| Surgeons warn against use of liposuction fat for breast augmentation |
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| Tuesday, 08 May 2007 | ||
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However, the two professional bodies representing the bulk of plastic surgeons in the US have issued a joint warning against use of the procedure until more is known about the risks associated with it. The societies cite a lack of safety and efficacy data and express concerns that the procedure may interfere with accurate detection of breast cancer. In a fat grafting procedure, the liposuctioned fat is filtered and sterilised to minimise infection. Following this process, the patient's fat is then injected into the area to be enhanced. While the procedure has traditionally been used for enhancements and adjustments to faces and hands, its recent use for breast augmentation has sparked concern among some surgeons. The societies warn that there is little clinical evidence that fat grafting for breast augmentation is safer or more suitable than use of saline or silicone breast implants. They further warn that long term complications, such as tissue scarring or calcification can obscure or mimic breast cancer during screening by self examination, mammography, ultrasound or MRI. "Fat grafting has been around for more than twenty years, but many plastic surgeons have been skeptical of using it for breast augmentation because of safety issues such as distinguishing calcifications caused by fat grafting as opposed to those associated with breast cancer," said Foad Nahai, MD, President Elect of ASAPS. "We advise caution to women seeking fat grafting for this purpose and strongly support the ongoing research efforts that will establish the safety and efficacy of the procedure. " In addition to the concerns raised over interfering with breast cancer detection, the societies warn that the temporary benefits of fat grafting for breast augmentation may be offset by low survival rates of the transplanted fat cells and the possible development of cysts. "Patients considering breast augmentation need to know that fat grafting for this indication is not recommended at this time, unless one is part of an ongoing clinical research study," said Roxanne Guy, MD, President of ASPS. "Even though fat grafting techniques have become more refined and breast cancer detection methods have become more sophisticated with time, creating a great deal of excitement about the potential of fat grafting, we simply need more data before we can recommend that this procedure be generally used to augment breasts."
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written by BJ Kaplan,D.O., March 25, 2008 The party line for plastic surgeons is fat transplanting to the breast is unproven. Like most new concepts in cosmetic surgery, plastic surgeons resist because they do not want to lose market share. The fact is there is a very low calcification rate with transplanted fat and radiologists have no difficulty detecting and differentiating cancer calcifications from other kinds. Fat transplantation has been done on the face, hands, buttocks, penis, around rippled breast implants and for breast enhancement. I have performed 19 such procedures with very nice results. The biggest problem is that those who need it most are least likely to have enough fat to transfer. Plastic surgeons are not trained in liposculpture any differently than cosmetic surgeons, but they claim superior training while having a serious death from surgery issue due to performing the surgery under general anesthesia. There has never been a death associated with tumescent anesthesia liposculpture with the patient awake. Further, fat transfer is even more removed from the arsenal of most plastic surgeons though its efficacy and safety have been thoroughly documented, so I believe the plastic surgeons are more into protecting their incomes than in the development of new, safer techniques. ...
written by Micky, May 13, 2007 In Japan, there is a clinic providing a breast augmentation operation using stem cells... If there is no calcification to worry about, and can expect 50% survival rate of the transplanted fat, couldn't it be considered safe? |
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