A method is disclosed for preparing a
soft tissue site, and augmenting the
soft tissue site, such as the breast(s), scar, depression, or other defect, of a subject through use of devices that exert a distractive force on the breast(s) and
grafting of
autologous fat tissue such as domes with sealing rims for surrounding each of the
soft tissue site and a regulated pump. The method for preparing the soft tissue site, and enhancing fat graft results, entails application of the distracting force to the targeted soft tissue site at least intermittently for some period of time and preferably several weeks prior to the
graft procedure. A related aspect of the invention includes following the preparation steps by transfer of fat from other areas of the subject to the subject's soft tissue site, and then
reapplication of the distractive force to the soft tissue site that received the
autologous fat graft. Alternatively, fat from genetically related sources may be used, and the fat may be further processed prior to injection. Substantial soft
tissue augmentation, high rates of
graft survival and negligible graft
necrosis (data demonstrating 80% survival and only 20%
necrosis is presented) or
calcification result from the practice of these methods.