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Using Fat Grafting for Breast Reconstruction

By Constance M. Chen, MD, MPH

For women who want natural tissue breast reconstruction but cannot or do not want to undergo flap surgery, another option is fat grafting. One reason a woman might not be a candidate for flap surgery is due to a clotting disorder that will cut off the blood supply to the flap. Or she may be a smoker or a user of nicotine in another form, which significantly increases the risk of flap failure, wound healing problems, and infection. Other recreational drugs, such as cocaine, will also prevent a successful flap surgery. Or a woman may have significant medical comorbidities that can make a long operation unsafe such as obesity, diabetes, or heart or lung issues. Finally, some women may simply not want the extensive scars that come with cutting out tissue from one part of the body and transferring it to the chest to create a breast.

Many of our patients have volunteered to speak with other women who may have questions about what it is like to go through restorative breast and body surgery. If you would like to speak with someone who has already gone through the process, please contact us and we will find a “buddy” for you.

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The Bosom Buddies are available for emotional support, practical tips, sharing stories, and other types of real life help that can help other women feel more comfortable and safe in their journey.

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As one of the leading breast reconstruction specialists in the United States, Dr. Constance Chen has been featured in over 100 news and media publications and journals over her years in practice.

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