Capsular contracture is a frequent complication of breast augmentation and reconstruction that affects up to 30% of patients. The authors describe the effect of fat grafting on capsular contracture used in cases with the primary intention of improving soft-tissue characteristics before implant to implant or implant to fat exchange. Fifteen patients (18 breasts) with capsular contracture Baker grade 4 were reviewed. Pain from capsular formation was able to be ameliorated in all cases after lipofilling sessions, with 11 of them achieving analgesia. Afterward, 4 patients underwent implant to implant and 7 patients implant to fat exchange. Four patients chose to keep the implants after the end of fat grafting procedures, due to satisfying cosmetic results and excellent pain management. Fat grafting may be a useful addition to therapies currently used to treat capsular contracture.
From the *Department of Senology, Evangelische Kliniken Gelsenkirchen, Gelsenkirchen, Germany
†Department of Senology, Evangelische Kliniken Gelsenkirchen, Gelsenkirchen, Germany
‡Department of Pathology, Ruhr University Bochum, Bochum, Germany
§Department of Senology, Evangelische Kliniken Gelsenkirchen, Gelsenkirchen, Germany.
Published online 13 November 2018.
Received for publication July 17, 2018; accepted August 15, 2018.
Disclosure: Dr. Papadopoulos has received a lecture honorarium from Human med AG, Schwerin, Germany. Dr. Vidovic, Dr. Neid, and Dr. Abdallah have no financial information to disclose. No funding was received for this article. The Article Processing Charge was paid by the authors.
Liposuction device: Bodyjet, Human med AG, Schwerin, Germany.
Sarantos Papadopoulos, MD, Department of Senology, Evangelische Kliniken Gelsenkirchen, Munckelstrasse 27, 45879 Gelsenkirchen, Germany, E-mail: email@example.com
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