Fat grafting is a fairly new technique in breast surgery. Fat is liposuctioned from one part of the patient's body, purified and then injected into the breast.

Fat grafting is used in conjunction with other breast reconstruction techniques to optimize breast contour and improve the final cosmetic results after both implant-based and autologous (flap) reconstruction. It is very frequently used in revision or corrective breast surgery.

There are several fat grafting techniques that are used by plastic surgeons. There is no "set way" that has been shown to be the best in terms of long-term results. However, studies have shown that regardless of the technique used, the collection and transplantation of the fat cells must be optimized to obtain the best long-lasting results. Learn more about breast fat grafting here.

Scar revision can reduce the appearance of scarring on the reconstructed breast, or donor site after a flap breast reconstruction.  The procedure can be performed in the operating room or in an office setting depending on the severity of the scar and extent of surgery planned.

After a failed implant reconstruction, we typically recommend removal of any residual implant material and surrounding scar tissue, and further reconstruction using the patient’s own tissue (an autologous “flap”). There is no better substitute than healthy tissue to recreate a “natural”, soft, warm breast. Learn more about your other breast reconstruction options here.

One common complaint from patients who have had breast cancer surgery on only one breast is poor breast symmetry. Thanks to the dedication of PRMA's Dr. Steven Pisano and other leaders in the field of breast reconstruction, legislation passed in 1998 mandates health insurance companies provide insurance coverage for breast symmetry procedures in patients who have had a medically-necessary mastectomy or lumpectomy. This means that if a person has had breast reconstruction or lumpectomy on one breast, insurance companies must cover further procedures to help improve the overall breast symmetry. Learn more about breast symmetry surgery here.

Although there are many different ways to perform nipple reconstruction, the bow-tie method, which gets its name from the bow-tie shaped incision, is the method used by the PRMA surgeons. This procedure can done during the revision stage (stage 2) in the operating room, or as a separate procedure in the office under a local anesthetic. The nipple and areola are later tattooed (2D or 3D) to match the original areola color. 

Breast reconstruction using abdominal tissue flaps can change the contour of the tummy area. Revision surgery can improve the shape and contour of the lower abdomen and provide the best cosmetic results. 

PRMA Plastic Surgery