December 14, 2012
Dr. Anu Bajaj, M.D.
Breast Surgeon, breast augmentation, breast implants, fat grafting to breast, revision

“Reverse Liposuction” May Improve Breast Augmentation Revision

Says new report in Plastic and Reconstructive Surgery

Unwanted body fat has made liposuction one of the most popular cosmetic procedures around. The idea that someone might actually want to undergo a “reverse liposuction” may seem strange, but such a procedure may be a boon for patients who undergo breast augmentation – one of America’s other most popular procedures.

Well, to be somewhat more specific, breast augmentation revision. When it comes to breast augmentation using implants, some patients will have their implants removed, either from soft tissue problems, or dissatisfaction with the results, or both. A new technique, called simultaneous implant exchange with fat (or SIEF), can be used in conjunction with implant removal or replacement in order to achieve a more natural feel.

The SIEF technique is espoused by ASPS Member Surgeon Dr. Daniel Del Vecchio of Boston. The procedure was created in order to compensate for the lack of volume after a breast implant removal procedure.

Prior to surgery, a patient wears a Brava® device, which uses a gentle vacuum to gradually expand the breast. On the day of the surgery, the doctor performs liposuction on the patient’s thighs and abdomen to obtain excess fat tissue. By injecting the fat into the space over the implants before removing them, pressure within the breast is reduced, and the surgeon can better shape the new breast tissue for a more natural effect.

Dr. Del Vecchio doesn’t think that fat will outright replace implants, but he sees a future where the two work hand in hand.

“If the current debate is ‘implants vs. fat’, the versatility of fat and the core volume reliability of implants may, in the future, evolve to a place where implants and fat can work together, serving essential functions in the same patient,” says Dr. Del Vecchio.

If you’re curious about breast augmentation or breast augmentation revision, contact your plastic surgeons’ office to set up a consultation and find out what options are open to you.