Aesthetic Plastic Surgery

, Volume 42, Issue 6, pp 1465–1471 | Cite as

Fat Graft in Composite Breast Augmentation with Round Implants: A New Concept for Breast Reshaping

  • Luca MaioneEmail author
  • Fabio Caviggioli
  • Valeriano Vinci
  • Andrea Lisa
  • Federico Barbera
  • Mattia Siliprandi
  • Andrea Battistini
  • Francesco Klinger
  • Marco Klinger
Original Article Breast Surgery



Breast augmentation surgery with implants is one of the most common aesthetic surgical procedures. Round and anatomical textured implants are employed very often, and fat grafting has proven to be a very useful complementary procedure in breast augmentation. Many authors report a more natural result with anatomical compared to round implants. Nevertheless, anatomical implants can be associated with complications such as implant rotation with subsequent shape distortion. In this article, we propose a combination of high-profile round implants and fat grafting to obtain a natural result analyzing its impact on the aesthetic outcome and patient satisfaction.


In this study, we report our personal approach on 31 consecutive patients undergoing primary aesthetic breast augmentation with high-profile round implants and fat grafting. We describe our personal technique of breast augmentation via the periareolar approach and fat grafting. We evaluated short- and medium-term aesthetic outcomes and patient satisfaction using a 10-point VAS scale.


We achieved in all cases high patient satisfaction and good aesthetic outcomes with a “natural” breast shape and a “smoothened” upper pole with low complication rates. The technique is safe, simple, fast, and it leads to high levels of patient satisfaction.


Our observations show that the combination of high-profile round implants and fat grafting in aesthetic breast augmentation can improve the aesthetic outcome and patient satisfaction as with anatomical implants eliminating the risk of implant rotation.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Fat grafting Breast augmentation Round implants 



No financial support or benefits have been received by any author. We do not have any relationship with any commercial source related directly or indirectly to this scientific paper. The principles outlined in the Declaration of Helsinki have been followed in this study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  • Luca Maione
    • 1
    • 2
    Email author
  • Fabio Caviggioli
    • 3
  • Valeriano Vinci
    • 1
  • Andrea Lisa
    • 1
  • Federico Barbera
    • 1
  • Mattia Siliprandi
    • 1
  • Andrea Battistini
    • 1
  • Francesco Klinger
    • 3
  • Marco Klinger
    • 1
  1. 1.Plastic Surgery Unit, Department of Medical Biotechnology and Translational Medicine BIOMETRA, Reconstructive and Aesthetic Plastic Surgery School, Humanitas Clinical and Research HospitalUniversity of MilanRozzanoItaly
  2. 2.Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, Clinica San CarloUniversity of MilanPaderno DugnanoItaly
  3. 3.Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, MultiMedica Holding S.p.A.University of MilanSesto San GiovanniItaly

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