A new alternative to breast implants
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reverse liposuction!
Natural fat assisted breast enhancement is the cosmetic
procedure that sounds like ultimate-female-dream
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Increase the size of your breasts by up to a cup size, while taking inches off
your tummy and thighs. The operation, carried out under local anesthetic,
involves the patient having fat removed during liposuction, mixed with other
body cells, and then reinjected into the breasts.
Implants have been the gold standard of breast augmentation
of decades. But, in the wake of the recent health scare surrounding the PIP
(Poly Implant Prothèse) silicone breast implants, consumers are more wary of
putting foreign objects in their bodies, which makes fat grafting an appealing
concept. Logic dictates people prefer to have their own tissue to something
synthetic if it gives comparable results.
Surgical fat transfer is nothing new. Like many cosmetic
operations, it was developed in the late 19th Century as a reconstructive
procedure - and is considered the gold standard in post-mastectomy breast
reconstruction.
In theory, fat should be the perfect filler because as it is
taken from the patient's own body, there is no chance of an allergic reaction.
And, as the fat is injected, no incision is needed. Yet it is only relatively
recently that surgeons have deemed it safe to offer it for breast enhancement,
due to worries that the volume of fat needed may result in hard lumps forming, deformities.
But, so far the early results from procedures performed around the world have
been very encouraging with minimal to no side effects and fat augmentation has
become a hot subject in aesthetic enhancement circles.
How it works?
The first stage of fat grafting usually requires the patient
to wear a special bra for about a month, for several hours each day. The bra
has a suction device, which helps to expand the breasts in preparation for
extra fat. Then the surgery is done, usually under local anesthesia, where fat
is removed from one section of the body and reinserted into the breast.
During the 2-3 hour procedure, liposuction is used to remove
fat from the patient's stomach or thigh area. Traditional liposuction involves
the surgeon manually breaking up the fat with a cannula, though some doctors
are using Vaser or Laser Lipo, machines that use ultrasound waves or laser to liquidize
the fat, to remove fat cells with minimal damage. Around two-and-a-half pints
of fat are needed to boost the breasts by one-cup size.
Post fat harvest, patient's own blood is used to separate
cells known as platelets, which contain stem cells, which are mixed with
harvested fat and injected into the breasts. The platelets slow the re-absorption
process. Traditional fat transfers last approximately six months in total and
require top-ups once a month. The PIFT enhancement should last for up to two
years.
Average recovery time is 2-4 days, a lot quicker than
implant surgery.
After the surgery, the suction bra is worn again for a week or so.
After the surgery, the suction bra is worn again for a week or so.
Extra fat is usually refrigerated safely in sterile conditions
for up to two years before it starts to decompose. Patients are expected to
have a first top-up at eight weeks and then one every six months, or until the
supply runs out. There is evidence that fat transfers could provide
augmentation in the breast but normally only 65 per cent of the grafted tissue
survives that’s why top ups are planned and scheduled.
As I mentioned earlier, fat grafting itself is not new. In the late 1980s and 90s, it was widely used in facial augmentations and began to be used for breast enlargements. However, it fell into disrepute because of the risk of the fat tissue calcifying and forming hard lumps when transferred in large amounts. This not only affected how the breasts looked and felt, but was also a problem for mammograms, as the lumps were often mistaken for breast cancer and led to unnecessary biopsies.
Since then, fat-grafting techniques have been refined, as have mammogram interpretation techniques. In 2010 the Royal Australasian College of Surgeons published a review of evidence that stated fat grafting was as safe as other forms of breast augmentation, though more high-quality studies were needed. Last year a US study found that after six months, the majority of fat-grafting patients had no masses or abnormalities in their breasts.
Benefits and risks
There are always risks with surgery, even though the
procedure is usually not done under general anesthesia - but the risks of an
allergic reaction are minimal. The procedure mostly does not cause any
complications. It is also safe for women who are worried about breast-feeding
because it is entirely natural.
Apart from the appeal of using one's own tissue, the main
benefits of fat grafting are that if successful, the transplant will feel more
natural and last longer than an implant. A silicone implant will wear out. But
it's possible to have this kind of enlargement for life.
Time and money needed for a successful graft are steep which is hindering the procedure popularity with doctors as well as patients. While an implant is one surgery that lasts one to one and a half hours, a fat-grafting surgery takes twice that time. Multiple surgeries are sometimes required, especially if enlarging the breasts by more than one cup size, because about 30 per cent of the fat transferred will be reabsorbed, and there is a limit to how much fat can be safely grafted in a single surgery.
The procedure is also not suitable for very thin, flat-chested women, as they won't have enough body fat, and it does not have the 50 years of refinement silicone transplants have.
Theoretically in someone who is genetically susceptible to
breast cancer, the introduction of stem cells may accelerate the biological
process and could even cause the disease though there are no reported cases. It
is also possible to get calcification in the breast tissue.
Bottom Line: