Breast Augmentation Combining Fat Injection and Breast Implants in Patients With Atrophied Breasts

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To the Editor:
We read with great interest Burhan et al's article entitled “Breast Augmentation Combining Fat Injection and Breast Implants in Patients with Atrophied Breasts.” This article retrospectively reviewed 68 atrophied breasts of 34 women after breastfeeding who underwent combined breast augmentation over a 6-year period. The breast implants were placed in the subglandular plane, and autologous fat grafting was injected above the inframammary sulcus. Implant visibility, implant palpability, rippling, and patient satisfaction with breast were assessed at 18-month follow-up. The results were inspiring, and we admire the achievements they have made in improving the breast augmentation surgery for atrophied breasts by combining autologous fat transfer and breast implants. However, there are some questions and perspectives we would like to put forward.

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