PMID- 31275800 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2193-8091 (Print) IS - 2193-8091 (Electronic) IS - 2193-8091 (Linking) VI - 8 DP - 2019 TI - Long-term clinical results and quality of life in patients undergoing autologous fat transplantation for breast augmentation using the BEAULI protocol. PG - Doc10 LID - 10.3205/iprs000136 [doi] LID - Doc10 AB - Introduction: Autologous fat transplantation for breast augmentation has become increasingly interesting for patients and surgeons but only a few standardized procedures are available. BEAULI (Berlin Autologous Lipotransfer) protocol provides a suitable method with a standardized protocol. The aim of the study was to trace the 5-year long-term results after breast enlargement using the BEAULI protocol and the determination of changes in quality of life in relation to the intervention. Patients and methods: The study included non-smoking, currently non-pregnant women from the first BEAULI study (2007-2010), who were operated only for aesthetic reasons. BMI values, the jugulum nipple distance (JND), the breast base, and the maximum breast circumference were determined. The patients answered also a questionnaire with 30 questions on the postoperative quality of life. Results: The results measured after 6 months remained constant over 5 years. There was an average increase of the JND by 1.8 cm or 9.5%, and a widening of the base by 1.2 cm or 8.8%, and of breast circumference by 4.4 cm or 24%. The patients' quality of life, especially self-confidence and acceptance of their own body, has improved significantly after the operation. Discussion: The satisfying 5-year long-term results and low complication rate are two big advantages of the BEAULI method. The option to use autologous fat transplantation for another purpose like for reconstruction of breasts after a mastectomy increases the attractiveness of this method. Conclusions: Fat transplantation for breast enlargement using BEAULI is a high-quality method with good results, and it is an alternative to silicone implants or other autologous tissue transplantations. Patients are satisfied with the BEAULI protocol, the complication rate is small, and natural results are achieved with moderate scars. FAU - Kwiatkowska, Katarzyna AU - Kwiatkowska K AD - Park-Klinik-Birkenwerder, Private Clinic for Plastic and Aesthetic Surgery, Birkenwerder, Germany. FAU - Krapohl, Bjorn Dirk AU - Krapohl BD AD - Plastic and Reconstructive Surgery, Carl-Thiem-Klinikum, Cottbus, Germany. FAU - Tanzella, Ursula AU - Tanzella U AD - Park-Klinik-Birkenwerder, Private Clinic for Plastic and Aesthetic Surgery, Birkenwerder, Germany. FAU - Ueberreiter, Klaus AU - Ueberreiter K AD - Park-Klinik-Birkenwerder, Private Clinic for Plastic and Aesthetic Surgery, Birkenwerder, Germany. LA - eng PT - Journal Article DEP - 20190522 PL - Germany TA - GMS Interdiscip Plast Reconstr Surg DGPW JT - GMS Interdisciplinary plastic and reconstructive surgery DGPW JID - 101654993 PMC - PMC6545491 OTO - NOTNLM OT - BEAULI OT - breast enlargement OT - fat transplantation OT - life quality OT - mammary augmentation COIS- The authors declare that they have no competing interests. EDAT- 2019/07/06 06:00 MHDA- 2019/07/06 06:01 PMCR- 2019/05/22 CRDT- 2019/07/06 06:00 PHST- 2019/07/06 06:00 [entrez] PHST- 2019/07/06 06:00 [pubmed] PHST- 2019/07/06 06:01 [medline] PHST- 2019/05/22 00:00 [pmc-release] AID - iprs000136 [pii] AID - Doc10 [pii] AID - 10.3205/iprs000136 [doi] PST - epublish SO - GMS Interdiscip Plast Reconstr Surg DGPW. 2019 May 22;8:Doc10. doi: 10.3205/iprs000136. eCollection 2019.