Dr. Robert Whitfield uses fat transfer to fix asymmetry after breast cancer reconstruction. Implants alone often leave rippling and uneven fullness, so he performs about 150 fat-grafting procedures yearly to smooth contours and restore the upper breast.
I've done this for cancer patients to improve contour irregularities, restore the upper pole fullness and soften it, especially if they had an implant based reconstruction. And for many of my breast cancer patients, so I did probably 150 transfers a year just for breast cancer. It really helps with contour irregularities. So think of somebody who's underwent a mastectomy and a reconstruction. Invariably the two sides are different. And it's not because the surgeon wasn't trying to make everything even. It's just invariably going to be different. And then those differences will be noticeable after reconstruction. Because typically when we reconstruct, we're always going to use symmetrical implants. Typically we don't use asymmetrical implants when we're doing a reconstruction because we know the volumes, because we know the volume of the typically the expander we use. And then we can exchange that or upsize it or downsize it based on what we want with the permanent prosthesis and then let that heal and then smooth out contours, any irregularities, any rippling, things like that, especially helping with the upper pole.
