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Fat injections can improve breast reconstruction -- jury's out on augmentation
October 09, 2008Controversial injections examined at ASPS annual meeting
CHICAGO - Injecting fat after breast reconstruction to correct implant wrinkling or dimpling may be safe and effective to improve breast shape, according to a study to be presented at the American Society of Plastic Surgeons (ASPS) Plastic Surgery 2008 conference, Oct. 31 - Nov. 5, in Chicago. Using fat injections for cosmetic breast enhancement; however, is still controversial and will be the subject of a panel discussion.
"My reconstruction patients could not be happier with the improvement fat transfer gives to the appearance of their breasts," said Gregory Scott, MD, ASPS Member Surgeon and study co-author. "The initial implant reconstruction sometimes leaves them with contour deformities or wrinkling, but fat injections can correct these problems and give their breasts a smoother, softer, more natural appearance."
The study looked at 21 patients who had 42 fat transfers for contour deformities or wrinkling. The injections were performed an average of 9.9 months following reconstruction. The fat was taken from the patients' abdomen or upper thighs. The study found that fat injection to the breast for reconstruction is safe, improves breast shape, and corrects implant wrinkling.
While fat injection in breast reconstruction is more accepted because there is no breast tissue left after mastectomy, cosmetic use of fat injections to the breast remains controversial. At Plastic Surgery 2008, a panel entitled, "Should We Inject Fat into the Breast," will discuss and analyze the medical and legal risks, patient safety implications, as well as potential benefits of cosmetic fat injections to the breast.
"At this point, there are no good scientific studies about cosmetic use of fat in the breast - this is an evolving issue without any scientific data," said William P. Adams, Jr., member of the ASPS Emerging Trends Committee and panel presenter. "We need to have good, sound, scientific studies to determine the usefulness and safety of this methodology before we offer it to our patients."
Two reasons noted for the controversy: one, fat can "calcify" in the breast and obscure mammograms or possibly be mistaken for fibrous cancer growths. Two, it is unknown how much fat is needed to adequately enlarge a breast, if and how much of the injected fat will be absorbed by the body, or how much time the procedure will take.
"Based on current reports these procedures are taking multiple hours in the operating room and yielding minimal enlargement, you really need to wonder how useful and safe that is for the patient," said Dr. Adams. "Nevertheless, this is all still unknown. For that reason, we need to wait until the issue has been studied in a controlled, scientific environment."
Another panel presented at Plastic Surgery 2008, "The Science of Fat Transfer - The Skinny on Fat," will examine fat transfer for a variety of purposes including breast surgery, wrinkle reduction, lip augmentation, and to restore damaged tissue resulting from injury or illness. How to harvest and process fat; the biology of fat-derived stem cells; pharmacologic factors that can increase fat's survival and lessen the absorption rate; and the use of fat transfer to treat tissue damaged by radiation therapy will be explored.
American Society of Plastic Surgeons
The study looked at 21 patients who had 42 fat transfers for contour deformities or wrinkling. The injections were performed an average of 9.9 months following reconstruction. The fat was taken from the patients' abdomen or upper thighs. The study found that fat injection to the breast for reconstruction is safe, improves breast shape, and corrects implant wrinkling.
While fat injection in breast reconstruction is more accepted because there is no breast tissue left after mastectomy, cosmetic use of fat injections to the breast remains controversial. At Plastic Surgery 2008, a panel entitled, "Should We Inject Fat into the Breast," will discuss and analyze the medical and legal risks, patient safety implications, as well as potential benefits of cosmetic fat injections to the breast.
"At this point, there are no good scientific studies about cosmetic use of fat in the breast - this is an evolving issue without any scientific data," said William P. Adams, Jr., member of the ASPS Emerging Trends Committee and panel presenter. "We need to have good, sound, scientific studies to determine the usefulness and safety of this methodology before we offer it to our patients."
Two reasons noted for the controversy: one, fat can "calcify" in the breast and obscure mammograms or possibly be mistaken for fibrous cancer growths. Two, it is unknown how much fat is needed to adequately enlarge a breast, if and how much of the injected fat will be absorbed by the body, or how much time the procedure will take.
"Based on current reports these procedures are taking multiple hours in the operating room and yielding minimal enlargement, you really need to wonder how useful and safe that is for the patient," said Dr. Adams. "Nevertheless, this is all still unknown. For that reason, we need to wait until the issue has been studied in a controlled, scientific environment."
Another panel presented at Plastic Surgery 2008, "The Science of Fat Transfer - The Skinny on Fat," will examine fat transfer for a variety of purposes including breast surgery, wrinkle reduction, lip augmentation, and to restore damaged tissue resulting from injury or illness. How to harvest and process fat; the biology of fat-derived stem cells; pharmacologic factors that can increase fat's survival and lessen the absorption rate; and the use of fat transfer to treat tissue damaged by radiation therapy will be explored.
American Society of Plastic Surgeons
Breast Reconstruction Current Events and Breast Reconstruction News RSSPlastic surgeons offer microsurgery technique for breast reconstruction, tummy tuck after mastectomy
Since her teens, Jennifer Jablon had watched family members deal with breast cancer during their 40s, 50s, and 60s. She wondered whether it would be her fate too.
98 percent of elective mastectomy patients would have reconstruction again, says ASPS study
Women who have breast reconstruction after an elective mastectomy are satisfied with their decision, have low complication rates and 98 percent would do it again.
Mastectomies on the rise and MRI use may explain part of the trend, say Mayo researchers
The number of women undergoing mastectomy (total breast removal) for early-stage breast cancer has increased in the last three years at Mayo Clinic in Rochester. The increase follows a steady decline during the prior seven years.
Breast Reconstruction Advances Fix Distortions Left by Lumpectomy
Lumpectomy or breast conservation surgery is the most common type of breast cancer surgery currently performed. A benefit of the surgery is that only part of the breast is removed, but a drawback can be the resulting physical appearance of the breast, which may be disfigured, dented or uneven.
Lack of patient-provider discussion contributes to disparities in use of breast reconstruction
In a new study examining disparities in postmastectomy breast reconstruction, researchers at Brigham and Women's Hospital (BWH) and Dana-Farber Cancer Institute (DFCI) in Boston, Mass., concluded that lack of patient-provider discussion may contribute to socioeconomic, age and race-related inconsistencies in the use of breast reconstruction after mastectomy.
Surgical site infections more common than expected following breast procedures
Infections at the incision site occurred in more than 5 percent of patients following breast surgery and cost them more than $4,000 each in hospital-related expenses, according to a report in the January issue of Archives of Surgery, one of the JAMA/Archives journals.
More Women Are Choosing Double Mastectomy Even When Breast Cancer Is Confined to a Single Breast
Researchers are reporting a 150 percent increase between 1998 and 2003 in American women opting to have both breasts removed when cancer has been found in only one breast-a procedure called contralateral prophylactic mastectomy (CPM).
Fat stem cells being studied as option for breast reconstruction
Breast cancer survivors might one day avoid the prospect of invasive breast reconstruction surgery, opting instead for an approach that would involve using stem cells derived from their own fat.
Breast reconstruction not as safe for obese patients
Significantly obese women may wish to consider delaying breast reconstruction following mastectomy until they achieve a healthier body weight.
One-third of breast cancer patients unhappy with cosmetic outcome of lumpectomy
Women with breast cancer often undergo a lumpectomy and radiation to save their breasts and avoid the need for additional reconstructive surgery.
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