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
Pre anterior view
Post expansion / Pre fat grafting view
Post expansion / Pre fat grafting view
Post implant exchange, nipple reconstruction, and fat grafting anterior view
Post implant exchange, nipple reconstruction, and fat grafting anterior view
Pre oblique view
Pre oblique view
Post expansion / Pre fat grafting
Post expansion / Pre fat grafting
Post implant exchange, nipple reconstruction, and fat grafting oblique view
Post implant exchange, nipple reconstruction, and fat grafting oblique view

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