Breast augmentation fat transfer precludes the need for implants and thus it avoids risk of capsular contracture (hardening of the breast tissue), implant malposition, rippling, and palpability.
Leading Inland Empire plastic surgery expert Dr. Tarick Smiley has recently posted a video on Snapchat demonstrating a patient who requested for breast augmentation fat transfer to achieve more fullness to the upper breast pole and the lateral side.
One of the notable advantages of fat transfer over breast implants is the additional contouring effect.
“The patient needs more volume to her upper breast pole and the lateral side, which fat grafting can help improve. But in breast implants, we are highly reliant on their base. Simply put, using fat allows us to focus more on the area that needs the most correction,” Dr. Smiley says in the video.
But in terms of size, the effects of fat grafting can be limited particularly in patients with low body fat percentage.
“There are many breast implant sizes to choose from. Fat grafting, meanwhile, can only give one to two cup size increase,” says Dr. Smiley.
Dr. Smiley says that breast has fibrous tissue, which does not allow large volume fat transfer due to risk of pressure.
“Pressure is the enemy of high survival rate of fat grafts,” he further explained.
Aside from injecting just a conservative amount of fat, Dr. Smiley says another way to promote high survival rate is to inject fat cells closer to the muscle, which contains more blood supply.
Fat grafts need to integrate with the existing blood vessels, which can provide them the much needed oxygen and other nutrients. Also, their amalgamation with the extracellular matrix, which resembles a mesh that holds the blood vessels and other tissues together, is critical to ensure long-term results.
Meanwhile, Dr. Smiley collected the “unwanted fat” from multiple areas including the abdomen, flanks, and lower back. Prior to its injection, it was washed, sorted, and purified to remove all the biomaterials (blood and oil) and the anesthetic solutions used during surgery.