The Best of Both Worlds: Composite Breast Augmentation | QuickHits!-Full Presentation: The Best of Both Worlds: Composite Breast Augmentation

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Video Summary

The panel discussion focuses on composite breast augmentation, a technique combining implant placement and fat grafting to enhance breast aesthetics and correct asymmetries. Dr. Sarah Mess describes her approach, emphasizing cases where fat transfer alone doesn't suffice and using implants for predictable volume and projection. Composite augmentation is particularly beneficial for patients with chest wall deformities or severe asymmetry due to limited fat availability for harvesting. Dr. Jamie Anger discusses combined techniques of mastopexy, implant insertion, and fat grafting to achieve optimal results in patients with tissue deficiencies.<br /><br />Dr. Mess notes that a major consideration in composite augmentation is the cost. The procedure involves three operations: liposuction, fat transfer, and implant placement, requiring a patient committed to extensive treatment. The discussion also covers preferences for liposuction cannulas, with Dr. Mess favoring bent cannulas over basket cannulas to avoid skin damage.<br /><br />The dialogue shifts to challenges and techniques, like the use of cadaveric fat matrix for corrections and the avoidance of tranexamic acid (TXA) due to potential complications. Both doctors share insights about post-operative care, patient counseling regarding fat retention, and managing costs and expectations for composite procedures, with an emphasis on ensuring good results and patient satisfaction.

Keywords

composite breast augmentation

fat grafting

implant placement

chest wall deformities

liposuction

mastopexy

cadaveric fat matrix

post-operative care