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Ohashi M, Yamakawa M, Chiba A, et al. Our Experience with 131 Cases of Simultaneous Breast Implant Exhange with Fat (SIEF). Plast Reconstr Surg Glob Open. 2016;4(4):e691doi: 10.1097/GOX.0000000000000601.
Ohashi, M., Yamakawa, M., Chiba, A., Nagano, H., & Nakai, H. (2016). Our Experience with 131 Cases of Simultaneous Breast Implant Exhange with Fat (SIEF). Plastic and reconstructive surgery. Global open, 4(4), e691. https://doi.org/10.1097/GOX.0000000000000601
Ohashi, Masanori, et al. "Our Experience with 131 Cases of Simultaneous Breast Implant Exhange with Fat (SIEF)." Plastic and reconstructive surgery. Global open vol. 4,4 (2016): e691. doi: https://doi.org/10.1097/GOX.0000000000000601
Ohashi M, Yamakawa M, Chiba A, Nagano H, Nakai H. Our Experience with 131 Cases of Simultaneous Breast Implant Exhange with Fat (SIEF). Plast Reconstr Surg Glob Open. 2016 Apr 25;4(4):e691. doi: 10.1097/GOX.0000000000000601. eCollection 2016 Apr. PMID: 27200253; PMCID: PMC4859250.
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Plast Reconstr Surg Glob Open. 2016 Apr 25;4(4):e691. doi: 10.1097/GOX.0000000000000601. eCollection 2016 Apr.

Our Experience with 131 Cases of Simultaneous Breast Implant Exhange with Fat (SIEF).

Plastic and reconstructive surgery. Global open

Masanori Ohashi, Masayuki Yamakawa, Akihiko Chiba, Hiroshi Nagano, Hirokazu Nakai

Affiliations

  1. The Clinic Tokyo, Azabu Body Design Center 1F, Nishi-Azabu, Minato-ku, Tokyo, Japan.

PMID: 27200253 PMCID: PMC4859250 DOI: 10.1097/GOX.0000000000000601

Abstract

BACKGROUND: Breast augmentation with fat injection is a growing trend in Japan. Many Japanese patients experiencing breast implant complications are requesting to have their breast implants removed and simultaneously exchanged with autologous fat injection. The keys of our simultaneous implant exchange with fat (SIEF) process are to embrace the "Coleman technique" and to carefully detach implant capsules when removing breast implants. Furthermore, we carefully inject fat to avoid necrosis.

METHODS: Between January 2010 and January 2015, we investigated consecutively 131 Japanese patients whom we could follow up for over 6 months postsurgery. We ascertained the usefulness of SIEF by assessing changes in breast size, complications, and a satisfaction survey.

RESULTS: There were no serious complications. We had experienced mild complications in 9.2% of patients (12/131). Partial fat necrosis with inflammation occurred in 2.3% of patients (3/131), seroma in the capsule in 3.1% (4/131), complaints of nodules (cysts, lumps) in 3.1% (4/131), and 1 hematoma patient (0.8%). At 6 months after surgery (n = 131), breast cup size (by Japanese Industrial Standards) had decreased by less than 1 cup size, despite SIEF. At 6 months, we performed a postsurgery satisfaction survey, and only 4% of the patients (5/131) were not satisfied with their surgery results.

CONCLUSIONS: SIEF is a very safe and effective procedure. Breast implants removed with a low invasive traumatic approach and centrifuged fat injected with the "Coleman technique" are important principles in our practice. Furthermore, avoiding fat necrosis is one of the most important considerations, and our SIEF approach allows us to better control this potential complication during the surgical process.

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