Megavolume Autologous Fat Transfer: Part II. Practice and Techniques.
Khouri, Roger K. M.D.; Rigotti, Gino M.D.; Cardoso, Eufemiano M.D.; Khouri, Roger K. Jr. B.S.; Biggs, Thomas M. M.D.
Plastic & Reconstructive Surgery.
133(6):1369-1377, June 2014.
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Summary: The authors describe the techniques that use the principles of fat grafting to allow them to successfully graft megavolumes (250-ml range) of autologous fat into breasts. The Brava external volume expansion device preoperatively increases the volume and vascularity of the recipient site. Low-pressure liposuction and minimal centrifugation are used to gently extract and purify the adipose tissue with minimal trauma. Even and diffuse reinjection of the fat increases graft-to-recipient interface and reduces interstitial fluid pressure. Postoperative Brava use protects the graft and acts as a three-dimensional immobilizing splint. By adhering to these techniques, we have been able to graft megavolumes of fat into the breasts of over 1000 patients and obtain substantial long-term volume retention.
(C)2014American Society of Plastic Surgeons