Autologous fat transfer for breast augmentation

It was first introduced in Argentina, a revolutionary next generation technology that enables the reconstruction and / or enlarge a breast through autologous fat transfer (own) and stem cells, ie without prosthesis. This system is used mainly in patients who underwent mastectomy or so-called "conservative surgery" which is one in which removes only part of the breast, but can also be used in women with post-breast implant complications and those that want a breast augmentation without implants, among other applications.
During a meeting at the German Hospital, Dr. Klaus Ueberreiter, head of Plastic Surgery Department of the Asklepios Klinik (Berlin, Germany), officially launched this procedure, called Method Beaulier (Breast Augmentation by Lipotransfer) that he helped develop. The technique was initially used in our country in medical centers such as the German Hospital and the British Hospital of Buenos Aires, among others.
"Autologous fat transfer is generally accepted as a surgical option for breast augmentation" said Ueberreiter. "In March 2007, Sydney Coleman published the results of a study on breast augmentation with autologous fat, and subsequently other authors, such as Zocchi and Delay, Italy and France, reported similar findings. However, doctors could not finish favorably resolve certain obstacles: some grafts did not survive, the proceedings could last from six to eight hours, and tissue survival rate was 90%).

A few years ago found that abdominal fat tissue is rich in stem cells, which, among other applications, allow the grafted fat contains stem cells the result is more effective and lasting. Based on these findings, the German company Human-Med devised a special 'water-assisted', named WAL (Water jet-assisted lipoplasty) to remove fatty tissue from the abdomen and thighs of the patient keeping 'alive' to fat extracted and preserving the stem cells it contains.

This technique has been approved by the FDA (Food and Drug Administration) for U.S. and EC (Europe), among others.

Dr. Francisco Gabriel Errea, Chief of Plastic Surgery at the British Hospital of Buenos Aires, said: "This system enables you to standardize the method and results. Dissection is carried water: fluid seeps in adipose tissue, and fat is separated and removed without it being damaged in the procedure. Then processed through a special filter, to obtain useful tissue. Then injected the fat tissue alive in the breast (not in the mammary gland), with long-term positive results. "

While Dr. Gustavo Prezzavento, Chief of Plastic and Reconstructive Surgery of the German Hospital, commented that "when you have to use the graft cells that will survive. This method does not 'break' the tissue to be grafted and therefore enables the transfer of mature fat cells (adipocytes) as pre-adipocytes and stem cells that can overcome if an adipocyte tissue dies. "

Ueberreiter confirmed that "cells are permanently grafted tissue, and after six weeks, 80 percent of the transplanted cells are integrated into the host tissue. The scientist stressed that this procedure, for outpatient care, allowing the fatty tissue is removed and transferred in one operation that lasts about two hours. "The vitality and integration rate of fat cells are very good."

In an application may also be inserted to 200 ml of fat, so if the requested size is bigger will require more sessions (standard silicone prostheses in our country are larger and have increased in recent years, currently using 250 ml to 325 ml).

Dr. Abel Chajchir, specialist in Plastic and Reconstructive Surgery and a pioneer in fat transfer, stressed that "this technique is very promising, but by no means the end of breast prostheses. It is undoubtedly an important solution, but there are restrictions, such as in patients in patients with insufficient fat.

However, added Dr. Manuel Viñal, head of the Division of Plastic Surgery Hospital Ramos Mejía, "each individual case must be examined by the treating team, consisting of a plastic surgeon, an oncologist and a breast pathologist, and in some specific cases such as Scleroderma radiodermatitis up by a dermatologist, with the group, together with the patient, who will establish the most suitable technique for that situation. "