Breast lipofilling is a plastic surgery, the essence of which is to transplant the patient’s own fat tissue into the breast area in order to fill the missing volume and correct the shape of the mammary gland. Fat is collected for further transplantation by liposuction of problem areas - the abdomen, flanks (sides), back, hips and knees. Lipofilling is indicated for patients who do not want to enlarge their breasts with silicone implants, and also plan to get a natural and natural result after surgery. In some cases, with a special breast structure (tubular breast), plastic surgeons use this technique to correct the shape of the gland. Breast lipofilling surgery allows women to achieve ideal shapes in the décolleté area and gain new body contours by correcting problem areas using the liposuction procedure - the first stage of the operation.
Prices for breast lipofilling
Operation
Price
Breast lipofilling
from 250,000 rub.
Lipofilling technique
The operation “lipofilling” appeared in the mid-80s. One of the first surgeons to describe the technique of injecting a patient’s own fat into areas with missing volume was the Frenchman Pierre Fournier. Initially, the method was used to correct “blockages” after previously performed liposuction: semi-liquid fat was injected through cannulas and filled the voids left by aggressive fat harvesting. Next, surgeons improved the technique and began to inject autologous fat into the area of the face, chest and buttocks. Over the course of many years of work with fat, not only the approaches to the operation have changed and improved, but the process of fat collection itself has also changed.
More than 35 years have passed since our colleagues in the workshop began to use the patients’ own biocompatible material - subcutaneous fat, fat collected during liposuction. Today we work not with classical instruments (cannulas), but with an entire device created specifically for the needs of surgeons and patients - the BodyJet water-jet liposuction device. Working with this instrument made it possible to increase the percentage of fat retention: if previously, several months after the operation, about 30-50% took root, today with the BodyJet device we get better results - up to 70%.
Professor S.N. Blokhin
comments on the lipofilling technique
Breast lipofilling surgery is performed in two stages:
- Removal of fat tissue The markings on the day of surgery indicate the areas of liposuction - areas for fat collection. Most often, excess subcutaneous fat is observed on the abdomen, sides, hips, knees and back. Using water-jet liposuction, the surgeon performs gentle tissue detachment, which ensures a more comfortable recovery for patients after surgery (compared to earlier fat harvesting methods). The collected fat remains in a special reservoir - a lipocollector for further transplantation into the area requiring correction.
- Injecting fat into the mammary gland area
In the second step, the surgeon begins to inject the collected fat into the mammary gland area. During the operation, hypercorrection of the breast is intentionally performed (a larger volume of fat is introduced), taking into account the lower survival rate of fatty material (about 50-70%).
Abdominal liposuction
We use liposuction and lipofilling for body contouring.
The essence of the method is as follows: under anesthesia, a special solution with painkillers and vasoconstrictors is injected into the “problem areas” of the subcutaneous tissue (where there is excess adipose tissue) to the patient. When the solution is evenly distributed and spasm of the small vessels of the subcutaneous tissue occurs, the solution along with the adipose tissue of the subcutaneous tissue is sucked out with special cannulas (thin tubes) through punctures in the skin.
Fat cells in an adult do not normally divide. A person's obesity is determined by the fullness of fat cells, and not by their large number. Therefore, liposuction is a reliable method for removing fat from areas where diet and exercise cannot get rid of it. New fat cells will not grow.
The liposuction method allows you to evenly remove excess fat deposits. Traditionally, this is done on the stomach, hips, buttocks, and lumbar region.
How is the operation performed?
Lipofilling of the mammary glands is performed under anesthesia (general anesthesia) and lasts about 3 hours. The duration of the operation is determined by the surgeon’s two-stage work: primary fat collection through gentle water-jet liposuction using a BodyJet device and injection of the resulting autologous fat into the mammary gland area.
The operation of breast augmentation with the patient’s own fat gives high aesthetic results. Very often, lipofilling is combined with other plastic surgeries: in some cases, the technique is combined with breast augmentation with silicone implants. This is especially true for those patients who have a small volume of their own breast tissue. The introduction of autologous fat allows you to hide the visible contours of the installed implant and, as a result, get natural breasts with a beautiful natural transition along the border of breast prostheses. The method can also be used delayed: several years after classical endoprosthetics, if the patient has lost a lot of weight and the contour of the prosthesis is visible, or rather large implants were initially installed (to mask protruding contours).
Professor S.N. Blokhin
comments on the effect of breast lipofilling surgery
Lipofilling of the mammary gland, breasts, buttocks
The fat obtained through liposuction can be used to “add” it to those places where it is “deficient”. This is the essence of the lipofilling method.
Fat taken from the patient’s abdomen or other “problem areas” can be used to enlarge and reconstruct her mammary glands, to give roundness to her buttocks, and to smooth out wrinkles on her face.
An important point of lipofilling is to ensure that the transplanted fat survives in a new location. If you transfer too much of it to one place at once, it will not take root and will die due to poor nutrition; if too little, one procedure will not be enough.
There is a whole series of measures to ensure the success of fat engraftment during lipofilling: this includes special equipment for liposuction, special instruments, separators for fat cells, medications, etc.
We use lipofilling to enlarge the mammary glands for cosmetic purposes (including for the correction of different breast sizes), for skin preparation and contouring when restoring the mammary gland (after its removal), to correct the shape of the buttocks.
Postoperative period: recovery
After breast lipofilling, patients remain in the clinic for a day. Immediately after the operation, special compression underwear is put on the liposuction area, which prevents the development of swelling and the appearance of extensive bruises and hematomas in the areas of fat sampling (underwear must be worn for 3-4 weeks).
Special bandages are glued to the chest area, which are changed at each dressing. The dressing schedule is discussed individually (usually dressings are prescribed at intervals of 2-3 days). Among the special recommendations: in the first week after surgery, patients are prescribed a special high-calorie diet to preserve a greater percentage of the fat injected into the breasts, and the operation area should not be overcooled!
The first month after breast lipofilling, you should avoid sports and active physical activity. Among the special restrictions: for up to 6 months, patients are not recommended to visit baths, saunas, solariums, and when exposed to the sun, especially during the beach period, they should actively use sunscreens with a high degree of SPF protection, especially in the area of surgery.
Liposuction for false gynecomastia and additional lobules of the mammary gland
In addition to these areas, we have experience in using liposuction to reduce the thickness of adipose tissue in the axillary areas of women - which is often mistaken for additional lobules of the mammary glands; on the chest in men - with false gynecomastia; in the back of the neck - with a cervical hump.
Liposuction is a cosmetic surgical procedure. Excess fat deposits are not a disease, and insurance companies will not pay for surgery to remove them. The cost of liposuction from one zone is 10-15 thousand rubles.
After liposuction, you need to press down the fat removal sites with special compression garments to reduce the likelihood of bleeding and the formation of hematomas and bruises in the operation area. Read more about this HERE.
Liposuction often complements abdominoplasty (fat removal).
Possible complications after breast augmentation with your own fat
For most patients, the operation proceeds without complications. If you follow all the recommendations of your attending physician and constant monitoring by the clinic’s surgeons in the early rehabilitation period, you will be able to avoid or promptly prevent the possibility of any surgical complication.
Breast lipofilling in Moscow | Surgery technique and prices in the clinic of Professor S.N. Blokhin
How effective is breast lipofilling as a way to correct its shape? When is the procedure performed? Features and stages of breast lipofilling.
Lipofilling for breast reconstruction
Photo of lipofilling - injection of fat taken from the abdomen or other problem areas (by liposuction) into the area of the removed mammary gland.
Photos before and after lipofilling - the deficiency of subcutaneous tissue in the reconstruction area was filled.
This is done in order to create a sufficient amount of integumentary tissue: to cover the expander with them during breast reconstruction. This is necessary when, during a mastectomy (breast removal), too much subcutaneous fat was removed and the skin flaps were too thin. Sometimes the skin actually lies directly on the ribs. If in such a situation you install an expander without lipofilling, it may not take root.
2 months after lipofilling, we evaluate how the transplanted fat has taken root: if it is not enough, we repeat the procedure of liposuction and lipofilling. If there is enough integumentary tissue, we plan an operation to install an expander.
Transplanting a lot of fat at once is risky: without receiving proper nutrition in a new place, it may not take root and die. Replanting a little at a time will obviously extend the reconstruction time. Special preparations that we recommend to our patients improve the survival of fat. Significantly worsens the survival rate of fat - smoking. It actually nullifies the effect of all medications prescribed by the doctor.
Advantages of this operation
Breast lipofilling is notable for the fact that:
- You can not only increase the volume, but also adjust the shape, as well as eliminate asymmetry. This is especially important if a woman is generally satisfied with her size.
- No traces. The fat is pumped out and injected using a thin cannula. The instrument does not injure the skin, so the intervention will be invisible.
- Natural beauty. In addition to the fact that the operation does not involve scars, it gives the most natural result: both visually and to the touch. This is one of its key advantages over implants.
- Possibility to hide seams from implantation. Sometimes lipofilling is also used to level the surface in the places through which they were inserted into the mammary gland.
- There is no need to change the implant every 7 years. However, adipose tissue tends to dissolve. Therefore, although the procedure has a cumulative effect, it will need to be repeated to achieve it.
- Low cost. Compared to the augmentation procedure using implants.
But it is important to understand: plastic surgery using adipose tissue allows you to enlarge your breasts by one size, no more. Therefore, the method is suitable for those women who want to make small changes to the appearance of their bust. Also, the procedure is possible only if the woman has a sufficient amount of fat deposits to carry it out.
Indications and contraindications
Indications:
- desire to make the breasts a little fuller, fuller;
- asymmetry of the mammary glands;
Contraindications:
The procedure is not recommended in the following cases:
- cardiovascular diseases;
- problems with the respiratory system;
- arterial hypertension;
- inflammation;
- acute forms of skin diseases;
- oncology;
- pregnancy and lactation;
- the beginning of the menstrual cycle.
Breast lipofilling: stages of surgery
The first stage involves collecting fat and preparing it for injection into the breast area.
Fat is harvested using liposuction. Fat for breast enlargement can be taken from the abdomen, back, arms, legs. In this way, body contours can be improved and fat tissue can be obtained for liposuction. Liposuction in the waist area after lipofilling will better emphasize the size and contour of the breast.
Klein's solution is injected into the liposuction area, which is used to better separate the fatty tissue. A cannula is inserted through small punctures under the skin to perform liposuction. Through this cannula, fat is sucked under vacuum and collected into a container through a sterile tube.
Cannulas for liposuction
Fat after liposuction contains: blood, remains of Klein's solution, oil that was released from destroyed fat cells.
Fat after liposuction
Centrifuge
After this, the fat is placed in syringes and installed in a centrifuge. Centrifugation is carried out at 3000 rpm for 3 minutes. After centrifugation, the top layer of oil is drained and the bottom layer of liquid is also drained. This leaves pure fat
.
The second stage of the operation involves injecting fat into the breast area.
Blunt Coleman cannulas are commonly used for fat injection. The cannulas have a 2 mm lumen. Their length can be 9, 15, 17 mm.
Blunt cannulas not only distribute fat well in the breast tissue, but also reduce the risk of vascular damage, which virtually eliminates the introduction of fat into the lumen of blood vessels and minimizes the occurrence of hematomas.
Cannulas for breast lipofilling
