Reconstruction Using Lipofilling/Fat Grafting

  • Hisham Fansa
  • Christoph Heitmann


Lipofilling is the injection of aspirated fat from the same patient, which is specially prepared. Fat transplantation, autologous fat grafting (AFG) and lipofilling are synonyms.


  1.  1.
    German guidelines autologous fat grafting:
  2.  2.
    Bennett KG, Qi J, Kim HM, Hamill JB, Wilkins EG, Mehrara BJ, Kozlow JH. Association of fat grafting with patient-reported outcomes in postmastectomy breast reconstruction. JAMA Surg. 2017;
  3.  3.
    Cohen O, Lam G, Karp N, Choi M. Determining the oncologic safety of autologous fat grafting as a reconstructive modality: an institutional review of breast cancer recurrence rates and surgical outcomes. Plast Reconstr Surg. 2017;140:382e–92e.CrossRefGoogle Scholar
  4.  4.
    Coleman SR. Long-term survival of fat transplants: controlled demonstrations. Aesthet Plast Surg. 1995;19:421–5.CrossRefGoogle Scholar
  5.  5.
    Khouri RK Jr, Khouri RK. Current clinical applications of fat grafting. Plast Reconstr Surg. 2017;140:466e–86e.CrossRefGoogle Scholar
  6.  6.
    Luan A, Zielins ER, Wearda T, Atashroo DA, Blackshear CP, Raphel J, Brett EA, Flacco J, Alyono MC, Momeni A, Heilshorn S, Longaker MT, Wan DC. Dynamic rheology for the prediction of surgical outcomes in autologous fat grafting. Plast Reconstr Surg. 2017;140:517–24.CrossRefGoogle Scholar
  7.  7.
    Mazzola RF, Mazzola IC. The fascinating history of fat grafting. J Craniofac Surg. 2013;24:1069–71.CrossRefGoogle Scholar
  8.  8.
    Mirzabeigi MN, Lanni M, Chang CS, Stark RY, Kovach SJ, Wu LC, Serletti JM, Bucky LP. Treating breast conservation therapy defects with brava and fat grafting: technique, outcomes, and safety profile. Plast Reconstr Surg. 2017;140:372e–81e.CrossRefGoogle Scholar
  9.  9.
    Pace MM, Chatterjee A, Merrill DG, Stotland MA, Ridgway EB. Local anesthetics in liposuction: considerations for new practice advisory guidelines to improve patient safety. Plast Reconstr Surg. 2013;131:820e–6e.CrossRefGoogle Scholar
  10. 10.
    Petit JY, Maisonneuve P, Rotmensz N, Bertolini F, Rietjens M. Fat grafting after invasive breast cancer: a matched case-control study. Plast Reconstr Surg. 2017;139:1292–6.CrossRefGoogle Scholar
  11. 11.
    Serra-Mestre JM, Fernandez Peñuela R, Foti V, D’Andrea F, Serra-Renom JM. Breast cleavage remodeling with fat grafting: a safe way to optimize symmetry and to reduce intermammary distance. Plast Reconstr Surg. 2017;140:665e–72e.CrossRefGoogle Scholar
  12. 12.
    Sinno S, Wilson S, Brownstone N, Levine SM. Current thoughts on fat grafting: using the evidence to determine fact or fiction. Plast Reconstr Surg. 2016;137:818–24.CrossRefGoogle Scholar
  13. 13.
    Spear SL, Coles CN, Leung BK, Gitlin M, Parekh M, Macarios D. The safety, effectiveness, and efficiency of autologous fat grafting in breast surgery. Plast Reconstr Surg Glob Open. 2016;4:e827.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Hisham Fansa
    • 1
    • 2
    • 3
  • Christoph Heitmann
    • 4
  1. 1.Department of Plastic, Reconstructive and Aesthetic SurgeryKlinikum BielefeldGermany
  2. 2.Center for Aesthetic Plastic Surgery and Reconstructive Breast SurgeryMunichGermany
  3. 3.Center for Aesthetic Plastic Surgery and Reconstructive Breast SurgeryZurichSwitzerland
  4. 4.Practice for Plastic SurgeryMunichGermany

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