ABSTRACT
Donor Site Selection It is well recognized that fat retains donor site memory. When an abdominal (DIEP or TRAM) flap is used to reconstruct a breast, the reconstructed breast will respond to nutritional changes in a similar way to abdominal tissue. Thus weight gain or loss will be reflected in the reconstructed breast as if the tissue had remained on the abdominal wall (35). Likewise, when transferred to a recipient site, a fat graft will retain the metabolic and storage properties of the donor site. Hence, choice of donor site can have a significant impact on the subsequent behavior of any successfully transplanted fat graft.
