18-12-2010, 19:16
Any Thoughts on New Procedure Involving Brava and Fat Injections in Breast?
August 2 2007 at 1:28 PM livinonaprayer (no login)
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I found this article and copied below. If you search the web type in the following key words: Brava fat breast. Talked to Brava coach and she said probably coming in October. Personally, even though the size increase sounds to be similar to that of an implant, I would be afraid to do this since it's so new and also, they are only adding fat, not any breast tissue and it sure must be dependent on the "creativity" of the doctor performing it. What if some fat dies, or you lose a lot of weight and all the fat cells shrink and what if some lives and you're uneven, etc. What do you think of this?
http://mediwire.skyscape.com/main/Default.aspx?P=Content&ArticleID=329887
New reasons to consider breast augmentation using autologous fat
Source: Cosmetic Surgery Times
By: Jane Schwanke
Originally published: July 1, 2006
Miami — A small clinical study of 25 patients has resulted in some viable reasons for revisiting breast augmentation using the patient's own fat.
According to Thomas Baker, M.D., director of Baker Plastic Surgery here, and co-author of the study, the research was undertaken to find out two things: Whether large quantities of fat injected around the breast would survive, and whether a device which creates negative pressure over the breast would increase the recipient space and circulation into the breast.
"We found that autologous fat can survive in large quantities if done with the proper technique," Dr. Baker tells Cosmetic Surgery Times. "In addition, use of a Brava device (a breast enhancement and shaping system) can increase the space, as well as circulation within the breast, boosting the number of blood vessels that can revasculate."
Breast volume of all of the study participants was measured using MRI.
"It is our opinion that the MRI is a much better tool for diagnosing breast cancer and fat necrocity than ultrasound and mammography," Dr. Baker says.
Next, large quantities of fat were harvested using 10 cc syringes and 1 mm to 2 mm cannulas. Harvesting fat this way, rather than by liposuction, provides an atraumatic approach, according to Dr. Baker.
He serves as professor of plastic surgery at the University of Miami School of Medicine in a voluntary faculty position, is a clinical professor of plastic surgery at the University of Texas Medical Branch, and is an educational foundation professor for the International Society of Aesthetic Plastic Surgery.
Using gentle pressure, microdroplets of fat were injected using a peri-glandular process around and under the breast, rather than into the breast.
"It is our impression that micro-droplets survive better than larger grafts," Dr. Baker says. "We didn't want to create any possibility of fat necrosis being confused with cancer."
Patients satisfied
Not a single woman in the study group was disappointed, according to Dr. Baker.
The breasts look and feel normal. Unlike silicone or saline implants, which can ripple, have palpable edges or get hard, this procedure creates none of these.
Eighteen months after the procedure was performed, no complications, infections, hematoma or other problems were reported. Follow-up MRI studies performed after three and six months showed that 95 percent of the transplanted fat has survived. Five of the patients showed minute fat necrosis, a phenomenon that also is seen in patients who have had breast reduction using liposuction.
But will there be additional fat necrosis over time?
"I would think not," Dr. Baker says. "If it survives for six months, it will become like the area it came from. If a woman gains or loses weight, the fat will act like the fat cells in the rest of the body."
For many years, injecting fat in large quantities was frowned upon by plastic surgery societies because fat necrosis would interfere with breast cancer detection. But MRI changed that.
"A benefit of using MRI is that we can determine what is fat necrosis and what might actually be early cancer cells," Dr. Baker explains. "And physicians and radiologists from Harvard Medical School have confirmed that they can differentiate fat necrosis from early cancer cells. The downside is that it's expensive. But I think we're going to see the day when MRI is the procedure of choice."
Broad appeal lacking
Despite positive feedback from study group participants, Dr. Baker does not think the procedure will ever hold broad appeal for patients or surgeons.
"It's much too time-consuming and cumbersome," he says. "This is an option for women who absolutely refuse foreign objects."
Another drawback of the autologous fat breast augmentation procedure is that it requires two teams, harvesting fat for more than two hours, to add an average volume of 200 cc. The range is 90 cc to 300 cc.
"I don't think this will ever have widespread acceptance," Dr. Baker says. "We use small needles and only take up small amounts of fat at a time. When you're talking about 10cc syringes, that's 60 syringes if you're injecting 300 cc in each side. I think the controversy about the procedure will continue. Some will say that they would never do it because augmentation is much easier, less time consuming with a proven track record.
"It's not universally accepted," he adds, "but for the right patients, I think it's a good procedure."
Author Reply
Louise
(Login Louise1982)
SENIOR MEMBER Re: Any Thoughts on New Procedure Involving Brava and Fat Injections in Breast? August 2 2007, 6:06 PM
I think celution sounds much better as the stem cells actually differentiate to become breast cells and then grow their own blood vessels so they become a living part of the breast. Also you need less fat - 160cc and can have a second procedure if you want to go bigger. They do have to remove the fat by lipo but it's only under local anaesthetic so sounds quite minor.
gingerD
(Login gingerD)
SENIOR MEMBER Re: Any Thoughts on New Procedure Involving Brava and Fat Injections in Breast? August 3 2007, 5:46 PM
Hi living on a prayre -WOW you r like me reserch reserch,
Is this really likley to be here in October? when i say here i don't know where u are.
Will it be available in the uk ???
Iv been looking into both this procdure and stem cells but both iv read will be a couple of years off yet.
Couldnt post me cotact details for this brava coach could ya?
Many thankx again GD
Louise
(no login) Re: Any Thoughts on New Procedure Involving Brava and Fat Injections in Breast? August 3 2007, 8:03 PM
Ginger - the celution is commercially available for 12k in Japan or 3k+ in Austria, have a look at the thread on the main page (not sure if we should be waiting on their doorstep to be the first uk customers or give it a few years to better assess risks though?)
livinonaprayer
(no login) Re: Any Thoughts on New Procedure Involving Brava and Fat Injections in Breast? August 4 2007, 12:07 AM
GingerD
Contact info: 1-800-407-5304, extension 226 (Coach: Darlene)
Good luck!!
August 2 2007 at 1:28 PM livinonaprayer (no login)
--------------------------------------------------------------------------------
I found this article and copied below. If you search the web type in the following key words: Brava fat breast. Talked to Brava coach and she said probably coming in October. Personally, even though the size increase sounds to be similar to that of an implant, I would be afraid to do this since it's so new and also, they are only adding fat, not any breast tissue and it sure must be dependent on the "creativity" of the doctor performing it. What if some fat dies, or you lose a lot of weight and all the fat cells shrink and what if some lives and you're uneven, etc. What do you think of this?
http://mediwire.skyscape.com/main/Default.aspx?P=Content&ArticleID=329887
New reasons to consider breast augmentation using autologous fat
Source: Cosmetic Surgery Times
By: Jane Schwanke
Originally published: July 1, 2006
Miami — A small clinical study of 25 patients has resulted in some viable reasons for revisiting breast augmentation using the patient's own fat.
According to Thomas Baker, M.D., director of Baker Plastic Surgery here, and co-author of the study, the research was undertaken to find out two things: Whether large quantities of fat injected around the breast would survive, and whether a device which creates negative pressure over the breast would increase the recipient space and circulation into the breast.
"We found that autologous fat can survive in large quantities if done with the proper technique," Dr. Baker tells Cosmetic Surgery Times. "In addition, use of a Brava device (a breast enhancement and shaping system) can increase the space, as well as circulation within the breast, boosting the number of blood vessels that can revasculate."
Breast volume of all of the study participants was measured using MRI.
"It is our opinion that the MRI is a much better tool for diagnosing breast cancer and fat necrocity than ultrasound and mammography," Dr. Baker says.
Next, large quantities of fat were harvested using 10 cc syringes and 1 mm to 2 mm cannulas. Harvesting fat this way, rather than by liposuction, provides an atraumatic approach, according to Dr. Baker.
He serves as professor of plastic surgery at the University of Miami School of Medicine in a voluntary faculty position, is a clinical professor of plastic surgery at the University of Texas Medical Branch, and is an educational foundation professor for the International Society of Aesthetic Plastic Surgery.
Using gentle pressure, microdroplets of fat were injected using a peri-glandular process around and under the breast, rather than into the breast.
"It is our impression that micro-droplets survive better than larger grafts," Dr. Baker says. "We didn't want to create any possibility of fat necrosis being confused with cancer."
Patients satisfied
Not a single woman in the study group was disappointed, according to Dr. Baker.
The breasts look and feel normal. Unlike silicone or saline implants, which can ripple, have palpable edges or get hard, this procedure creates none of these.
Eighteen months after the procedure was performed, no complications, infections, hematoma or other problems were reported. Follow-up MRI studies performed after three and six months showed that 95 percent of the transplanted fat has survived. Five of the patients showed minute fat necrosis, a phenomenon that also is seen in patients who have had breast reduction using liposuction.
But will there be additional fat necrosis over time?
"I would think not," Dr. Baker says. "If it survives for six months, it will become like the area it came from. If a woman gains or loses weight, the fat will act like the fat cells in the rest of the body."
For many years, injecting fat in large quantities was frowned upon by plastic surgery societies because fat necrosis would interfere with breast cancer detection. But MRI changed that.
"A benefit of using MRI is that we can determine what is fat necrosis and what might actually be early cancer cells," Dr. Baker explains. "And physicians and radiologists from Harvard Medical School have confirmed that they can differentiate fat necrosis from early cancer cells. The downside is that it's expensive. But I think we're going to see the day when MRI is the procedure of choice."
Broad appeal lacking
Despite positive feedback from study group participants, Dr. Baker does not think the procedure will ever hold broad appeal for patients or surgeons.
"It's much too time-consuming and cumbersome," he says. "This is an option for women who absolutely refuse foreign objects."
Another drawback of the autologous fat breast augmentation procedure is that it requires two teams, harvesting fat for more than two hours, to add an average volume of 200 cc. The range is 90 cc to 300 cc.
"I don't think this will ever have widespread acceptance," Dr. Baker says. "We use small needles and only take up small amounts of fat at a time. When you're talking about 10cc syringes, that's 60 syringes if you're injecting 300 cc in each side. I think the controversy about the procedure will continue. Some will say that they would never do it because augmentation is much easier, less time consuming with a proven track record.
"It's not universally accepted," he adds, "but for the right patients, I think it's a good procedure."
Author Reply
Louise
(Login Louise1982)
SENIOR MEMBER Re: Any Thoughts on New Procedure Involving Brava and Fat Injections in Breast? August 2 2007, 6:06 PM
I think celution sounds much better as the stem cells actually differentiate to become breast cells and then grow their own blood vessels so they become a living part of the breast. Also you need less fat - 160cc and can have a second procedure if you want to go bigger. They do have to remove the fat by lipo but it's only under local anaesthetic so sounds quite minor.
gingerD
(Login gingerD)
SENIOR MEMBER Re: Any Thoughts on New Procedure Involving Brava and Fat Injections in Breast? August 3 2007, 5:46 PM
Hi living on a prayre -WOW you r like me reserch reserch,
Is this really likley to be here in October? when i say here i don't know where u are.
Will it be available in the uk ???
Iv been looking into both this procdure and stem cells but both iv read will be a couple of years off yet.
Couldnt post me cotact details for this brava coach could ya?
Many thankx again GD
Louise
(no login) Re: Any Thoughts on New Procedure Involving Brava and Fat Injections in Breast? August 3 2007, 8:03 PM
Ginger - the celution is commercially available for 12k in Japan or 3k+ in Austria, have a look at the thread on the main page (not sure if we should be waiting on their doorstep to be the first uk customers or give it a few years to better assess risks though?)
livinonaprayer
(no login) Re: Any Thoughts on New Procedure Involving Brava and Fat Injections in Breast? August 4 2007, 12:07 AM
GingerD
Contact info: 1-800-407-5304, extension 226 (Coach: Darlene)
Good luck!!