International expert panel consensus on fat grafting of the breast

Background: Autologous fat grafting has broad applications in reconstructive and aesthetic breast surgery as a natural filler and for its regenerative purposes. Despite the widespread use of fat grafting, there remains no shared consensus on what constitutes the optimal fat grafting technique and its oncological safety. For this reason, the authors of this study have organized a Survey and an International Consensus Conference that was held at the Aesthetic Breast Meeting in Milan (December 15, 2018). Methods: All studies on fat grafting, both for breast aesthetic and reconstructive purposes, were electronically screened. The literature review led to 17 "key questions" that were used for the Survey. The authors prepared a set of 10 "key statements" that have been discussed in a dedicated face-to-face session during the meeting. Results: The 10 key statements addressed all the most debated topics on fat grafting of the breast. Levels of evidence for the key statements ranged from III to IV with 2 statements (20%) supported by a level of evidence III and 6 statements (60%) by level of evidence IV. Overall consensus was reached for 2 statements (20%) with >75% agreement reached for 7 statements. Conclusions: The survey demonstrated a diversity of opinion and attitude among the panelists with regard to technique. Clear recommendations for evidence-based clinical practice for fat grafting use both in aesthetic and reconstructive breast surgery could not be defined due to the scarcity of level 1 or 2 studies

The Shadow of that Memory which I Honor': Politics and Identity in Henry Grady's New South Vision

Honors (Bachelor's)HistoryAmerican CultureUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/120627/1/jbircoll.pd

Autologous Fat Transplantation: An Evaluation of Microcalcification and Fat Cell Survivability following (AFT) Cosmetic Breast Augmentation

Since my introduction of the concept and techniques of autologous fat transplantation, considerable controversy has arisen over the amount of fat cell survivability and the possible formation of microcalcifications interfering with the diagnosis of breast carcinoma. An analysis of 5 years of experience using AFT in breast augmentation is presented. Maximum survival rates of fat cells exceed 80% and the incidence and control of microcalcification is discussed. </jats:p

A Nine-Year Experience with Autologous Fat Transplantation

When I first introduced the concept of autologous fat transplantation (AFT) in 1984, many professionals responded with enthusiasm. Others, far more vocal, responded with skepticism and derision. This latter response was similar to the one received by liposuction when it was first introduced. Now, nine years later, AFT is used worldwide for a variety of cosmetic and reconstructive procedures. Its use has stimulated the study of injectable autologous materials, and the development of other autologous materials such as injectable collagen. It is indeed a procedure that points a way to the future. </jats:p