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Own-fat breast augmentation is becoming more
and more popular. This is because no foreign bodies in the form of implants are
inserted into the patient's breast. Instead, the surgeon removes the patient's
own fatty tissue and injects it into the breast. This ensures a natural result.
Breast augmentation with autologous fat has both advantages and
disadvantages compared to breast augmentation with implants.
Own-fat
breast augmentation: procedure
Breast augmentation with autologous fat takes place in two steps: First
there is liposuction, followed by breast enlargement (mammary augmentation).
Only small incisions are necessary for both procedures. These only have to be
large enough for the cannulas through which the fat is sucked out or injected.
Accordingly, this type of breast surgery causes hardly any scars. The procedure
takes one to two hours. It is usually done on an outpatient basis under local
or general anaesthesia. Afterwards, the patient stays in the clinic for one
night - a longer stay is not necessary.
Before the fat tissue is transplanted into the breast, it has to be
prepared accordingly. During centrifugation, the fat cells are separated from
the other fluids. This leaves only about half of the removed tissue suitable
for injection into the breast.
The prepared fat tissue is injected into the breast through appropriate
cannulas in the submammary fold (submammary fold or inframammary fold).
Depending on the desired breast size, one to several sessions are required for
the transplantation. However, there must be a time interval of about three
months between the procedures.
As a rule, about 500 cubic centimetres of body fat are needed per breast.
This corresponds to a weight of about 470 grams. When both breasts are
enlarged, about one litre of body fat is suctioned out. This results in an
increase in volume of about 200 to 250 cubic centimetres per breast, which
corresponds to an enlargement of half to a maximum of three quarters of a cup
size.
In order not to impair scar healing, the
patient must take care of herself after the procedure. The surgeon will give
her precise instructions on how to take care of herself. For example, saunas
and sports should be avoided for about six weeks after breast surgery with
autologous fat. Depending on the progress of the healing process, heavy
physical activity in the upper part of the body should be avoided. In any case,
the patient must wear a special support bra after an autologous fat breast
augmentation. Tight clothing should be avoided.
What should be considered before breast augmentation with the
patient's own fat?
In general, the patient should have a
stable weight with little fluctuation. At least two weeks before the breast augmentation with own fat, she should also abstain
from nicotine, alcohol and blood thinners such as aspirin, and pay attention to
appropriate hygiene. If the patient's natural breasts are small and firm, a
pre-operative skin stretching with a special bra can prevent excessive strain
on the breast after the operation.