Outcome of Autologous Fat Grafting to Breast: A Simple Procedure for Complex Cases

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Author(s): Dr Bilal Umar1, Dr Ammara Rabbani2, Dr Barira Bashir3, Dr Hafiz Khalil Ahmad4, Dr Muhammad Tariq Iqbal5, Dr Kamran Khalid 6

Received: 30/07/2024 | Revised: 26/08/2024 | Published: 11/10/2024 | Pages: 12-18 | DOI: https://www.ejmanager.com/mnstemps/249/249-1722338836.pdf?t=1778566473


Background: Autologous fat grafting to the breast is utilized both as a primary procedure and as an ancillary procedure in complex cases, including oncoplastic breast reconstruction, congenital anomalies, and for patients undergoing revision surgeries. The objective of the study is to compare the pre-operative and post-operative quality of life and satisfaction scores of patients using Breast Q undergoing fat grafting to the breast in such complex cases.

Methodology: This study was conducted at the Jinnah Burn and Reconstructive Surgery Centre in Lahore, spanning from June 2023 to July 2024. We used a pre-post study design. Fat grafting in breast was done in 33 eligible cases. We compared pre-operative and post-operative satisfaction scores of patients. Outcome measure was calculation of satisfaction score pre-operatively and post-operative at 3months, 6months and 9 months. Breast-Q questionnaire was completed prior to surgery and after surgery. Breast-Q was analyzed using Q-score software. Paired t test was used to compare pre and post Breast-Q score with p < .05 as statistical significant.

Results: The Breast-Q score software was employed to analyses both pre-operative and  post-operative data. The findings revealed a substantial improvement in satisfaction scores across various parameters including breast appearance, psychosocial and sexual well-being. However,  slight decline was observed in physical well-being scores following the operation.

Conclusion: Autologous fat grafting to the breast for complex cases proves to be a straightforward method with promising outcomes. Patients generally accept the technique well, with statistically significant improvements observed in both quality of life and satisfaction scores.

Keywords: Fat grafting, Breast-Q, Patient satisfaction