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Cosmetic Breast Augmentation Using Power-Assisted Liposuction and Lipofilling: A Prospective Study
Maria Lucia Mangialardi1, Camille Ozil2, Cristophe Lepage2,3
1Hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200, Neuilly-sur-Seine, France. marialucia.mangialardi@hotmail.it.
Aesthetic Plastic Surgery
|May 13, 2021
Summary
Power-assisted liposuction and lipofilling (PALL) offers an efficient technique for primary cosmetic breast augmentation. This method yields satisfactory long-term cosmetic and patient-reported outcomes in breast augmentation procedures.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Regenerative Medicine
Background:
- Autologous fat transfer is increasingly utilized in aesthetic breast surgery.
- Power-assisted technology enhances liposuction and fat injection by providing controlled, oscillating movements.
- This technology aims to improve the precision and efficiency of fat grafting procedures.
Purpose of the Study:
- To report the surgical experience with power-assisted liposuction and lipofilling (PALL) for primary cosmetic breast augmentation.
- To evaluate the long-term cosmetic results and patient-reported outcomes of PALL.
- To present the surgical technique and outcomes of PALL in breast augmentation.
Main Methods:
- A prospective observational study included patients undergoing PALL for cosmetic breast augmentation.
- Data collected included patient demographics, surgical details (volumes, time), complications, and outcomes.
- Aesthetic outcomes and patient satisfaction were assessed using standardized scoring.
Main Results:
- 43 patients were included with a mean follow-up of 13.32 months.
- High patient satisfaction scores were reported for breast volume (4.22), shape (5), symmetry (5), and donor site (4.77).
- A mean of 1.27 grafting procedures were required, indicating efficiency.
Conclusions:
- PALL is an effective procedure for primary cosmetic breast augmentation.
- The technique provides satisfactory aesthetic and patient-reported outcomes.
- This study is the first prospective report on PALL for primary breast augmentation.

