Breast lipofilling: breast augmentation procedure

The standards of beauty of the female body have changed over the centuries. But at all times an integral part of femininity, one of the main highlights in every representative of the fair sex was, is and remains the chest. For centuries, women have been looking for ways to emphasize and improve this attractive part of their body. Modern canons of beauty dictate to be sexy, which implies the presence of voluminous, ideally shaped mammary glands. In the 21st century, this is what everyone aspires to. And in order to achieve the desired result, they willingly resort to the help of specialists. At the same time, maintaining the health of this delicate part of the body should remain important for the woman herself.

The beauty industry in the face of plastic surgery is able to satisfy almost any request in terms of shape correction, size increase, post-surgical reconstruction of the mammary glands. And it should be noted that mammoplasty is already considered quite an ordinary operation. Correction of the size, asymmetry of the mammary glands, denoted by the term “augmentation”, is carried out today in two ways: implantation and lipofilling. In the case of implantation, i.e. implantation of a prosthesis from a material alien to the body – a silicone bag with a gel or solution inside, an aesthetic effect “on the face”, but at the same time, the number of unsuccessful operations and complications, side effects after it is growing.

Lipofilling as an alternative to silicone implants

Anatomically, the mammary gland consists not only of the cells of the gland itself, but also of fat cells (adipocytes), which give it volume. Therefore, the larger the breast, the more adipose tissue in it.

In this regard, lipofilling – transplantation of biomaterial – fat, and one’s own (autologous transplantation) is a more natural way to improve the mammary glands. The transplanted fat is taken from the so-called problem areas of the body. Thus, the double benefit from one procedure is the removal of excess on one side and the filling of the missing breast volume on the other.

Actually lipofilling (LF) is an increase in volume and shape correction, elimination of defects in the mammary gland with a filler (filler) of natural origin, which is the fat of the body itself. This method has both an aesthetic orientation and performs a reconstructive and restorative function after organ-preserving operations for breast cancer.

Where does the transplanted fat come from?

The physiology of women is such that subcutaneous fat is locally deposited in the abdomen, thighs, buttocks, and legs. Thus, the aesthetic appeal of these parts of the body is lost. These areas act as a donor of autogenous fat graft from hypertrophy zones. The mammary glands, in turn, are recipients.


Based on this, it is easy to guess that lipofilling has a significant advantage, since it is combined with liposuction, which makes it possible to improve problem areas at the same time. This is one of the advantages of LF. The results look quite natural even purely visually.

If we slightly plunge into the history of this issue, then the peak of the popularity of breast plastic surgery falls on the end of the 90s. 20th century, when breast alloplasty began to be widely introduced – a silicone prosthesis was installed under the pectoral muscle or under the gland itself. There are a lot of specific complications after such prosthetics. Therefore, at present, implants are giving way to autoplasty, specifically breast lipofilling, which arose earlier. However, due to the lack of knowledge of the negative effects of LF, it was criticized in its time and sunk into oblivion.

The LF procedure was first performed at the end of the 19th century. (1883), and the first breast lipofilling operation dates back to 1895. Until 1987, this technique was used quite successfully. In 1988, the American Society of Plastic Surgeons found “blank spots” in the history of the use of fat graft for breast surgery. In particular, they pointed to the possibility of liponecrosis (tissue death at the site of transplanted fat), fibrosis, cyst formation (cyst formation), and cancer recurrence. It is possible that there were intrigues of competitors.

Another advantage of lipofilling is the natural conformity of its technology and safety. It was this point that became the stumbling block in the way of the widespread introduction of fat transplantation. The use of implants after organ-preserving operations in patients with breast cancer in 50% of cases leads to complications and recurrence of the disease. In addition, it should be borne in mind that silicone prostheses cause allergic reactions in some patients.

Summing up, it should be noted that the following advantages of LF of the mammary glands:

  1. Good tolerance by the body (suitable for allergy sufferers);
  2. Small degree of traumatization;
  3. Natural and excellent cosmetic result;
  4. There are practically no side effects and complications;
  5. Combined with other plastic surgeries;
  6. Relatively inexpensive operation (300-400 euros).


Unfortunately, this procedure is not without drawbacks. Firstly, transplanted fat is burned with increased physical activity, weight loss. The effect lasts 2-2.5 years. According to research data, in 70% of cases there is a partial resorption of the graft and only in 30% – complete. A repeat operation is needed. Secondly, it is impossible to carry out this manipulation before radiation therapy and with suppression of immunity, infectious diseases. Thirdly, it is contraindicated in diabetes mellitus and circulatory disorders.

For whom, in what cases is lipofilling of the mammary glands indicated?

  • Patients with deformity and asymmetry of the mammary glands, as well as cancer patients for the reconstruction of the glands;
  • Patients who have previously undergone mammoplasty using artificial implants;
  • Patients who want to increase the volume and correct the shape of the gland;
  • Staged reconstruction of the breast after its removal for medical reasons.

How is the procedure carried out

Despite the apparent simplicity, the results of this operation largely depend on the technology of its implementation. The most important thing is that adipocytes (fat cells) remain viable after transplantation and during their collection. To achieve this goal, the donor site is carefully and correctly selected. As mentioned above, these are places of intense fat deposition – hips, buttocks, abdominal wall.

The most crucial moment is fat sampling using a curette with a diameter of 3 or 4 mm attached to a syringe. Due to the pressure difference, fat is sucked into the syringe.

The next stage – transplantation – pumped out fat is centrifuged and transferred to the mammary gland. At the same time, they strictly monitor that adipose tissue does not get into the parenchyma …

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