Abstract
Background
Breast augmentation with autologous fat grafting was widely used. However, it is unclear how does this kind of surgery affect the morphologic change of breast. This study aimed to explore the change of nipple and inframammary fold (IMF) levels, which are important aesthetic landmarks of breast that further explore whether this kind of surgery could correct the asymmetry of nipple and IMF.
Methods
Preoperative and postoperative measurements were performed in the patients who received fat grafting with or without fasciotomy. The position levels of nipple and IMF were measured. The preoperative and postoperative discrepancies and the difference of these levels after surgery were also calculated.
Results
As for the IMF asymmetry, in the fasciotomy plus fat grafting group, the asymmetry was significantly reduced after surgery, while there was no significant difference in the fat grafting group. As for the nipple asymmetry, fat grafting could not correct the asymmetry in both fasciotomy plus fat grafting group and fat grafting group. As for the morphological change after surgery, both nipple and IMF were descended significantly after surgery. The descending range of IMF in the preoperative higher group was larger than the preoperative lower group. On the preoperative IMF higher side, descending degree of IMF was significantly larger in the fasciotomy plus fat grafting group than fat grafting group.
Conclusions
Fat grafting with fasciotomy can improve IMF asymmetry but cannot improve nipple asymmetry. Both IMF and nipple were lowered somehow after surgery, which might be related to the breast enlargement.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Liu C, Luan J, Mu L et al (2010) The role of three-dimensional scanning technique in evaluation of breast asymmetry in breast augmentation: a 100-case study. Plast Reconstr Surg 126(6):2125–2132
Gutierrez-Ontalvilla P, Naidu NS, Blanco EL et al (2020) Autologous fat grafting with percutaneous fasciotomy and reduction of the nipple-areolar complex for the correction of tuberous breast deformity in teenagers. Aesthetic Plast Surg 44(2):264–269
Ho Quoc C, Sinna R, Gourari A et al (2013) Percutaneous fasciotomies and fat grafting: indications for breast surgery. Aesthetic surg J Am Soc Aesthetic Plast Surg 33(7):995–1001
Sambuy MTC, Nakamoto HA, Bolliger R et al (2020) Randomized controlled trial of limited fasciotomy with injection of adipose graft for dupuytren’s disease. Acta Ortop Bras 28(4):159–164
Papadopoulos S, Colpaert SDM, Goulis DG et al (2021) Treating anisomastia and tuberous breast with fat grafting: technique and evaluation of outcomes using BREAST-Q surveys. Aesthetic Plast Surg 45(6):2729–2741
Voglimacci M, Garrido I, Mojallal A et al (2015) Autologous fat grafting for cosmetic breast augmentation: a systematic review. Aesthetic surg J Am Soc Aesthetic Plast Surg 35(4):378–393
Li FC, Chen B, Cheng L (2014) Breast augmentation with autologous fat injection: a report of 105 cases. Ann Plast Surg 73(Suppl 1):S37-42
Duncan AM, Al Youha S, Joukhadar N et al (2022) Anatomy of the breast fascial system: a systematic review of the literature. Plast Reconstr Surg 149(1):28–40
Ji K, Luan J, Liu C et al (2014) A prospective study of breast dynamic morphological changes after dual-plane augmentation mammaplasty with 3D scanning technique. Plos one 9(3):e93010
Goldman BE, Capasse JS, McGregor A et al (2019) Breast reconstruction utilizing buried dermato-cutaneous skin flaps and immediate adipocyte transfer: a minimally invasive autologous breast reconstruction technique. Plast Reconstr Surg Glob Open 7(12):e2392
Salgarello M, Visconti G, Farallo E (2010) Autologous fat graft in radiated tissue prior to alloplastic reconstruction of the breast: report of two cases. Aesthetic Plast Surg 34(1):5–10
Funding
The authors have no financial interest to declare in relation to content of this study. No funding was received for this article.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts of interest to disclose.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed Consent
All patients signed informed consent for surgery and use of photographs and data for publication.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Li, S., Xu, B. & Liu, C. How Do Positions of Nipple and Inframammary Fold Change After Autologous Breast Augmentation with Fat Grafting?. Aesth Plast Surg 46, 2131–2137 (2022). https://doi.org/10.1007/s00266-022-02959-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-022-02959-8