Fig. 2.

Patient 2 demonstrating breast reconstruction using lipofilling without the use of an expander or an implant. (Left, above and below) After two rounds of lipofilling. (Center, above and below) After three rounds of lipofilling and a lateral transposition flap. (Right, above and below) Three years after the fourth lipofilling and mamilla reconstruction. Total transferred fat volume was 660 mL, of which 89% was retained as assessed with MRI volumetric tissue analysis. The postoperative images are reproduced with permission from Kauhanen S, Höckerstedt A. Full breast reconstruction with fat and how to recycle the “dog-ear.” Gland Surg. 2019;8:S297–S300. Photographs of this patient before and after mastectomy, before the first lipofilling operation, are shown in Figure, Supplemental Digital Content 1, http://links.lww.com/PRS/F998.