Autogenous augmentation mammaplasty with microsurgical tissue transfer.

Area of Science:

• Plastic Surgery
• Regenerative Medicine

Background:

• Patient demand for breast augmentation without implants is high.
• Autogenous tissue transfer offers a natural alternative to synthetic implants.
• Free fat transfer techniques have evolved for aesthetic breast enhancement.

Purpose of the Study:

• To evaluate the efficacy and safety of free fat transfer using autogenous tissue for breast augmentation.
• To assess aesthetic outcomes and patient satisfaction with this natural breast augmentation method.
• To report on surgical techniques, flap viability, and complications associated with autogenous tissue breast augmentation.

Main Methods:

• Retrospective analysis of 16 patients undergoing 20 augmentation mammaplasties using free fat transfer.
• Utilized deep inferior epigastric perforator (DIEP), superior gluteal artery perforator (SGAP), and superficial inferior epigastric artery (SIEA) flaps.
• Aesthetic outcomes assessed by independent examiners and patients using Netscher's score.

Main Results:

• All flaps survived with high success rates.
• Significant aesthetic improvements in breast proportions (>100%) were reported.
• Minor postoperative complications were managed effectively, with successful aesthetic shaping in a second stage.

Conclusions:

• Autogenous tissue breast augmentation using free fat transfer is a viable and natural alternative to alloplastic implants.
• The procedure offers excellent aesthetic results and patient satisfaction.
• Free fat transfer techniques provide a safe and effective option for breast augmentation with autologous materials.