Breast Augmentation (Fat Graft)

Breast Augmentation (Fat Graft)

 

Breast augmentation is one of the most popular cosmetic surgical procedures performed worldwide, and the breast implant is the most popular choice in breast augmentation. However, some patients do not like to undergo surgery and have an implant inside their bodies. They prefer a less invasive method and without having to use foreign material to enhance their breasts.

 

In recent years, using the patients’ fat to augment breasts has shown remarkable results and become very popular. In this procedure, the surgeon harvests the fat using liposuction techniques from other body parts with excess fat. The areas where the fat is coming from are usually the tummy and the thighs. The fat is purified before injected into the breasts to achieve the desired size and shape. The amount of fat injected into the breast is precisely controlled to create the desired size and shape. The results are breasts that feel and look very natural. The fat injection uses a fine cannula so that the scars are very tiny and hardly noticeable.

 

The main advantage of breast augmentation using fat graft is that there is no foreign material inside the body since the fat is from the patient’s body. Another benefit is that the body parts where fat is coming from will become slimmer.

 

The essential prerequisite for fat transfer to the breast is that the patient must have enough fat to transfer. The option of fat transfer to the breast will not be available to patients who do not have extra fat to spare. Another important consideration is that there is a limit to the size enlargement that fat graft can achieve. Usually, the breast can only enlarge by around one cup size. So, if the patient wishes to have a more extensive enlargement, fat transfer may not be suitable. In this scenario, the breast implant will be a better option. After the fat transfer, a certain percentage of the fat injected into the breast will be reabsorbed, while the rest will stay in the breast for the long term. Many factors can affect how much fat will get reabsorbed and how much fat will remain inside the breast. These include the technique used during the procedure, the patient’s body response to the fat graft, the adverse effects of smoking, and the post-operative care.

 

 

 

Preparation

  1. Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilized before surgery.
  2. Stop smoking at least one week before surgery. Smoking is harmful to wound healing and increases the risks of other post-operation complications.
  3. Stop the following medications and supplements from one week before surgery until one week after surgery.
    1. All supplements containing vitamin E, ginseng, ginkgo, garlic, fish oil, and other ingredients that increase bleeding during the procedure. Other supplements, traditional medicine, and herbs, in which ingredients are unknown, have to stop as well.
    2. Medicine that increases bleeding during the procedure such as aspirin, NSAIDs, and warfarin. However, you may need to consult your physician who prescribed the medication before you stop them.
  4. On the day of surgery, wear simple and comfortable clothing. Do not wear any makeup. Do not wear any jewelry and metal objects on the face and body.

 

 

 

Surgery

Duration: 2-3 hours

Anaesthesia: Local anaesthesia

Hospitalization: Not required

Recovery*: Back to work in 3-5 days, light exercise after 2 weeks, heavy exercise after 3-4 weeks. * The actual speed of recovery may vary from person to person.

 

 

 

Technique*:

Fat Grafting  involves three sequential steps:

  1. Fat Harvesting: by liposuction technique (usually from abdomen or thighs)
  2. Fat Separation and Purification: separation of fat from the blood, body fluid and other unwanted elements.
  3. Fat Injection: fat injection into the desired location in the breast by using a special fat graft cannula and micro-injection technique to optimize the fat graft’s survival. A specialized instrument such as MAFT Gun enables fat graft injection in ultra-tiny fat droplets, significantly improving fat graft survival and refinement of the breast augmentation.

 

 

 

Post-operative Care**

  1. What to expect: Swelling usually peaks on the second to third day after surgery and will gradually subside after that.
  2. Tight sensation in the chest may be present for 1-2 weeks.
  3. Use a supportive bra to support the breasts for the first one month.
  4. General care:
    1. Avoid smoking for at least one month. Smoking increases the risk of wound complications and adversely affects the survival of the fat graft.
    2. Sleep on the back. Avoid sleeping on one side to prevent pressure on the breast.
    3. Adequate rest and adequate sleep are helpful for a speedy recovery.
    4. Be relaxed and calm. Contact the clinic if there are any queries.
  5. Medicine: Finish the oral antibiotics as prescribed. Take the painkiller as prescribed when necessary.
  6. Wound care: Clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment. No wound dressings are required.
  7. Physical activity: Avoid heavy physical activity and exercise for at least one month.
  8. Follow-up: Come back one week after surgery for suture removal and review.
  9. Emergency: If there is heavy bleeding, a rapid increase in swelling or severe pain, immediately contact the clinic/doctor for advice.

 

** The instructions in this list are only for general guidance. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.

 

 

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