Breast cancer is ranked third of the ten leading causes of death in Taiwan in 2019 (second in the US). Substantial physical insults and tremendous psychological influence come out, highlighting the importance and necessity of reconstructive breast surgery for patients post-mastectomy. Excellent contouring of female breasts is always regarded as essential for self-esteem. Both issues necessitate mammoplasty, a hot topic for decades.
        Micro-autologous fat transplantation (MAFT) was first proposed by Lin et al. in 2007; clinically, it has been proved the feasibility in facial recontouring and rejuvenation. An innovative surgical instrument provided surgeons with precise and micro-delivering of tiny fat parcels by enhancing the fat survival/retention rate and eliminating the potential complications.
        The authors have performed more than 300 cases of aesthetic and reconstructive with the MAFT technique under total intravenous anesthesia in the past ten years.
The authors will present an evolutionary surgical technique in detail in this presentation. Though there exist huge debates concerning the strategies for aesthetic and reconstructive mammoplasty, a ten-year more MAFT personal experience offers an alternative for plastic surgeons while looking for a better resolution.