Correction with autologous fat grafting for contour changes of the breasts after implant removal in Asian women

Autologous Fat Grafting in Cosmetic Breast Augmentation: A Systematic Review on Radiological Safety, Complications, Volume Retention, and Patient/Surgeon Satisfaction

“…After screening (Figure 1), a total of 23 articles was included. [4][5][6][10][11][12]21,[24][25][26][29][30][31][32][33][34][35][36][37][38][39][40][41] All of the articles were English-written articles. The risk of bias across the studies (Table 1) was measured using ACROBAT-NRSI 42 and was considered moderate in the preintervention (68.2% of studies), postintervention (72.7% of studies), and overall (72.7% of studies) ratings.…”

“…Palpable indurations were seen in 33.3% (95% CI 20.4-46.3) of the cases. 25,26,29 Persistent pain was reported in one study 29 in 25.0% of the patients (95% CI 0.5-49.5). A hematoma was seen in 16.4% (95% CI 14.5-18.4) of the patients.…”

“…21,39,40 These instructions included harvest site massage instructions in one study and avoidance of breast compression for approximately 4 months, in the two additional studies. 39,40 Complications In a total of 17 studies, [4][5][6]10,21,[24][25][26][29][30][31][36][37][38]40,41,43 an analysis showed an overall complication rate of 17.2% (95% CI 15.9-18.5) after a mean follow-up period of 34.5 months in 3409 patients after AFG for cosmetic purposes ( Table 3). The following are complication rates over the total of patients from the studies that reported on that specific complication.…”

“…Our minimal sample size was 10 patients, and the mean follow-up period was at least 1 year after the last fat grafting session. By including studies up to February 20 2016, we included three new articles, [24][25][26] one of which practiced high-volume grafting (range, 300-600 cc) and one of which added to the number of BRAVA-prepared patients. The authors believe this can add value to this paper in comparison to previous reviews.…”

Application of Fat Grafting in Cosmetic Breast Surgery

“…The most common adverse events observed are the development of minor contour irregularities and palpable areas of induration. 52,53 Other reported complications include persistent pain at the site of injection, hematoma formation, fat necrosis, oil cyst formation and calcification, infection, and development of breast striae. [54][55][56][57] At the donor site, regional deformation has also been reported to occur.…”