Aesthet Surg J. 2021 Oct 15;41(11):NP1473-NP1485. doi: 10.1093/asj/sjab195.
Fat grafting in breast augmentation surgery is becoming increasingly popular, allowing surgeons to fill the gaps that implant augmentation alone cannot. However, one of the current issues surrounding fat grafting is the lack of standardization.
The objective of this study was to validate and summarize expert-based advice to help plastic surgeons better understand the benefits of utilizing fat grating to reduce implant size in their surgical planning.
This was a prospective study of fat grafting in 56 patients who underwent fat transfer together with silicone breast implants. A 3-dimensional planning system was used to plan the procedure and also to analyze the fat retention and resorption rates. Pictures served as a basis for a questionnaire in which both patients and physicians were asked to rate their satisfaction.
Patients reported a satisfaction rate of "excellent" in 83.3% of cases and "good" in 16.7%. Physician satisfaction was rated as "excellent" in 84.5% of cases, "good" in 13.3%, and "fair" in 4.2% of cases. The mean fat volume grafted per breast was 113.63 mL. The mean absorption rate was 4.53%.
The procedure presented consistent and reproducible results. Hybrid breast augmentation can help design a pathway for a future with breasts free of silicone. This information is particularly relevant for women who have their first breast augmentation at an early age and will probably have 2 to 5 additional surgeries in their lifetime due to the nature of current silicone breast technology.
脂肪移植在隆胸手术中越来越受欢迎，它使外科医生能够填补单纯植入物隆胸无法填补的空缺。然而，目前脂肪移植存在的一个问题是缺乏标准化。
本研究旨在验证和总结专家建议，帮助整形医生更好地理解利用脂肪移植来减少植入物大小的好处，从而纳入到他们的手术规划中。
这是一项前瞻性研究，共纳入 56 例接受脂肪转移联合硅胶乳房植入物的患者。使用三维规划系统来规划手术，并分析脂肪保留和吸收率。照片为问卷调查提供了依据，患者和医生均根据照片对满意度进行评分。
患者报告的满意度为“优秀”的占 83.3%，“良好”的占 16.7%。医生的满意度评定为“优秀”的占 84.5%，“良好”的占 13.3%，“尚可”的占 4.2%。每侧乳房平均移植的脂肪体积为 113.63ml。平均吸收率为 4.53%。
该手术具有一致且可重复的效果。混合性隆胸可以帮助设计一种未来的方案，使乳房摆脱硅胶。对于那些在年轻时首次进行隆胸手术且由于当前硅胶乳房技术的性质，在其一生中可能还需要进行 2 到 5 次额外手术的女性来说，这些信息尤为重要。
