In fat graft breast augmentation, it is not realistic to eliminate lumps completely.

However, their incidence and severity can be significantly reduced.

At AVAN TOKYO, we focus on preoperative, intraoperative, and postoperative strategies.

Preoperative considerations

• Strict smoking cessation
• Anti-inflammatory diet
• Avoid extreme dieting or weight gain
• Accurate disclosure of any prior breast procedures

Intraoperative principles

• Avoid excessive injection volume
• Minimize fat exposure time
• Inject into appropriate tissue planes
• Proper centrifugation
• Small-volume, multi-point injection

Postoperative care

• Absolute no smoking
• Limit alcohol intake
• Anti-inflammatory nutrition
• Daily soy milk intake
• Adequate sleep and gentle activity
• Massage only when instructed

Conclusion

Proper technique, smoking cessation, and nutrition are the most important factors in reducing lump formation and improving fat survival.