Lipofilinga idea - use your own fat for breast augmentation patients - is not new. But 90 years after the general distribution of implants, it has been criticized by doctors of the American Association of Plastic Surgeons, who expressed doubts about the suitability of own fat for breast augmentation. Indeed, adipose tissue moved from the area of the abdomen, buttocks or thighs do not always take root in the new location.
Case history
American doctors then warned that, in the event of the death of the fat cells at the injection site may occur deposition of calcium salts, which later will interfere with the early diagnosis of breast cancer. It is possible that such a conclusion was made under pressure from the manufacturers of the implants. Or maybe the result of the implantation of silicone prostheses are simply more profitable and predictable?
Now, twenty years later, the American Association of Plastic Surgeons reviewed the results of the discussions and considered that Lipofilling as a method of Breast Augmentation safe enough. Subcutaneous adipose tissue - a great natural filler. Its only drawback is that some of the transplanted fat completely resorbed in the body, resulting in the need to repeat the procedure lipofilinga or require the use of other fillers.
However, the problem of improving the survival rate of transplanted fat cells are gradually being solved. Today it is the direction of development of aesthetic surgery is considered one of the most promising. Leading plastic surgeons and clinics in different countries conduct research and practical experiments, trying to solve the problem of survival of fat cells and improve the methodology lipofilinga chest. So famous American surgeon Dr. Khouri (Khouri) introduced the American Society of Plastic Surgeons with the data of its long-term research on the use of adipose tissue as an alternative to breast implants. His study involved 50 women aged 17 to 63 years. On average, patients caught 85% of the transplanted fat tissue, and neither one of them did not reveal any degradation of mammograms.
Lipofilling (lipomodelirovanie) breast in Moscow
One of the most prominent Russian experts in the field of breast surgery, chief physician of the Moscow clinic, MD Ilya Sergeev - does not share the belief of Dr. Khouri and his supporters that the transplant of their own fat cells - the only correct way Breast Augmentation . But he is convinced that this is a good alternative for patients who experience persistent prejudice against implants and do not want to have anything foreign in your body.
One of the patients of the Center Dr.Plastic - 32-year-old Muscovite Anastasia M. chose this method Breast Augmentation . "I do not need a large chest. I wanted to increase it by only 1-2, but so that it was perfectly natural part of my body, - she said. - I do not want to have anything artificial inside."
Last fall was Anastasia transplantation own fat taken from the outside of the thighs. Such lipomodelirovanie It is carried out in two stages. First place is taken from the selected fat cells. It is important to get it alive, not injured cells. It depends on how well they take root. In the center of Dr.Plastic this problem is solved by the method of water-jet liposuction Body Jet, which allows you to gently separate the fat cells without destroying them. Fat cells are collected into a container without any impurities. It is important that the device Body Jet is not only separates the cells without damaging them, but also gives the surgeon of clean and are ready for transplanting. This increases the survival rate of the cells, as the fat is rapidly oxidized in air and, if additional cleaning, loses viability.
After 3 months, the patient Dr. M. Anastasia Sergeeva safely caught more than 75% of the transplanted fat tissue. Was it reached the desired size of 1 5. If you decide to Anastasia enlarge breasts another 1-2 size, it will be able to carry out this procedure again, but as long as she does not plan because quite happy with the result.
Subsequently, the volume of the breast will continue, but will depend on the condition of the body: chest rise (if the patient recovers) or "lose weight" (if she lost weight), as would happen with this breast without undergoing surgery.
Possible complications lipomodelirovaniya
If the procedure for the preparation of fat cells is not perfect or transplanted at once too much fat, much of the transplanted fat cells will die, which can lead to complications. Dr. Sergeyev warned: "It is not too difficult to take the patient to fill them fat and chest. Immediately after surgery, it will look great, but if the procedure lipofilinga mismanaged and after 1-2 months the fat does not take root, they can form cysts, and scar seals (connective) tissue. "
In recent years, transplantation of fat is mainly used in reconstructive surgeries after mastectomy. "Methods of breast augmentation with autologous fat is thinner and is not as predictable as the technology to work with implants. But it is natural breast, its own tissue - says a leading surgeon, professor of People's Friendship University, Dr. Svetlana Gagarin. - These operations should be taken seriously. I saw a lot of the results of reconstructive surgery using autologous fat injections made after cancer surgery, to argue that the complications associated with the improper transfer of adipose tissue - is a real problem, sometimes leading to infection and worsens the prognosis of recovery of these patients. "
Stem cells for breast augmentation - Myth or Reality?
In the United States, Britain, Italy, Germany every year is growing advertising campaign breast augmentation fat tissue . Some doctors have reported that the efficiency of this technique is entirely associated with the use of stem cells and their subsequent injections . They claim that due to the injection of a mixture of fatty tissue and stem cell breast grows more . Director of Investor Relations Cytori Therapeutics said that the system developed by «Celution 800" can increase the survival rate of the cells 2 times, such research is also being conducted in Italy, Japan and Korea . Although these systems do not yet have FDA approval in the United States or similar services in other countries, this does not stop these surgeons Todd Malan . On its website, Dr. Malan has openly stated that the first expert who applied the stem cells for breast augmentation . His opponent, another American expert - Dr. Coleman - Do not use the stem cells, but it has dozens of successful transplants fat . For example, in 1998 one of his patients, Linde Fransipeyn was increased breast .
Fat transplantation was successful and, even now, twenty years after the operation, she said that her breast is like a girl. Among the Russian experts has both ardent supporters of stem cells, as well as ardent opponents of these techniques, which speak about the danger and unpredictability of the application is not yet fully proven technology. Russian surgeons practice are optimistic about the prospects of using stem cells, but most of them have refrained from their practical use. "We follow with interest the research on stem cells, and are waiting for their much - says Dr. Sergeyev. - But we can not use the stem cells in their daily practice, because they do not consider it possible for her to try any method to the patient, do not pass the respective licensing and are not endorsed by major organizations such as the FDA ».
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