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Updated: May 8, 2026

3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects
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Composite breast augmentation: soft-tissue planning using implants and fat.

Eric Auclair1, Phillip Blondeel, Daniel Alexander Del Vecchio

  • 1Paris, France; Gent, Belgium; and Boston, Mass. From the Clinique Esthetique de Paris Spontini; the Department of Plastic Surgery, University Hospital Gent; and Back Bay Plastic Surgery.

Plastic and Reconstructive Surgery
|August 30, 2013
PubMed
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Composite breast augmentation, combining implants with fat grafting, offers a versatile solution for inadequate soft tissue coverage. This technique enhances natural look and feel, improving outcomes in both primary and revision breast augmentation procedures.

Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Regenerative Medicine

Background:

  • Suboptimal outcomes in breast augmentation often stem from insufficient soft tissue coverage of implants.
  • A novel composite breast augmentation technique is presented, integrating implants with autologous fat grafting.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of composite breast augmentation using implants combined with fat grafting.
  • To assess the viability of grafted fat and the safety profile of the procedure.

Main Methods:

  • A cohort of 197 patients underwent composite breast augmentation over 3 years for primary or revision cases with thin soft tissue.
  • Quantitative 3D imaging assessed fat graft volume; mammograms were reviewed for safety outcomes.
  • Preexpansion of tissue was utilized in revision cases to accommodate fat grafting.

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Main Results:

  • Fifty-seven percent of injected fat graft volume persisted at 1 year post-procedure.
  • The use of fat for soft tissue coverage allowed for subfascial implant placement in many cases.
  • No cysts, masses, or fat necrosis were observed, suggesting a favorable safety profile.

Conclusions:

  • Composite breast augmentation provides a powerful and versatile approach, yielding synergistic aesthetic results.
  • Fat grafting to the breasts demonstrates significant clinical utility beyond simple volume enhancement in augmentation procedures.