Pure fat grafting for breast reconstruction: An alternative autologous breast reconstruction

Charalampos Siotos, Pathik Aravind, Vishnu Prasath, Amanda Rubano, Mohanad Youssef, Mehran Habibi, Michele A. Manahan, Carisa M. Cooney, Gedge D. Rosson

Research output: Contribution to journalArticlepeer-review


Plastic surgeons offer various options for breast reconstruction based on patient preference, underlying disease, and comorbidities. An alternative form of breast reconstruction exists, which includes tissue expansion with tissue expander and subsequent fat grafting without the use of implant or flap. We retrospectively reviewed the breast cancer patients who underwent breast reconstruction at our institution to identify those with pure fat grafting. Demographic information, complications, operative details, and BREAST-Q scores were abstracted. From 2010-2015, 10 patients were identified. Patients with unilateral or bilateral mastectomy followed by pure fat grafting had a median of 3.5 or 4 sessions and a total median fat grafting volume of 380 or 974.5 cc, respectively. Patients were followed for 12 months, and no complications or breast cancer recurrences were noted. Finally, BREAST-Q scores at the 12-month follow-up were comparable to the preoperative values.

Original languageEnglish (US)
Pages (from-to)1788-1792
Number of pages5
JournalBreast Journal
Issue number9
StatePublished - Sep 1 2020


  • breast cancer
  • breast reconstruction
  • breast surgery
  • fat grafting

ASJC Scopus subject areas

  • Internal Medicine
  • Surgery
  • Oncology


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