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{"id":5062,"date":"2025-09-20T12:52:18","date_gmt":"2025-09-20T10:52:18","guid":{"rendered":"https:\/\/micheldelpe.ch\/chirurgie-esthetique\/reconstruction-mammaire\/reconstruction-mammaire-injection-graisse\/"},"modified":"2025-11-29T20:07:57","modified_gmt":"2025-11-29T19:07:57","slug":"reconstruction-mammaire-injection-graisse","status":"publish","type":"page","link":"https:\/\/micheldelpe.ch\/en\/chirurgie-esthetique\/reconstruction-mammaire\/reconstruction-mammaire-injection-graisse\/","title":{"rendered":"Breast Reconstruction by Lipofilling"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Overview and Advantages<\/h2>\n\n\n\n<p>Lipofilling, or fat grafting, is an established technique that has seen a resurgence over the past decade, particularly in <strong>breast reconstruction<\/strong> and <strong>facial rejuvenation<\/strong>. It provides a natural alternative to breast implants, using the patient\u2019s own fat to restore volume and shape. This procedure is especially suitable for women seeking a more organic, harmonious reconstruction after breast cancer surgery.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Fat Injection: Principles and Technique<\/h2>\n\n\n\n<p>The process begins with <strong>liposuction<\/strong>, where fatty tissue is gently harvested from areas such as the abdomen, thighs, or flanks. The fat is then <strong>purified<\/strong> to remove blood, excess fluid, and damaged fatty tissue using one of two methods:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Centrifugation (Coleman technique)<\/strong> \u2013 Ideal for small-volume grafting, particularly in facial procedures.<\/li>\n\n\n\n<li><strong>Puregraft\u00ae filtration system (Cytori)<\/strong> \u2013 Preferred for large-volume fat transfers such as breast or buttock reconstruction.<\/li>\n<\/ul>\n\n\n\n<p>Once purified, the fat is <strong>re-injected<\/strong> into the recipient area using ultra-fine cannulas. This constitutes a true <strong>adipocyte graft<\/strong>, with a portion of the transferred fat becoming permanently integrated as living tissue.<\/p>\n\n\n\n<p><strong>Note<\/strong>: Around <strong>20\u201330%<\/strong> of the injected fat is naturally reabsorbed in the first two months. However, once integrated, the remaining fat is stable and long-lasting.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Indications for Breast Lipofilling<\/h2>\n\n\n\n<p>Breast fat injection can be used in the following cases:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Aesthetic breast augmentation<\/strong>, achieving a 1-cup size increase with 1\u20132 sessions (approx. 200cc volume)<\/li>\n\n\n\n<li><strong>Camouflage of visible breast implants<\/strong> (e.g. rippling or contour issues)<\/li>\n\n\n\n<li><strong>Correction of breast deformities<\/strong> including:\n<ul class=\"wp-block-list\">\n<li>Breast asymmetry<\/li>\n\n\n\n<li>Tuberous breasts<\/li>\n\n\n\n<li>Poland syndrome<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Post-lumpectomy or radiotherapy reconstruction<\/strong> (after a 5-year cancer remission)<\/li>\n\n\n\n<li><strong>Volume enhancement<\/strong> following the dorsalis major flap reconstruction (without an implant)<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Procedure in Practice<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Anesthesia<\/strong>: Typically performed under general anesthesia. Small-volume transfers may be done under local anesthesia with sedation (neuroleptanalgesia).<\/li>\n\n\n\n<li><strong>Outpatient or Overnight Stay<\/strong>: Most procedures are outpatient, but some cases require an overnight stay for monitoring.<\/li>\n\n\n\n<li><strong>Preoperative Instructions<\/strong>:\n<ul class=\"wp-block-list\">\n<li>Avoid aspirin and anti-inflammatory medications 10 days before surgery.<\/li>\n\n\n\n<li>Stop smoking <strong>at least 1 month before and after surgery<\/strong> to improve fat graft viability.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Postoperative Care<\/strong>:\n<ul class=\"wp-block-list\">\n<li>Wear a <strong>compression garment<\/strong> continuously for 1 month in the harvesting area.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>Use <strong>compression stockings<\/strong> for 1 week following the procedure.<\/p>\n\n\n\r\n<!-- Block - FAQ -->\r\n<section class=\"faq-block\" style=\"\">\r\n            <h2>Questions and Answers<\/h2>\r\n                <div class=\"faq-list\">\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">What are the risks of breast fat injection?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Complications are rare, but can include:<\/p>\n<ul>\n<li>Infection from necrotic fat (occurs in &lt;2% of cases)<\/li>\n<li>Fat reabsorption cysts (cytosteatonecrosis), which may be palpable under the skin<\/li>\n<li>Liposuction-related issues: phlebitis, asymmetry, or surface irregularities<\/li>\n<\/ul>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">Does the fat remain stable over time?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Yes. Once the grafted fat has integrated (typically by 1 month), it remains stable long-term, unlike hyaluronic acid fillers, which are absorbed over several months.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">Are there follow-up imaging requirements?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Yes. A digital mammogram and MRI are typically recommended 3 months after the procedure. These serve as a baseline for future breast cancer screenings.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">How many sessions are required?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>On average, 2 to 3 sessions are needed to achieve optimal volume and shape.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                    <\/div>\r\n    <\/section>\n\n\n<h2 class=\"wp-block-heading\">Cost and Reimbursement<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Medical Indications<\/strong> (e.g. post-cancer reconstruction or malformation):<br>Covered by French <strong>social security<\/strong>, with <strong>additional fees ranging from \u20ac1,500 to \u20ac2,000<\/strong>, depending on volume.<\/li>\n\n\n\n<li><strong>Aesthetic Breast Augmentation<\/strong>:<br>Each session costs <strong>from \u20ac6,500 to \u20ac8,000<\/strong>, with <strong>1\u20132 sessions<\/strong> typically needed for a one-cup increase.<\/li>\n<\/ul>\n\n\n\n<p>If you have any questions or would like to schedule a consultation, please don\u2019t hesitate to <strong>contact our team<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Overview and Advantages Lipofilling, or fat grafting, is an established technique that has seen a resurgence over the past decade, particularly in breast reconstruction and facial rejuvenation. It provides a natural alternative to breast implants, using the patient\u2019s own fat to restore volume and shape. This procedure is especially suitable for women seeking a more [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":1662,"parent":2197,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/domain-single.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-5062","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/5062","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/comments?post=5062"}],"version-history":[{"count":0,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/5062\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/2197"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/media\/1662"}],"wp:attachment":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/media?parent=5062"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}