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Figure 2: Relying on preoperative topographic markings, fat was injected
on the breast in multiple tissue planes, through multiple passes

Figure 1: Fat is allowed to separate by gravity and then refined on a
Tefla Pad until it reached a custard-like consistency. The refined fat was
then transferred in 10-mL syringes

Figure 4: A 62-year-old female with a history of bilateral mastectomy
and radiation therapy on the left breast; followed bilateral deep inferior
Figure 3: A 52-year-old female who had a left lumpectomy and radiation epigastric perforator flap reconstruction. She benefited from 2 rounds of
3 years ago. She was treated with lipoinjection of the lateral contour fat injection of the left upper breast contracture and serial excision of
deformity breast skin paddle

Table 1: Review of the literature
Authors Year Number of Average volume of Complications
patients (n) fat injection (mL)
Pérez-Cano et al. [20] 2012 71 140 14.1% of patients developed cysts
Khouri et al. [21] 2012 81 277 16% of patients report fat necrosis after 1-year
Rubin et al. [22] 2012 27 526.5 25.5% of patients developed oil cysts
17.1% of patients developed fat necrosis
De Blacam et al. [23] 2011 49 67 3.6% of patients developed fat necrosis
1.8% of patients developed oil cysts
0.9% of patients developed infections
Kijima et al. [24] 2012 21 123 4.7% of patients developed fat necrosis
4.7% of patients developed infection
Kamakura and Ito [25] 2011 20 240 11% of patients developed oil cysts
Losken et al. [26] 2011 107 40 11% of patients reported fat necrosis, erythema, keloid scarring, and pain
Serra-Renom et al. [27] 2011 28 39.36 0% fat stable in all patients
Sinna et al. [28] 2010 244 176 2% of patients developed fat necrosis
1.2% of patients developed infection
Yoshimura et al. [29] 2010 15 264 0% no reported complications
Illouz and 2009 820 145 9.2% of patients developed bruising
Sterodimas [30] 4.3% of patients developed striae
1.4% of patients developed hematomas
0.6% of patients developed infections
Panettiere et al. [31] 2009 61 24.5 0% no reported complications

Plast Aesthet Res || Vol 2 || Issue 3 || May 15, 2015 117