Fat Transfer Breast Augmentation (autologous fat transfer)
Although the procedure is done as a day case it is still a surgical procedure and thus needs to be treated as such. Risks such as infection, abscess formation, bleeding, asymmetry, fat necrosis, fat cysts are important to bear in mind. The fat retention volume is somewhat unpredictable, but presently rates of 50-70% are achieved. This will vary from patient to patient and there is the risk that almost all the fat will be lost.
Of the thousands of fat grafts performed to date there has not yet been a case reported of a missed cancer diagnosis on mammogram due to a fat graft procedure.
Numerous scientific papers have since been published on the topic (Fulton, 2003; Spear, 2005; Missina, 2007; Carvajal, 2008; Illouz, 2009; Hiko, 2009; Delay, 2009; Da Li, 2009; Veber, 2011; Cong Feng, 2011; Claro, 2012) and the conferences are full of presentations on techniques, experiences, outcomes and imaging modalities for cancer screening purposes.
Recently an american author has undergone a cell enriched fat graft to the breast after having a large lump removed (http://tinyurl.com/d6jjmn8).
The largest followup series of fat grafts has been reported by Illouz and Delay looking at over 1000 patients over a 10 year period respectively. Although there has been heated debate about whether fat graft to the breast will interfere with the interpretation of mammograms the ASPS position paper indicated "no evidence that fat injections interfere with breast cancer detection and that results of fat transfers remain highly dependent on a surgeon’s technique and expertise".
Here is a post of a very pleased patient.........