The intent of the consensus conference was to assess and understand the different attitudes toward fat grafting for aesthetic and reconstructive surgery of the breast to produce a consensus statement that was agreed upon and approved by all the international experts. 7 The participants included plastic surgeons, breast surgeons, and radiation oncologists from around world who perform autologous fat grafting or evaluate patients on a regular basis. 6Īs a result of these shortcomings, the authors created a survey and organized an International Consensus Conference at the Maurizio Bruno Nava (MBN) 2018 Aesthetic Breast Meeting that was held in Milan, Italy, on December 15, 2018. The heterogeneity associated with these studies is further complicated by assessing outcomes using nonstandardized and subjective methods. 4 In addition, potential complications of autologous fat grafting include fat necrosis, calcifications, and oil cyst formation all of which can potentially interfere with the detection of breast cancer and the surveillance of patients with a history of breast cancer. 3 Although efficacy has been demonstrated in the majority of studies, concerns about oncological safety remain due to discrepancies reported in experimental and clinical studies. 2ĭespite the widespread acceptance and utility of autologous fat grafting, there is tremendous variability in the harvesting, processing, and injection techniques without strong level of evidence (LoE) to support one technique over another.
1 Its efficacy to improve the quality of damaged skin following radiation therapy has been especially noteworthy and has demonstrated predictability and reproducibility in properly selected patients. Its role as a natural filler material has demonstrated success for volume enhancement, contour correction, and regenerative capability. Autologous fat grafting is a well-accepted and useful adjunct for reconstructive and aesthetic breast surgery.
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