During the pre-operative consultation carried out at the surgery in Nice or Beausoleil (behind the Monaco train station), an examination will be carried out on both the breasts and the silhouette. At breast level, the thickness of fat and gland located in the upper part of the breast will be determined in order to precisely define the areas to be re-injected.

At the silhouette level, we will define the fat donor areas (fat deposits) that will be used to perform the liposuction necessary to achieve a composite breast augmentation. The most common donor areas are the saddlebags, love handles, the inner side of the thighs and knees, and the abdomen. The procedure is performed under general anesthesia during an outpatient hospitalization. Pre-operative drawings are made in the standing position.

First the implants are placed and then the lipofilling is performed. The fat removed by lipoaspiration is treated and purified before being reinjected into the areas concerned (décolleté, inter-mammary valley and external face of the breast). The fat removal and reinjection cannulas are specially designed for this type of intervention and thus allow a very good percentage of fat survival.

The fat is reinjected around the breast prosthesis to camouflage its contours and avoid the appearance of demarcation in the décolleté. As a loss of about 30% of the volume of fat re-injected is expected, over-correction is always performed, i.e. a slightly too large injection compared to the desired long-term result. Usually round prostheses are used, more or less projected according to the case. Indeed, the fact of injecting fat at the top of the breast, between the skin and the implant, gives the breast a very anatomical shape: lipofilling “anatomizes” the breast, thus a round prosthesis. Finally, the stem cells present in the fat tissue have a regenerating effect. They will improve the quality of the breast skin through a phenomenon known as biostimulation.