It is being practiced in the US within “studies” to ascertain long term safety but let’s ask some important questions.Why is it still considered controversial here in the US? Is it because we have such a perverse legal system that would like to find someone to blame for every malady that befalls us? 

Fat grafting is extremely technique dependent. The viability of the fat cell is a key ingredient to the sucess of this procedure. The injection technique can be performed to respect the integrity of the breast. Fat necrosis and calcification are less likely to happen with current techniques. Obscuring the diagnosis of breast cancer is a concern but scar tissue, breast implants and other factors can obscure the diagnosis. Is fat grafting more problematic than a silicone breast implant? I don’t think so.

Recent developments worldwide have given rise to a change of opinion about fat grafting to the breast and I believe it will become commonplace in the US in the near future.