Breast reconstruction surgery

Lipofilling for Breast Reconstruction

Lipofilling is the broad term which covers the process of extracting fat from one area of the body and then inserting this fat into a different area where volume, mass or reshaping is desired. It also can be described as ‘fat transfer’, ‘lipo modelling’ or ‘fat grafting’. In this case, it is used to help with the breast reconstruction process.

Lipofilling for breast reconstruction is essentially a four-stage process:

  1. The area of the body with excess fat is identified and prepared for surgery
  2. A thin tube (or cannula) is inserted underneath the skin, allowing fatty tissue to be extracted and stored. The surgery is generally performed under general anaesthetic
  3. The extracted fat is spun in a centrifuge which separates the fat cells from any other liquid mass that has been extracted along with the fat
  4. The pure fat is then injected into the area where greater volume, mass or structure is required

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Lipofilling: risks to be aware of

As with any surgical procedure, there are risks and limitations. The key to success with a lipofilling operation is ensuring that there is sufficient blood flow to the implanted fat cells. They need blood to survive so there must be a plentiful supply of blood vessels in the host area, and not too much fat implanted otherwise it will just be absorbed by the body.

Lipofilling represents a large part of my reconstructive work at the Royal Marsden Hospital. Although it is very rare to be able to produce a total breast reconstruction just using fat, it is often performed in combination with implants or a DIEP or TMG Flap procedure to smooth out the edges and add more volume as required.

My cosmetic breast surgery practice requires a high degree of aesthetic expertise which I deploy in my reconstructive work to ensure the very best possible results for my patients.

What my patients say about me

Mr Ramsey performed a breast reduction and abdominoplasty for me in October 2017. Prior to the operation, I had two consultations where the procedure was explained to me clearly and concisely. I was also talked through the possible pitfalls. I am happy to report that I am delighted with the results. The standard of the work is excellent. Obviously, you have scars after such procedures but these are incredibly neat and fading fast.

Mr Ramsey was very professional in the way he dealt with me while also being pleasant to talk to. He put me at my ease right from the start. I had total confidence in his abilities and he has more than lived up to my expectations. I could not recommend him highly enough.

Penny AtkinsonBreast Reduction and Abdominoplasty
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