical School; Baylor College of Medicine.

Abstract

The authors describe the techniques that use the principles of fat grafting to allow them to successfully graft megavolumes (250-ml range) of autologous fat into breasts. The Brava external volume expansion device preoperatively increases the volume and vascularity of the recipient site. Low-pressure liposuction and minimal centrifugation are used to gently extract and purify the adipose tissue with minimal trauma. Even and diffuse reinjection of the fat increases graft-to-recipient interface and reduces interstitial fluid pressure. Postoperative Brava use protects the graft and acts as a three-dimensional immobilizing splint. By adhering to these techniques, we have been able to graft megavolumes of fat into the breasts of over 1000 patients and obtain substantial long-term volume retention.

PMID:
24867720
DOI:
10.1097/PRS.0000000000000179
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wolters Kluwer
Loading ...
Support Center