Breast Reconstruction With External Pre-expansion and Autologous Fat Transfer Versus Standard Therapy

Exclusion Criteria

• •Active smoker or a history of smoking 4 weeks prior to surgery
• •Current substance abuse
• •History of lidocaine allergy
• •History of silicone allergy
• •4 weeks or less after chemotherapy
• •History of radiation therapy in the breast region
• •Oncological treatment includes radiotherapy after mastectomy
• •Kidney disease
• •Steroid dependent asthma (daily or weekly) or other diseases
• •Immune-suppressed or compromised disease
• •Uncontrolled diabetes
• •BMI\>30
• •Large breast size (i.e. larger than cup C), unless the patient prefers reduction of the contralateral side towards Cup C
• •Extra-capsular silicone leaking from the encapsulated implant from a previous breast reconstruction
• •The treating plastic surgeon has strong doubts on the patient's treatment compliance
• •Claustrophobia for an MRI-scan