1. Fat injection (or lipofilling) is an increasing popular adjunct technique utilized by plastic surgeons to improve breast symmetry and contour following reconstruction.
2. Patients may have delayed symptoms following the procedure, including focal pain and/or a palpable lump.
3. Fat injections have a characteristic sonographic appearance of a complex ovoid mass with peripheral hyperechoic material and central anechoic fluid. Alternate findings mirror the classic spectrum of fat necrosis.
4. Knowledge of the characteristic features of fat injections permits a more confident diagnosis while relieving patient anxiety and avoiding unnecessary workup.
Overview of the surgical technique:
- Indications
- Illustration of procedure (to be created by our medical illustrator)
Review of the presenting signs/symptoms (at follow-up):
- Common symptoms
- Typical physical exam findings
Multimodality review of the imaging findings (with case examples):
- Ultrasound (the primary modality utilized for diagnostic evaluation)
- Mammography
- MRI
Clinical Implications
Summary
Brown, E,
Mann, J,
Goudreau, S,
Seiler, S,
Fat Injections for the Reconstructed Breast: Clinical and Imaging Features. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14010873.html