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Tissue-Engineered Breast Reconstruction with Brava-Assisted Fat Grafting: A 7-Year, 488-Patient, Multicenter Experience.

1. Brody GS, Deapen D, Taylor CR, et al. Anaplastic large cell lymphoma occurring in women with breast implants: Analysis of 173 cases. Plast Reconstr Surg. 2015;135:695–705. 2. Institut National du Cancer. Rapport de l’INCA. Available at: http://www.e-cancer.fr/Expertises-et-publications/Lesexpertises-et-avis. Accessed August 17, 2015. 3. Cooter DR, Barker S, Caroll SM, et al. International importance of robust Breast Device Registries. Plast Reconstr Surg. 2015;135:330–336. Subjective, Objective, Management, Analytic)]. These issues have come repeatedly in the plastic surgery literature.3–5 Outcomes should be reported using validated measures. Stating that “patients were satisfied” does not allow for comparison between studies or for outcomes to be measured more objectively. Complications should be graded using the Clavien-Dindo scale so we can establish their impact and frequency.6 Followup ranged from 6 months to 7 years—meaning some will have had a relatively short oncologic and clinical follow-up. This method provides a potential paradigm shift in the way we approach many plastic surgery problems. Most plastic surgeons are already using fat grafting in their practice. We congratulate the authors on the large amount of data that they have generated early in their experience. Just as after breast implants were approved, we encourage our plastic surgery colleagues to collect and publish long-term multi-institutional data on fat grafting. DOI: 10.1097/PRS.0000000000001602