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    • Mammographic Assessment of Fat Graft Retention Volume in Aesthetic Breast Cases: A Quantitative and Qualitative Tool

    Ahmed Nawar1, Waleed Reda1, Ahmed Safwat1, Sahar Mansour2
    1 Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt 2 Department of Radiology, Faculty of Medicine, Cairo University, Egypt

    Introduction: Fat grafting to the breasts has gained popularity for both aesthetic and reconstructive indications. Various refinements in the techniques of autologous fat grafting have been proposed, aimed to increase fat retention volume. However, assessment of fat graft survival has been mostly subjective, expensive or unavailable. This study aims to investigate the role of mammography as an objective tool for assessment of the fat retention volume in aesthetic cases. Patients and Methods: Patients who were indicated for aesthetic fat grafting to the breasts between December 2014 and July 2016 were included in this prospective study. Mammography was used to calculate the retention volume 3 months after fat grafting by subtracting the preoperative from the postoperative volumes. Areas of fat necrosis or oil cyst formation were also identified. Results: Fat grafting was performed to 49 breasts in 26 patients. The mean fat graft volume was 322cc, while the mean fat graft survival rate was 54% (range 37-67%) as assessed by mammography after 3 months. Six percent of breasts developed complications in terms of fat necrosis/oil cysts. There was also a positive correlation between the volume of fat graft injected and the fat graft survival rate. Conclusion: Mammography can be used as an objective tool for assessment of the quantity and quality of fat graft retention volume in aesthetic cases. Large volume fat grafting to the breasts may have high graft survival rates with few complications. Keywords: Fat graft survival – mammography – autologous fat transfer – breast augmentation. 

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