10 doctors weighed in:

What's the best breast filler for a breast reconstruction? My surgeon is going to use a lat flap for my breast reconstruction, and he said i'll also need either implants or fat grafting to fill out the breast. Is one better than the other? .

10 doctors weighed in
Dr. Marc Polecritti
Surgery - Plastics
3 doctors agree

In brief: Many options

Options for breast reconstruction are vast today.
And there is no single "best" reconstructive procedure. All of the individual details of a patients circumstances need to be evaluated to determine the best procedure. Many times a flap or an implant based recon can be improved with the addition of fat transfer.

In brief: Many options

Options for breast reconstruction are vast today.
And there is no single "best" reconstructive procedure. All of the individual details of a patients circumstances need to be evaluated to determine the best procedure. Many times a flap or an implant based recon can be improved with the addition of fat transfer.
Dr. Marc Polecritti
Dr. Marc Polecritti
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Dr. Bryan McIntosh
Surgery - Plastics
2 doctors agree

In brief: Several options

Skin and tissue from the back (latissimus dorsi flap), from the abdomen ( tram or diep flaps), buttock (gluteal flap) and other more obscure flaps are options.
The best option is determined by an exam and discussion with your plastic surgeon who knows all the options and can inform you why one is the best option compared to the other options.

In brief: Several options

Skin and tissue from the back (latissimus dorsi flap), from the abdomen ( tram or diep flaps), buttock (gluteal flap) and other more obscure flaps are options.
The best option is determined by an exam and discussion with your plastic surgeon who knows all the options and can inform you why one is the best option compared to the other options.
Dr. Bryan McIntosh
Dr. Bryan McIntosh
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Dr. Kenneth Lee
Surgery - Plastics

In brief: Depends

In your situation- a latissimus flap always requires a implant to create a breast.
Fat grafting can be done around the reconstruction to fill in concavities or improve shape. Reconstruction can be done with fat only - however it is unpredictable and requires multiple procedures. Flaps such as diep or sgap are great procedures that borrow your own tissues. Consult with your plastic surgeon.

In brief: Depends

In your situation- a latissimus flap always requires a implant to create a breast.
Fat grafting can be done around the reconstruction to fill in concavities or improve shape. Reconstruction can be done with fat only - however it is unpredictable and requires multiple procedures. Flaps such as diep or sgap are great procedures that borrow your own tissues. Consult with your plastic surgeon.
Dr. Kenneth Lee
Dr. Kenneth Lee
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Dr. Gregory Surfield
Surgery - Plastics

In brief: Fat or implants

To add volume to a breast, you need to use either tissue from your body or an implant.
The fat can be taken with its own blood supply like a flap or without blood supply like fat grafting. Fat grafting sometimes needs multiple procedures if a large volume is needed. One isn't necessarily better than the other, it comes down to patient preference and the volume needed.

In brief: Fat or implants

To add volume to a breast, you need to use either tissue from your body or an implant.
The fat can be taken with its own blood supply like a flap or without blood supply like fat grafting. Fat grafting sometimes needs multiple procedures if a large volume is needed. One isn't necessarily better than the other, it comes down to patient preference and the volume needed.
Dr. Gregory Surfield
Dr. Gregory Surfield
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Dr. Michael Edwards
Surgery - Plastics

In brief: Fat

Fat grafting can be used to improve the results of breast reconstruction with flaps and implants.
There are really no other fillers that would be indicated for this treatment. Dr. Edwards.

In brief: Fat

Fat grafting can be used to improve the results of breast reconstruction with flaps and implants.
There are really no other fillers that would be indicated for this treatment. Dr. Edwards.
Dr. Michael Edwards
Dr. Michael Edwards
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