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Objectives: To demonstrate a simple technique of lipofilling for primary and secondary aesthetic breast surgery.

Introduction: Fat grafting to the breast for aesthetic indications has become increasingly popular. Numerous techniques of fat grafting, with and without implants, have been used to simplify, standardize, and improve the procedure. Herein, the methods, aesthetic outcomes, and complications are reviewed in a retrospective case series.

Materials / method: One hundred and sixty-five patients were retrospectively
reviewed and constitute the basis for the present study. All 165 patients were female with an average age of 45 years (range of 17-78 years). In addition to demographic parameters, the type of procedure, the amount
of fat transferred, the site(s) of fat harvest, operative times, and the patient’s postoperative recovery and outcomes were recorded.

Results: Of the 165 patients, 105 had natural augmentation with fat only. Of these 105 patients, 14 (8%) had implant removal with and without capsulectomy, and 61(37%) had mastopexies. Composite augmentation (fat plus implants) was performed in the remaining 60
patients, in whom fat grafting was used to address chest wall abnormalities, poor soft tissue coverage, and regional variations in breast shape and/or symmetry. The average amount of fat used was 208
cc per breast. Forty-five patients (27%) underwent a second procedure.

Conclusion: Autologous fat grafting should be considered in all patients having primary and secondary aesthetic breast surgery to enhance outcomes. Complications related to fat grafting are uncommon. Power-assisted liposuction, along with vibratory infiltration of the tumescent solution, auto-infusion of fat, and Expansion Vibration Lipofilling (EVL) using a closed system has become our preferred technique.

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请注明名称（个人，公司，学会等等）: MILLENIUM MEDICAL

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