Breast Augmentation info

On 27 February 2007 the American Society of Plastic Surgeons (ASPS) has published its position about breast augmentation via a transfer of adipose tissue taken from other body areas. ASPS states that "the procedure is not recommended due to lack of data on safety and effectiveness, and because of potential problems in the recognition of breast cancer." The news immediately following the release of a new, yet another variation of the technique for breast augmentation by injection of adipose tissue: the CAL tissue augmentation procedures (literally "process tissue using magnification Lipotransfer Assisted Cell", or CAL. Since the breast enlargement through CAL has recently been approved in Germany, you can now legally use the same procedure at the whole European Union, and it is easy to foresee that many patients will be tempted by breast augmentation without implants: more than ever, it is therefore necessary to take a look at the advantages, disadvantages and risks of this particular technique of breast enlargement.

What is the transfer of adipose tissue
The transfer of adipose tissue (also known by the names: fat grafting, lipoinjection, lipofilling, lipotransfer, lipostructure, Lipostructure, fat graft) is a surgical technique simple and absolutely not recent, which provides in its simplest form, the removal of tissue fat with liposuction in an area and the injection in another area taht you want to enlarge. The adipose tissue was used for breast enlargement since 1980, without much success because of the problems of growing fat (non-survival of the tissue injected) with consequent formation of cysts and calcifications in breast tissue. In particular, the calcifications appear to be indistinguishable from those found in some breast cancers, creating serious problems for the recognition and treatment of breast cancer in women who have previously received grafts of adipose tissue.

New techniques for breast augmentation with the fat
Over the years numerous techniques have been introduced to improve the "engraftment of adipose tissue" injected and solve the problem of calcifications that form in the case of breast augmentation. The latest techniques are Lipostructure (injection of the fat in small quantities in hundreds of tunnels all internal tissue recipient fat grafting) followed by the use of biomechanical bra (the suction effect would be to improve the vascularization and the engraftment of adipose tissue). Breast enlargement through Assisted Cell Lipotransfer (the injected fat is 'enriched' with stem cells from other adipose tissue aspirations and injections).

Issues of safety and efficacy
Currently there are very few studies on new techniques for breast augmentation using fat and a very small number of patients treated. In particular, there is no certainty that the calcifications will not occur even in the presence of stem cells, and data on the durability of magnification are completely absent. These are the main reasons which call for caution and led the American Society of Plastic Surgeons to recommend to avoid this type of intervention.

Breast enlargement with own tissue, it works?
After discussing the risks, it should also be noted that breast augmentation using fat tissue often requires more than one intervention, which has not yet been possible to obtain a higher magnification size bra. The time needed to obtain the final result, although this is limited to a magnification of one size is approximately six months and be compared to the few weeks needed for recovery after breast augmentation with conventional prostheses. The cost of a breast enlargement with Assisted Cell Lipotransfer is at this writing of 20/25.000 dollars, in the clinic where the procedure was devised (Japan), significantly higher than that of a breast augmentation with implants, which cost is equal to about one third. In conclusion, this is a form of action yet fully experimental, and patients who face must be well informed about the seriousness of the potential risks and on the unpredictability of results.

Can a woman breastfeeding with implants, after a breast augmentation surgery? Since when? Breastfeeding worsen the cosmetic outcome of the intervention?
Many women are frightened about the idea of breastfeeding their baby after had a breast enlargement surgery. The fear concerns about aesthetic appearance of the chest or the health of the baby.
Women with breast implants can breastfeed their babies safely. However implants can affect the ability of some women to breastfeed their babies. The location of the incision around the areola or in the middle of it, may impede breastfeeding because it can damage the milk ducts.
To avoid interfering with future breastfeeding, it is better to use submammary or armpit as a gateway for the operation. The periareolar surgical incision presents more risk about future breastfeeding. Other surgery operations such as breast reduction can eliminate or reduce the ability to breastfeed.

Do the breast implants can affect the baby?
There have been studies that indicate that women with breast implants, cohesive gel either silicone or saline, do not show increased amounts of silicone in breast milk than women without implants. Recall that the silicone is a derivative of silicon (a mineral). Is unlikely to cause problems because silicon is present in cow's milk and infant formula milk at a concentration higher than in milk from mothers with implants.

Breastfeeding will change the result of the intervention?
The breast will undergo changes during and after pregnancy. These changes may include increased and decreased in volume (atrophy) and stretch marks. But these changes can occur even if no-feeding a baby. According to a new study presented at a conference organized by the American Society of Plastic Surgeons, breast-feeding were not connected with the fall of the chest.

If the woman has breast implants, breast can change with pregnancy, and these changes may call for additional surgery. Changes may occur regardless of whether the woman breastfed or not.

How much to wait for breastfeed after a breast enlargement surgery?
Although there is no specific waiting period, we believe it prudent to wait at least 10 months after breast augmentation surgery.

Breastfeeding can cause a capsular contracture?
With breastfeeding, some women suffer from mastitis (inflammation of the milk ducts). mastitis may cause capsular contracture. Taking antibiotics when symptoms first appear reduces the problem. You should always inform your doctor about any signs of inflammation. The mastistis can occur in pregnancy or breastfeeding are not to breastfeed. Possibly via areolar have associated an increased risk of mastitis and therefore of capsular contracture.
To minimize the risks in the short, medium and long term, is very important that the breast augmentation surgery is performed by a good plastic surgeon.

Voices against.
We also found opinions against feeding a baby after breast augmentation: "the mastitis that can occur during the breastfeeding leads to the removal of the prosthesis, it's a surgical disaster", says a spanish doctor. "Furthermore, when you put an implant through areola incision you can break breast ducts, and this deterioration can more easily cause the retention of milk and mastitis".

Breast augmentation without surgical scalpel is the desire of all women who are afraid to face a breast surgery or just do not want to use the tools of a surgeon. Leave aside for the moment the exercises for toning, shaping and lifting the breasts, they exist and are useful, or creams that give force and seek to increase the volume of the breast. At the moment the most common breast augmentation procedure without the help of surgical scalpel is to use hyaluronic acid. This is a substance that exist inside the skin, it more makes more elastic our tissue, when we have a lack of hyaluronic acid our body starts to form wrinkles and sagging skin. Hyaluronic acid also stimulates collagen production and fight aging. Usually it has used in cosmetic surgery for the famous "surgery tweaks" for filling skin depressions that have emptied, for example lips, eyes, etc.. In our case hyaluronic acid is used for a breast augmentation, injected into the breast to fill and increase the volume. Macrolane is one of the commercial name for hyaluronic acid ,it is used precisely in cosmetic surgery breast,facial or buttocks. Needless incisions, should not be implanted breast implants, simply what the surgeon does with a syringe is inject hyaluronic acid inside the breast. There are no specific contraindications, is all nice and easy that way, but the fact is that breast augmentation is temporary, Macrolane indicates an effect duration of 12-24 months, could also probably last 18 months, hardly more than 1 year and half, so if you want to increase the breast for ever you have to regularly do the injections. Another drawback concerns the size. With Macrolene you can increase your breast size only of a measure (for example from 32 breast size to 34), not more. Cost? Calculated that a 20cc macrolane vial costs about 200 dollars and for one size breast augmentation more you need 100cc, you will spend 2000 dollars for both breasts. Add the "job" of the surgeon and you spend almost 2500 dollars, far less of a classical breast augmentation surgery.