Description of Medical ServiceFat grafting has become an essential tool in the management of breast cancer patients yet currently has no item number and is often coded simply as “scar-revision”. Autologous fat grafting (AFG) is the harvesting, preparation and re-injection of autologous fat, with or without specialised fat grafting equipment. It includes live fat cells being harvested from a donor site on the patient, prepared in theatre by a variety of methods to separate and purify the fat cells, and injected back into the defective area. It relies on the fat stem cells remaining viable in the transferred site. Fat transfer, or fat grafting, or lipo-filling, or lipo-modelling, allows wider use of prosthetic breast reconstruction and can avoid the need for autologous reconstruction. It can minimise the need for extensive revisional surgery for defects after breast reconstruction. Moreover it can be extremely useful for recontouring congenital facial deformities and serious burns scars.
Description of Medical ConditionAFG (proposed service) is relevant for defects arising from the following medical conditions: breast reconstruction surgery after breast cancer excision and/or mastectomy for cancer or cancer risk reduction; surgery for developmental breast disorders; craniofacial disorders requiring reconstruction and recontouring; and scars and burns requiring recontouring.
Reason for ApplicationNew MBS item
Medical Service TypeTherapeutic
Previous Application NumberNot Applicable
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