We describe our technique for breast reconstruction using fat grafting alone in patients with flaccid, elastic skin, via multiple injections of fat tissue. The technique involves following 3 stages: puckering stitches, to remodel the mass each time fat grafting is performed; cone formation-pexia, the creation and lifting of a cone with the tissue from the area; and neoformation of the inframammary fold, in which the cone is anchored in the pectoralis major and the fold at the level of the sixth rib. Using fat grafting and these 3 maneuvers, we obtain satisfactory breast reconstruction.
From the Aesthetic Plastic Surgery Department, Hospital Quiron Barcelona, Universidad Internacional de Cataluña (UIC), Barcelona, Spain.
Received April 16, 2010, and accepted for publication, after revision, July 26, 2010.
Reprints: José M. Serra-Renom, MD, PhD, Instituto de Cirugía Estetica Dr, Serra-Renom, Hospital Quirón, Plaza Alfonso Comín 5–7, 4a Planta. Barcelona 08023, Spain. E-mail: email@example.com.