Different patients request different options, and a solution which is desired by one patient may not be so good for another patient. This does not only apply to breast augmentation, but also to all other types of cosmetic surgery. There is no precut “one-size-fits-all” recipe which applies to all patients, therefore we suggest to take sufficient time to discuss in depth all options between surgeon and patient.
In my practice, we have seen a major change in breast augmentation with introduction of the Body Jet fat transfer system. This technique has solved most of the problems that we have seen with fat transfer breast augmentation in the past.
Less volume is lost during harvest, the take rates of the fat exceed 70-80%, there is no interference with mammograms and the procedure is safe and easy to perform under local anesthetic. I regard it as ideal for all patients who have fat to spare elsewhere, and in fact the treatment of such problem zones seems to add significantly to patient happiness.
However, there is always a certain number of patients who have no fat to spare, and for those silicone gel implants remain the best option. I have developed a certain faible for microtextured implants, which give a more natural feel especially in very thin patients.
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