Fat Transfer to Breasts. Who is the Best Surgeon for This?
Doctor Answers (11)
Dr. Khouri is a pioneer of fat grafting to the breasts
Dr. Khouri is really one of the pioneers of fat grafting to the breasts, and I incorporate many of his techniques into my own approach to the proceure.
Fat grafting can be an excellent option for breast augmentation.
However fat grafting is very technique sensitive, and surgeons who do not pay attention to each aspect of the process may not get consitent results. Every component of the procedure from fat harvesting, to fat purification, to micrografting, and even preparing the bed of time with techniques like the Brava device as proposed by Dr. Khouri. The BRAVA device is always helpful, but is inconvenient to use and wear. I present the BRAVA option to most patients, but not all choose to use it, even though it will likely improve the amount of take of the fat. With careful attention to every step, anywhere from 70-90% take of the injected fat can be expected to survive.
We have installed the first Liquid Gold mini fat bank in the US, and with just one liposuction procedure we are able to successfully store fat, which allows us to save as much fat as needed for one or more procedures.
Choose the results not the price
If you will choose a surgeon because of a price, or won't go to a surgeon because of his high price, it is better not to get anything done. If something goes wrong, you will always second guess yourself. By no means I am saying good or bad about any of the surgeons you mentioned. Go with your heart.
I think it is very important to feel comfortable with your surgeon - either of these surgeons would do a great job. Good luck!
Web reference: http://www.instituteplasticsurgery.com
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Natural Breast Augmentation
There are several viewpoints regarding fat grafting for breast augmentation. Although, there is good data to support its use, it is not a mainstream procedure with several questions that are being examined. Currently, the most recent American Society of Plastic Surgery position statement on the subject was put forth in January 2009 (plasticsurgery.org/Documents/medical-professionals/health-policy/guiding-principles/ASPS-Fat-Transfer-Graft-Guiding-Principles.pdf). Since then, there have been more studies regarding this procedure. Several of us perform this procedure in the area, but the more well known practioners nationally are: Daniel Del Vecchio (Boston), Roger Khouri (Miami), and Sydney Coleman (New York). Best wishes on achieving your goal.
Fat grafting to the breast!
Fat grafting is a valuable tool in breast surgery. This technique has gained more popularity over the past 7 years. There are many techniques used to harvest the fat, process the fat and then re-inject the fat. Conventional suction lipectomy is performed with a small diameter cannula, processed by separating the liquid and fibrous tissue from the fat, and then placed into syringes for re-injection or through a closed system.
Fat Transfer to Breasts
Both Dr. Khouri and Dr. Ahn have excellent reputations, and you should be in good hands with either. The general rule with choosing the surgeon is once you have found one with sufficient expertise and experience base your decision on who understands your needs the best.
Fat transfer to the breasts is a procedure with generally a low satisfaction level, and we have subsequently implanted breast implants in several who have had fat transfer elsewhere. Be sure that this procedure will provide the results that will make you happy before you proceed.
Fat transfer for breast augmentation yields modest result
As far as I know, Dr. Khouri practices in Florida and Dr. Ahn is in New York City. I have seen several patients who had breast augmentation by fat transfer by surgeons considered to experts in this procedure and the results were modest; all the patient wished they were larger. Also, there are no studies that show definitively that this procedure has no effect on the development of breast cancer.
Tracy M. Pfeifer, MD
Fat Transfer Breast augmentation
I am pleased that you researched the concern regarding the potential to enhancing the development of breast cancer. Although the the studies show no short-term effects on increasing the risk of breast cancer, we still do not know the long-term concerns. Also, keep in mind that the studies show only an approximately 250 cc increase in breast size. Now some surgeons have increased this amount by using pre-expansion with a BRAVA device. Just make sure you are going to be happy with a smaller increase in breast size when compared to implants. Regarding the surgeon, you are just going to have to make that choice. I only know the work done by Dr. Coleman and Dr. Del Vecchio in Boston with fat transfer breast augmentation.
All the best,
Known Risks and Unknown Risks
My concern is the effect of fat grafting on future mammography. There have not been enough women who have had the procedure done, and then gone on to have their mammograms taken, to determine if the scarring or any other changes to the breast from the grafting will interfere with mammography.
I have no porblem with fat grafting anywhere else in the body, but the breast is unfortunately a cancer-prone organ and breast cancer is still a major health concern for women.
Reconsider breast implants
Fat transfer is in vogue right now. But you need to know its limitations. The size increase is modest. You may need more than one procedure. Fat take is variable. Sometimes patients are unhappy with the contour irregularities of the fat donor sites, particularly if you are at ideal body weight (these areas are not typically shown in photos).
I have a favorite saying, "The worst thing about breast implants is that they are not just like breast tissue and the best thing about breast implants is they are not just like breast tissue." In some ways, implants are superior to natural breast tissue - in providing fullness of the upper poles, convexity, and resisting the tendency to sag with time. One operation. Immediate results and the volume you want. Usually less expensive. The more you know, the better saline implants look as an option.
Dr. Delvecchio is a well-known authority on fat transfer to the breasts. Do plenty of research and look at plenty of photos. Then talk to references who have had the surgery. Be informed.
Breast implants have a remarkable degree of patient satisfaction. Be sure you are not afraid of them for the wrong reasons.
Web reference: http://www.swansoncenter.com
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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