Fat Grafting Over Existing Breast Implant
For patient that are happy with their breast implants but, want more natural breast looking and less visible breast implant, better cleavage shape, little larger breast size, less noticeable implant edge or implant rippling at the cleavage area. For all these cosmetic concerns, fat transfer can be the best option. Implant gives the breast the Quantity, Fat gives it the Quality !!!
A novel technique of fat transfer today is to add stem cells (CAL) or cultured ADSCs that can give the patient more stable and long-lasting outcome.
Patients with deformities resulting from their breast implants usually have inadequate soft tissue coverage over the implants, today, the best option for those patients is to have small breast implant plus fat transfer according to the availability of the donor area(s). By this option we can avoid strange & unusual breast shape.
Grafted fat can provide additional subcutaneous thickness in such cases to disguise visible implant edges and wrinkling, narrowing the wide inter-mammary space (distance between the breast at cleavage area), decrease the palpability of the underlying implant and gives more attractive & natural breast look. Common area to add fat is the cleavage part as it is only area of the women breasts that usually show socially. The cleavage mostly need to add fat, this is especially true in thinner patients as this area not often enhanced by submuscular breast implants.
In some cases fat grafting can be added close to the implant to treat capsule contracture for patient who refuse their implant to be exchanged or removed, in such uncommon cases, the fat grafting will be done on the top of silicone implants, and in very careful way but the patient usually informed about the possibility of rupturing the implant and the need for an implants exchange.
Patients with deformities resulting from their breast implants usually have inadequate soft tissue coverage over the implants and obvious capsular contracture. Grafted fat can provide additional subcutaneous thickness to disguise visible edges and wrinkling of implants and decrease the palpability of the underlying implant. This is specially true in thinner patients. In addition, the placement of fat around breast implants can result in a softening of the breast capsules, which usually is reported with those patients
Chest Wall Shape Abnormality
Uncommonly, another group of patients who, they have a degree of chest wall deformity or malformation like sternal abnormalities; pectus excavatum or pectus carinatum or abnormality in rib shape which can be bilateral or unilateral. Breast implant in some cases can improve the shape of breast and thoracic cage and make these deformities less visible but, not in all patients. In these cases, fat transfer as an adjunct treatment with breast implant can give more satisfactory result.