Research
Print page Print page
Switch language
Rigshospitalet - a part of Copenhagen University Hospital
Published

Complications after Breast Augmentation with Fat Grafting: A Systematic Review

Research output: Contribution to journalReviewpeer-review

  1. A Structured Facial Feminization Fresh Tissue Surgical Simulation Laboratory Improves Trainee Confidence and Knowledge

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Reply: Optimized Number and Type of Cells for Pre-enrichment of Adipose Tissue Grafts for Maximum Fat Retention

    Research output: Contribution to journalComment/debateResearchpeer-review

  1. Impact of time to treatment initiation for patients with oral cavity squamous cell carcinoma: a population-based, retrospective study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Somatostatin receptor-targeted radiopeptide therapy in treatment-refractory meningioma: Individual Patient Data Meta-analysis

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. TERT promoter mutations in primary and secondary WHO grade III meningioma

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Expression of the stem cell marker CD133 in malignant meningioma

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND: Breast augmentation with fat grafting is used as an alternative to breast implants. However, a systematic evaluation of the complication rates after fat grafting using only studies with consecutive patients has not previously been performed. In this study, the authors compiled studies reporting complication rates and radiologic changes in consecutive patients undergoing cosmetic breast augmentation with fat grafting.

METHODS: Studies reporting on consecutive patients undergoing breast augmentation with fat grafting were included. Complication rates, radiologic changes, Breast Imaging Reporting and Data System assessments, and the number of patients undergoing revision surgery were extracted. Mean complication rates and radiologic changes were calculated with meta-analytical methods.

RESULTS: Twenty-two studies with 2073 patients were included. The rates of major complications were low (hematoma, 0.5 percent; infection, 0.6 percent; and seroma, 0.1 percent). None of these patients needed revision surgery. The most frequent minor complication was palpable cysts in 2.0 percent of the patients; 67 percent of these were treated with aspiration. The radiologic changes in the patients after fat grafting were as follows: oil cysts, 6.5 percent; calcifications, 4.5 percent; and fat necrosis, 1.2 percent. The risk of being referred for additional radiologic imaging (e.g., to exclude malignant changes) was 16.4 percent, and the risk of being referred for biopsy was 3.2 percent.

CONCLUSIONS: The complication rates after breast augmentation with fat grafting are low and support fat grafting as an alternative to breast augmentation with implants. The rates of radiologic changes are high after fat grafting, but the changes do not seem to have any therapeutic consequences for the patients.

Original languageEnglish
JournalPlastic and Reconstructive Surgery
Volume145
Issue number3
Pages (from-to)530e-537e
ISSN0032-1052
DOIs
Publication statusPublished - Mar 2020

    Research areas

  • Adipose Tissue/transplantation, Breast/diagnostic imaging, Breast Cyst/diagnosis, Calcinosis/diagnosis, Fat Necrosis/diagnosis, Female, Humans, Mammaplasty/adverse effects, Postoperative Complications/diagnosis, Transplantation, Autologous/adverse effects, Treatment Outcome

ID: 61372040