Case of the Month - March 2010 - Fat Grafting for Breast Reconstruction
The patient had bilateral mastectomies. After appropriately removing cancer on the left, relatively thin tissue coverage was necessarily left. After expansion, it was evident that there would be unavoidable contour irregularities. Before implant exchange and nipple reconstruction, the patient’s own fat was injected (fat grafting) to help improve the soft tissue coverage. The fat was well incorporated, provided padding over the implant, and improved the overlying skin texture and quality. Fat grafting has variable take and may need to be repeated for optimal results.
Pre anterior view
Post expansion / Pre fat grafting view
Post implant exchange, nipple reconstruction, and fat grafting anterior view
Pre oblique view
Post expansion / Pre fat grafting
Post implant exchange, nipple reconstruction, and fat grafting oblique view
After graduating medical school, Dr. Wigod completed eight years of formal General Surgery Residency and Plastic Surgery Fellowship training. His 16 years of higher education allows him to perform both Cosmetic and Reconstructive Plastic Surgery and to treat the whole patient without being limited to one body part or technique. Broad surgical training, large volume practice experience, and continuing education assist Dr. Wigod in his efforts to provide optimal care for his patients. Dr. Wigod has experience in all aspects of Plastic Surgery, but now specializes in Cosmetic Surgery of the Breast, Body and Face, as well as Breast Cancer Reconstruction.
