Fat grafting for breast shaping after implant removal

Vasilyev V.S.; Burlova M.G.; Volchenko A.A.; Gurba M.A.; Vasilyev S.A.; Vasilyev I.S.

doi:https://doi.org/10.17116/plast.hirurgia202502161

Vasilyev V.S.

Institute of Plastic Surgery and Cosmetology

ORCID: 0000-0002-2220-9695

Burlova M.G.

St. Petersburg State Pediatric Medical University

ORCID: 0000-0002-1778-7204

Volchenko A.A.

Russian University of Medicine

ORCID: 0009-0007-3642-0006

Gurba M.A.

Institute of Plastic Surgery and Cosmetology

ORCID: 0009-0008-3587-6500

Vasilyev S.A.

Institute of Plastic Surgery and Cosmetology

ORCID: 0000-0003-1263-7888

Vasilyev I.S.

Institute of Plastic Surgery and Cosmetology

ORCID: 0009-0004-4508-7645

Fat grafting for breast shaping after implant removal

Authors:

Vasilyev V.S., Burlova M.G., Volchenko A.A., Gurba M.A., Vasilyev S.A., Vasilyev I.S.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2025;(2): 61‑69

DOI: 10.17116/plast.hirurgia202502161

Read: 931 times

To cite this article:

Vasilyev VS, Burlova MG, Volchenko AA, Gurba MA, Vasilyev SA, Vasilyev IS. Fat grafting for breast shaping after implant removal. Plastic Surgery and Aesthetic Medicine. 2025;(2):61‑69. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202502161

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)

Использование инфографики авторами научных работ

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OBJECTIVE

To estimate fat grafting as an option for breast shaping after implant removal.

MATERIAL AND METHODS

Thirty patients aged 29—69 years (mean 38.5 (35.8—44.3) years) were enrolled in the study between 2013 and 2022. In 13 (43.3%) cases, lipofilling was performed in delayed period, in 17 (56.7%) case — immediately after implant removal. Skin cover reduction was not required in 12 patients (40.0%) (9 with delayed lipofilling and 3 with immediate lipofilling). Lipofilling combined with mastopexy was performed in 18 patients (60.0%) (4 with delayed lipofilling and 14 with immediate lipofilling). Postoperative results were assessed using photography and 10-point scale of patient satisfaction. The follow-up period after surgery ranged from 1 to 9 years.

RESULTS

In all cases, we achieved correct attractive breast shape and high patient satisfaction (7—10 points). There was no correlation between volumes of implant and injected fat graft (correlation coefficient –0.121, p=0.374). Postoperative nodules within ≥ 1 year were detected in 10 cases (oil cysts and lipogranulomas in 6 (20%) and 4 (13.3%) patients, respectively). They did not require additional diagnostic actions. In 1 (3.3%) case, accumulation of fat graft in an incompletely fused implant cavity required a single puncture.

CONCLUSION

Lipofilling is effective and safe for breast shape correction after implant removal. Further studies are needed to confirm our findings.

Keywords:

augmentation mammoplasty

breast reconstruction

complications of mammoplasty

lipofilling

breast lipofilling

Authors:

Vasilyev V.S.

Institute of Plastic Surgery and Cosmetology

ORCID: 0000-0002-2220-9695

Burlova M.G.

St. Petersburg State Pediatric Medical University

ORCID: 0000-0002-1778-7204

Volchenko A.A.

Russian University of Medicine

ORCID: 0009-0007-3642-0006

Gurba M.A.

Institute of Plastic Surgery and Cosmetology

ORCID: 0009-0008-3587-6500

Vasilyev S.A.

Institute of Plastic Surgery and Cosmetology

ORCID: 0000-0003-1263-7888

Vasilyev I.S.

Institute of Plastic Surgery and Cosmetology

ORCID: 0009-0004-4508-7645

Received:

28.10.2024

Accepted:

29.11.2024

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References:

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