19324 Mammaplasty, augmentation; without prosthetic implant

Name of the Procedure:

Mammaplasty, augmentation; without prosthetic implant
Common Name(s): Fat Transfer Breast Augmentation, Natural Breast Augmentation

Summary

A Mammaplasty, augmentation without a prosthetic implant, commonly known as fat transfer breast augmentation, involves using a patient's own fat to enlarge and reshape the breasts. It is a natural alternative to traditional breast augmentation using silicone or saline implants.

Purpose

This procedure addresses the desire for increased breast size and improved shape. The goals of the procedure are to enhance breast fullness and contour without the use of synthetic implants, providing a more natural look and feel.

Indications

• Desire for a modest increase in breast size
• Uneven breast size or shape
• Minor breast deformities or asymmetry
• Preference to avoid synthetic implants
• Adequate fat stores in other parts of the body for transfer
• Good overall health and non-smoker

Preparation

• Complete a thorough medical evaluation and consultation
• Undergo pre-procedure assessments, such as imaging studies or blood tests
• Avoid smoking and alcohol consumption
• Follow specific dietary guidelines or fasting instructions
• Adjust medications as directed by the surgeon

Procedure Description

1. The procedure starts with liposuction to harvest fat from donor areas such as the abdomen, thighs, or flanks.
2. The harvested fat is then purified to remove any impurities or liquids.
3. The surgeon makes small incisions in the breast to inject the purified fat into the desired area.
4. The process is repeated until the desired breast shape and size are achieved.
5. The incisions are closed with sutures, and bandages are applied.

Tools and Equipment:

• Liposuction cannula and suction device
• Centrifuge or other fat purification devices
• Syringes and small cannulas for fat injection

Anesthesia:

• General anesthesia or local anesthesia with sedation, depending on the extent of the procedure

Duration

The procedure typically takes 2 to 4 hours, depending on the amount of fat being transferred and the complexity of the case.

Setting

The procedure is usually performed in a hospital, outpatient surgical center, or specialized clinic.

Personnel

• Plastic Surgeon
• Anesthesiologist
• Surgical Nurses
• Surgical Technicians

Risks and Complications

• Infection
• Fat reabsorption, leading to loss of volume
• Fat necrosis or cyst formation
• Asymmetry or uneven results
• Anesthesia risks
• Bruising and swelling in both the donor and recipient sites

Benefits

• Natural look and feel due to using the patient's own fat
• Dual benefit of body contouring from liposuction
• Lower risk of allergic reactions or complications associated with synthetic implants
• Results are typically visible immediately, with improvements continuing as swelling subsides

Recovery

• Wear a compression garment over the liposuction site and a supportive bra
• Avoid strenuous activities for 2-3 weeks
• Expect swelling and bruising to resolve within a few weeks
• Follow-up appointments to monitor progress and address any concerns
• Most patients return to normal activities within 1-2 weeks

Alternatives

• Traditional breast augmentation with silicone or saline implants
  • Pros: More predictable volume increase, less reabsorption of material
  • Cons: Risk of implant-related complications, need for future replacement
• Breast lift (mastopexy), for patients seeking to correct sagging without increasing size
  • Pros and cons depending on desired outcome and individual conditions

Patient Experience

During the procedure, patients are typically under anesthesia, so they do not feel pain. Post-procedure, patients may experience discomfort and swelling, which can be managed with prescribed pain medication and proper care. Most patients report a positive experience due to the more natural outcome and the added benefit of body contouring from liposuction.