Breast fat grafting (lipofilling)

Breast fat grafting involves harvesting fat by gentle liposuction from a reserve area (abdomen, hips, thighs), preparing it, then reinjecting it into the breasts. It can provide a moderate gain in volume, correct an asymmetry or improve the shape of the breasts without an implant. This technique is mainly suited to women who want a subtle enlargement, who have sufficient fat reserves and who do not want implants. It is also widely used in reconstructive surgery: after treatment for breast cancer, to improve a reconstruction, or to correct a malformation (tuberous breast, significant asymmetry). The gain in volume is limited and variable: part of the fat is reabsorbed, and two sessions are sometimes needed. A mammogram and ultrasound scan are requested beforehand depending on age and medical history, and radiological follow-up remains possible after the procedure, provided the radiologist is told about the fat grafting. These points are explained in consultation, with time to think before any decision. At Clinique Pasteur Tunis, breast fat grafting is performed in the operating theatre by a plastic surgeon, as a day case or with a short hospital stay, with regular follow-up after the procedure.