Plastic Surgery & Reconstructive Procedures

Lipofilling (using your own fat)

Breast
  • About

    Augmentation with your fat after liposuction gives a more natural result. After one procedure, expect half a cup size increase.

    A second procedure is often required. But the advantages of lipofilling include:

    • Liposuction at the same time
    • No scars
    • No silicone or foreign objects in your body

More information about precautions, preparations & planning before, on the day & after surgery is listed below.

  • Prior to Surgery
    • Do not stop any of your routine medication unless specifically told to do so by the doctor.
    • Typically Aspirin, Ecotrin, St John’s wort, nonsteroidal anti-inflammatories, Arnica tablets & Omega fish oils should be stopped at least 1 week before surgery.
    • Cardiac patients on blood thinners for stents or those on Warfarin require specific instructions and this must be discussed 3 weeks in advance of surgery.
  • Recovery

    The combination of decreased activity and pain medication may promote constipation, so you may want to add more fruit and fibre to your diet. Be sure to increase fluid intake. Movicol may also be used as a stool softener.

  • Activities
    • Start walking as soon as possible. This helps to reduce swelling and lowers the chance of blood clots.
    • Avoid strenuous exercise and activities for 4-6 weeks.
    • Social and employment activities can be resumed in 7-14 days.
  • Incision Care
    • No soaking in the bath while sutures or drains are in place.
    • Avoid exposing scars to the sun for at least 12 months.
    • Apply Micropore to the incision lines for 3 months. Change every 7-10 days. Do not remove the tape every day as it will cause irritation of the surrounding skin.
    • Keep incisions clean and inspect through Micropore daily for signs of infection or oozing.
    • Incision areas must be massaged through the Micropore for the first 3 months.
    • ScarScience, Kelocote or Silderm can be applied from 6 weeks postoperatively, over the Micropore for another 6 weeks, and then on the incision directly for another 3 months postoperatively.
    • Support garments should be worn 24/7, and only removed for short periods while taking a shower. You should wear the postoperative bra day and night for 6 weeks, and thereafter for 6 weeks during the day.
  • What to expect
    • Discomfort will be maximal in the first 3 days, improving each day thereafter.
    • You may experience temporary pain, soreness, numbness, dry breast skin, swelling, discolouration and incision discomfort.
    • There may be a loss of nipple sensation, which should normalise in time (less than 5% of patients never regain nipple sensation).
    • Sagging or enlargement of breasts can occur with the ageing process, pregnancy and weight changes.
    • Scars will fade in several months to a year.
    • Breastfeeding may be possible after a breast reduction, but might be of insufficient volume to support the child.
  • Follow-up care
    • Drains will be removed when drainage is less than 50ml for 24 hours.
    • Most of the sutures are dissolvable in 6-8 weeks.
    • Any stitches will be removed in 7-10 days.
  • When to Call
    • If you have increased swelling or bruising.
    • If swelling and redness persist after a few days.
    • If you have increased redness along the incision.
    • If you have severe or increased pain not relieved by medication.
    • If you have any side effects to medications, such as rash, nausea, headache, vomiting.
    • If you have any drainage from the incisions or notice a foul odour.
    • If you have bleeding from the incisions that does not stop with light pressure.