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Primary Breast Augmentation with Fat Grafting.

Sydney R Coleman¹, Alesia P Saboeiro²

¹Department of Plastic Surgery, New York University Langone Medical Center, New York, NY, USA; Tribeca Plastic Surgery, New York, NY, USA.

Clinics in Plastic Surgery

|June 29, 2015

Summary

Fat grafting is now an accepted procedure for breast augmentation and defect correction. Results depend on technique and surgeon expertise, with the Coleman technique being discussed.

Keywords:

Breast augmentation Breast fat grafting complications Breast reconstruction Fat grafting breasts

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Area of Science:

Plastic Surgery
Regenerative Medicine
Aesthetic Surgery

Background:

The use of fat grafting for breast augmentation has been a subject of debate.
Previous guidelines from the American Society of Plastic Surgeons (ASPS) in 2009 acknowledged its potential but emphasized technique dependency.

Purpose of the Study:

To provide a comprehensive overview of fat grafting to the breast.
To discuss the historical context, current indications, and planning involved in breast fat grafting.
To detail the complications and the present-day technique, specifically the Coleman technique.

Main Methods:

Review of historical data and guidelines regarding breast fat grafting.
Discussion of the indications for fat grafting in breast augmentation and reconstruction.
Detailed explanation of the Coleman technique for fat grafting to the breast, including planning and execution.
Analysis of potential complications associated with the procedure.

Main Results:

The controversy surrounding fat grafting to the breasts has been largely resolved.
Fat grafting is recognized as a viable option for breast augmentation and defect correction.
The success of fat grafting is significantly influenced by the surgical technique and the expertise of the surgeon.

Conclusions:

Fat grafting is an established procedure for breast augmentation and reconstruction.
The Coleman technique represents a current standard for performing breast fat grafting.
Patient outcomes are directly correlated with meticulous surgical technique and surgeon proficiency.