Numerous experiments have been reported with regards to fat transfer and successful results of large-volume fat grafts have been published recently. The length of the procedure remains a common problem.
We report the harvest of small parcels of fat using a water-assisted liposuction technique. The harvested fat is re-injected after separation from the water in the Lipocollector. The average operation time is fast and takes 1.5 hours. This technique employs fat transfer without centrifugation and has fat engraftment of 76 ±11%.
This paper shares our initial experience in 10 patients. The aims of the fat transfer were to improve the contour of the reconstructed breast , increase the volume of the opposite normal breast and to improve soft tissue thickness over the implants.
Methods/Technique:
Ten patients, who had previously undergone mastectomy and breast reconstruction with residual contour irregularities or asymmetry, were recruited into this study. Reconstruction previously done included: TRAM flap (n=6), LD flap (n=1), LD and implant (n=2) and implant only (n=1).
All the patients underwent Water-Assisted Lipotransfer for correction of their secondary breast deformities. The average operation time was 1.5 hours and the average volume injected was 230 cc per breast. All patients were scheduled for 2 grafting sessions.
Results/Complications:
All patients were reviewed at 6 months and were satisfied with the improvement to the symmetry and contour provided by the additional fat transfer. There was a definite increase in the volume of the adipose tissue in the treatment areas. There were no complications.
Conclusion:
Autologous fat transfer using the water-assisted lipotransfer technique is a safe and effective method to correct secondary deformities after breast reconstruction.