Abstract: 

Autologous fat grafting is widely used in breast augmentation and reconstructive breast surgery. Coleman has detailed the fat grafting surgical procedure. After centrifugation and refining, the fat is melted through small parts using blunt infiltration cannulas. With each cannula removal, the grafted tissue is deposited in tiny aliquots. To obtain an aesthetically acceptable breast shape, fat should be stacked into multiple layers from the chest wall to the skin. However, if not conducted properly, autogenous lipotransfer can result in problems such as fat necrosis, calcification, the creation of encapsulated fatty lumps (cystic lesions), lymphadenopathy, deformity of breast contouring, hypersensitive breasts, and itchy nipples. Six months after autologous fat grafting for breast augmentation elsewhere, a 36-year-old female patient came with several palpable cystic lesions, disturbed breast contouring, asymmetry, heightened sensitivity, and discomfort upon palpation. The patient had ultrasound and MRI screening, which showed of several bilateral cysts in the breast tissue. The big lesions were surgically removed, and the specimens were sent for pathology and cytology evaluation. Breast augmentation with silicone implants was performed a few months after surgical excision of these lesions and after symptoms decreased. It was possible to obtain an aesthetically acceptable outcome while also relieving the patient’s initial symptoms. Evidence Level: Level II: Evidence derived from well-designed controlled studies that were not randomised therapeutic Study.