I have just returned from Quebec City, Canada where I attended the International Federation for Adipose Therapeutics and Science (IFATS) where I presented my findings using fat grafting for breast reconstruction. Our results demonstrate that both fresh and cryopreserved (banked) fat grafts survive and work extremely well for breast reconstruction. We have documented our results using state of the art 3-D photography as well as 3-D ultrasound imaging. Working with our excellent Winter Springs radiologist Dr. Vincenzo Giuliano, we are the first to use the latest 3-D ultrasound to prove that both fresh and banked fat grafts survive. Our talk ‘ High Definition Ultrasound Monitoring of Cryopreserved and Fresh Fat Grafts in the Breasts’ was very well received.