Breast Contouring by Autologous Fat Transfer

Abstract

The breast augmentation controversy continues. One alternative to silicone implants is to utilize the patient's own fat. Twenty patients completed the procedure of breast contouring with autologous fat transfer and have been followed closely with repeated breast volumetric measurements and mammograms for 1 to 5 years. The average fat retention has been 71% and the patients have been satisfied with the augmentation procedure. There has been no instance of firmness in these breasts and periodic mammogram examinations have demonstrated no distortion or masking of the breast tissue. The breast calcifications that have developed are of the benign type and are typical of any kind of breast sugery. The breasts may get larger with time. We feel this technique is a useful addition to our breast augmentation armamentarium and will become the procedure of choice for those who cannot have silicone implants and have good areas of disharmonious obesity to serve as donor sites.