Breast lipofilling (increase with own fat)

Lipofilling (lipolifting) is a method of transplanting a patient's own fat cells from one area of the body to another. Lipophil has been used by surgeons for facial and shape correction since the late 19th century, so to date, the technique has improved significantly in terms of patient safety and the accuracy of the results obtained.

The essence of the lipofilling method

preparing for breast augmentation with fat

The essence of the lipofilling technique is to transplant the patient's own adipose tissue into the area of the problem area. Fat from the abdomen or the inside of the thigh is most commonly used for this, as adipose tissue in these parts of the body is the most loose and best supplies blood. The purpose of the lipofilling procedure is to rejuvenate the body, improve the expressiveness of certain parts of the face (muzzle, cheekbones), and increase the volume of certain areas of the body (e. g. , lips, breasts, buttocks).

Lipofilling begins with autograft collection. The main condition for this process is to maintain the viability of fat cells, as damaged or dead cells dissolve rapidly and can trigger the development of fibrosis at the transplant site.

The next stage of lipofilling is the preparation of the graft: with the help of filters and a centrifuge, the fat is released from the various particles: blood cells, anesthetic.

The main and most important part of lipofilling is the implantation of adipose tissue into problem areas. At this stage of the procedure, the operating room and medical staff must work in absolute sterility. A slightly larger amount of graft is injected into the problem area of the body than is necessary to achieve the desired result. This is due to the fact that when working with adipose tissue, some of it is injured and dies.

Proper collection of adipose tissue

In order for most adipocytes to remain viable, special equipment and devices must be used that allow adipose tissue to be removed without injury. Additional measures with adipose tissue and the entry of oxygen lead to oxidation and decreased viability of adipocytes.

Most often, water jet liposuction is used to obtain viable cells. The Body Jet liposuction technique is optimal for these purposes, in which the adipose tissue is collected in a special container, protecting it from contact with air.

Many plastic surgeons use special cannulas (needles with rounded ends) to extract fat cells, which are used to extract fat from problem areas where there are fat deposits. This technique is considered obsolete because after such extraction, the fat cells have to be washed away from the blood and other contaminants, which significantly impairs the fat cell survival rate and the results of the procedure in the future.

Adipose tissue is usually cleaned of dirt and particles using a special centrifuge.

Advantages and disadvantages of lipofilling

shot in the chest to increase fat

The advantages of lipofilling compared to other breast augmentation techniques are:

  • There is no need for a long recovery and rehabilitation period.
  • There are no scars or scars after the procedure.
  • The naturalness and naturalness of the result: the breast has a natural shape and a soft touch.
  • Safety of the procedure: there are no foreign elements in the body, which excludes the risk of allergic reactions or rejection.
  • The result of lipofilling does not skew the results of the examination of breast tissue or chest organs.
  • Fat injection can be combined with other breast augmentation techniques (such as implantation).
  • The result of fat replenishment can be easily corrected by introducing additional fat cells.
  • No general anesthesia is required (unless lipofilling is associated with other plastic surgeries or procedures).
  • Long lasting effect.

The main disadvantage of lipofilling used for breast augmentation is that the results of the procedure are difficult to predict, as almost half of the fat cells are absorbed later after subcutaneous insertion, so several procedures may be required to achieve the desired result.

In addition, it is not always possible for patients to enlarge their breasts by introducing adipose tissue, given its mechanical properties.

How much volume can be given to the breast by lipofilling?

The amount of fat that can be injected in a single lipofilling procedure is limited. Therefore, it is possible to increase the volume of the breast by at most one incomplete size during a procedure.

If one size is not sufficient, another lipofilling procedure can be performed.

How much fat is rooted in the breast?

fat enlarged breasts

Experts are ambiguous about the lipofilling procedure.

Some plastic surgeons predict seventy-five to ninety percent survival of fat cells.

Others do not accept lipophil as an independent breast augmentation technique and predict minimal adherence of fat cells.

New techniques are being developed to increase the percentage of adhering adipocytes.

These include:

  • Breast augmentation with own fat and stem cells. Stem cells must be taken from the patient’s bone marrow to be involved in the formation of new blood vessels that supply blood to the transplanted fat cells.
  • A combination of lipofilling and vacuum. The essence of the technique is to use a special device that creates a vacuum before and after the lipofilling process. Thanks to the vacuum, the atmospheric pressure in the area of the mammary glands is reduced, the breast tissues are tightened and take up a new volume, which contributes to a better implantation of the transplanted fat cells.

The method of using stem cells in lipofilling has not yet undergone clinical trials and has not been shown to be safe and effective, and the method of combining lipofilling and vacuum is already used in many countries around the world.

Indications and contraindications

Breast lipofilling is performed in the following cases:

  • Small breast augmentation, while women need to have enough fat in their thighs or abdomen.
  • Elimination of mammary asymmetry.
  • Covering the protruding edge of the implant when the breast’s own tissues are unable to do so.
  • Filling of chest skin irregularities and bumps after injuries or unsuccessful surgeries.

Breast lipofilling is contraindicated in the following diseases and conditions:

  • Menstruation and a few days after the end.
  • Diabetes in decompensated form.
  • Oncological diseases.
  • Bacterial, viral, infectious or fungal skin diseases.
  • Mental illness.
  • Blood disorders (coagulation disorders, increased bleeding tendency).
  • Cardiovascular diseases.
  • Acute and chronic connective tissue diseases.

Breast fat replenishment is not performed on slender and thin patients who do not have excess fat and fat folds in unwanted areas.

How breast lipofilling works

Prior to the procedure, the patient should consult a therapist and mammologist, pass a number of tests to make sure there are no contraindications to breast lipofilling.

The collection of fat cells and the subcutaneous delivery of fat cells take place almost simultaneously. Prior to fat replenishment, a special label is placed on the patient’s skin with a marker that promotes the even and symmetrical introduction of fat cells. Local anesthesia or general anesthesia is used for the procedure.

Breast lipofilling occurs in several stages:

  • Adipose tissue is removed from problem areas using a device or a special cannula syringe.
  • Microscopic piercings are made in the skin of the mammary glands through which purified fat is injected. The doctor then distributes the fat cells evenly in the breast area.
  • The punctures are treated with disinfectant and sealed with plaster, which can be removed the next day. The incisions are sewn or plastered at the sites where the fat is taken.

The lipofilling procedure lasts from 30 minutes to 2 hours.

Recovery period

The recovery period should not exceed 2 weeks, during which time physical activity and mechanical impact on the treated breast area should be limited as much as possible.

Possible complications

After the lipofilling procedure on the thigh or abdomen from which the fat was collected, edema develops, which usually disappears after 7 to 10 days, while the punctures through which the fat cells were injected heal.

Complications after breast lipofilling are very rare and are usually associated with low qualifications of the plastic surgeon or characteristics of the patient’s body. The most common types of complications are:

  • Roughness and clumping of the breast skin (fibrosis).
  • Asymmetry of breast shape.
  • Prolonged and intense painful sensations at the site of fat administration or ingestion.
  • Appearance of hematomas and seromas.
  • Violation of skin sensitivity at the puncture site.
  • Adipose tissue infection.
  • Fat cell atrophy in the area of implant implantation.

Elimination of complications is possible only in a medical institution.

Effect after lipofilling of the breast

The maximum result of breast fat replenishment is noticeable only after 3-6 months, when the adipose tissue is finally implanted. The result of lipofilling lasts for several years, and if more supportive procedures are performed, it lasts a lifetime.

Breast liposuction is often performed in combination with liposuction and tummy tuck, which improves the effect of the procedure and consolidates the result for a long time.

Price

The cost of the procedure depends on the pricing policy of the clinic and is determined individually in consultation with a plastic surgeon. The cost of the full range of breast fat replenishment services includes:

  • Liposuction.
  • Anesthesia.
  • Lipofilling.
  • 3D modeling of the results of the operation.
  • Collection of preliminary examination and analyzes.

The cost of the lipofilling procedure is influenced by the type of anesthesia chosen (general anesthesia or local anesthesia), the way the fat cells are collected (BodyJet liposuction, syringe collection), the number of breast fat filling procedures required to achieve the desired result.