Objectives: Implant surgeries and autologous fat grafting are two major methods of breast augmentation in current plastic surgery field. As for the aesthetic results, implant surgeries may have problems of unnatural cleavage or obvious upper pole cleft, which are so called “fake breast” appearance in Asian society. On the other hand, autologous fat grafting may have problems of insufficient enhancement in breast sizes and unsatisfied projection. In this short talk, we hope audiences to learn the method of “hybrid breast augmentation” and apply in right situation.
Introduction: In Asian, breast hypoplasia is a popular cosmetic problem for female customers. However, Asian type of extreme skinny body figure may cause plastic surgeons more difficulty in creating both natural and beautiful appearance of big breasts. We reported our experiences by combining the concept of implant surgeries and autologous fat grafting in augmentation mammoplasty for Asian females to overcome the problem of “fake breast” appearance, and we called it “hybrid breast augmentation”.
Materials / method: A retrospective clinical chart review examined all “hybrid breast augmentation” patients who had received breast implant placement and autologous fat grafting simultaneously in the same operation. Surgical approach, implant size and selection was recorded. Fat grafting areas and volume were also reviewed. Follow-up was regularly done with photography taken for comparison.
Results: In all of our “hybrid breast augmentation” patients, breast implants were inserted either from trans-axillary incision or inframammary fold incision with endoscopic dual plane dissection. Autologous fat grafting was injected subcutaneously at medial and superior part of breasts in the same operation. No complications such as neurovascular injury, nodulation, severe capsular contracture were recorded. Only one case of secondary breast fat grafting with previous implant surgery had focal infection episode was noted. During the long-term follow up period, most patients were satisfied.
Conclusion: “Hybrid breast augmentation” concept offers plastic surgeons a good reliable approach to achieve the best augmentation mammoplasty results. Breast implants can give good enlargement and projection of breasts. Autologous fat grafting can make a more natural cleavage and smooth upper pole slope with good soft tissue coverage. This technique can provide long-term aesthetic appearance and patients’ satisfaction.
Disclosures
Did you receive any funding to support your research for this TOPIC?
No
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work was not supported by any direct or non direct funding. It is under the author's own responsability