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Your Natural Breasts: A Better Way to Augment, Reconstruct, and Correct Using Your Own Fat

Gruber, Ronald P. M.D.; Review Editor; Ahmad, Jamil M.D.

Plastic and Reconstructive Surgery: August 2013 - Volume 132 - Issue 2 - p 492
doi: 10.1097/PRS.0b013e31829f8ed5
Review
Free
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As a service to our readers, Plastic and Reconstructive Surgery® reviews books, DVDs, practice management software, and electronic media items of educational interest to reconstructive and aesthetic surgeons. All items are copyrighted and available commercially. The Journal actively solicits information in digital format (e.g., CD-ROM and Internet offerings) for review.

Reviewers are selected on the basis of relevant interest. Reviews are solely the opinion of the reviewer; they are usually published as submitted, with only copy editing. Plastic and Reconstructive Surgery® does not endorse or recommend any review so published. Send books, DVDs, and any other material for consideration to: Ronald P. Gruber, M.D., Review Editor, Plastic and Reconstructive Surgery, UT Southwestern Medical Center, 5959 Harry Hines Boulevard, POB1, Suite 300, Dallas, Texas 75390-8820.

Although the concept of fat grafting in plastic surgery is over a century old, enthusiasm for its use in aesthetic and reconstructive surgery of the breasts has gained momentum over the past decade. Drs. Khouri and Biggs have made significant contributions to understanding and refining techniques for fat transfer to the breasts. They have extensively described Brava (Brava, LLC, Miami, Fla.) and autologous fat transfer for breast augmentation and reconstruction and have accumulated significant experience with their technique.

In Your Natural Breasts: A Better Way to Augment, Reconstruct, and Correct Using Your Own Fat, Drs. Khouri and Biggs outline their concepts, technique, and outcomes using Brava and autologous fat transfer. The book is divided into three sections. The first section provides a history of fat transfer to the breasts, outlines concepts for Brava and autologous fat transfer, compares Brava and autologous fat transfer with traditional techniques, and discusses some potential challenges with Brava and autologous fat transfer. In the second section, the applications for Brava and autologous fat transfer for cosmetic breast reconstruction are presented, and in the third section, the applications for Brava and autologous fat transfer for breast cancer reconstruction are outlined.

This book contains many before-and-after photographs showing results following Brava and autologous fat transfer. These results are a testament to the versatility of this technique. What is particularly impressive are the results shown in Chapters 16 and 17 describing the use of Brava and autologous fat transfer for salvage reconstructions after failed implant and flap reconstructions. In these challenging cases, I do not know whether it is possible to achieve the results that are shown by any other approach for breast reconstruction. The results in Chapter 10 are equally impressive; correction of developmental deformities, including tuberous breasts, is shown.

This book is well suited for patients who are interested in finding out more information about breast reconstruction and the option of Brava and autologous fat transfer. The authors have made a conscious effort to discuss the information in a way that is easy for patients to understand. There are many patient stories throughout the book—these provide patients’ perspective on their journey and will help to not only inform prospective patients but also reassure them that there is hope. For the plastic surgeon performing aesthetic and reconstructive surgery of the breast using Brava and autologous fat transfer, this book would be very useful to help inform patients about this technique and prepare them for this surgery.

In summary, Your Natural Breasts: A Better Way to Augment, Reconstruct, and Correct Using Your Own Fat, will be useful to both patients considering breast reconstruction and plastic surgeons performing Brava and autologous fat transfer.

©2013American Society of Plastic Surgeons