Description of Medical ServiceFat grafting is currently used for the management of breast cancer patients, but there is no MBS item number, so its use is often coded 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..
Description of Medical ConditionAFG (proposed service) is used for defects arising from the following medical conditions: breast reconstruction surgery after breast cancer excision and/or mastectomy for cancer or cancer risk reduction; and surgery for developmental breast disorders.
Reason for ApplicationNew MBS item
Medical Service TypeTherapeutic
Previous Application NumberNot Applicable
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