title: Megavolume autologous fat transfer: part II. Practice and techniques.
abstract: The authors describe the techniques that use the principles of fat grafting to allow them to successfully graft megavolumes (250-ml range) of autologous fat into breasts. The Brava external volume expansion device preoperatively increases the volume and vascularity of the recipient site. Low-pressure liposuction and minimal centrifugation are used to gently extract and purify the adipose tissue with minimal trauma. Even and diffuse reinjection of the fat increases graft-to-recipient interface and reduces interstitial fluid pressure. Postoperative Brava use protects the graft and acts as a three-dimensional immobilizing splint. By adhering to these techniques, we have been able to graft megavolumes of fat into the breasts of over 1000 patients and obtain substantial long-term volume retention.
authors.affiliation: Miami, Fla.; Verona, Italy; Ann Arbor, Mich.; and Houston, Texas From the Miami Breast Center; the Herbert Wertheim College of Medicine at Florida International University; the University of Verona; and the University of Michigan Medical School; Baylor College of Medicine.
authors.forename: Roger K
authors.initials: RK
authors.lastname: Khouri
authors.forename: Gino
authors.initials: G
authors.lastname: Rigotti
authors.forename: Eufemiano
authors.initials: E
authors.lastname: Cardoso
authors.forename: Roger K
authors.initials: RK
authors.lastname: Khouri
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Biggs
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D064592:Autografts; D002498:Centrifugation; D045604:Extracellular Fluid; D006801:Humans; D015187:Lipectomy; D020858:Tissue and Organ Harvesting / Q000379:methods*