The Role of Autologous Fat Grafting in Secondary Microsurgical Breast Reconstruction

Background: Autologous breast reconstruction offers high patient satisfaction, but not all patients are ideal candidates, often due to inadequate volume of donor sites. While autologous fat grafting is used to augment volume and contour abnormalities, its utility in microsurgical breast reconstruction is unclear. We examined our patients to define utility and indications. Methods: A retrospective review of all breast reconstruction patients (2007 – 2011) was conducted. Patients were grouped into those requiring fat grafting and those not. Demographics, indications for surgery, history of radiation, BMI, mastecto…