Comments on: Fat Grafting to the Breast Has New Guiding Principles http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/ Tue, 27 Jul 2010 17:06:24 +0000 http://wordpress.org/?v=2.9 hourly 1 By: Roxanne http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2137 Roxanne Thu, 22 Oct 2009 14:19:52 +0000 http://www.drscoleman.net/?p=122#comment-2137 Dr. Coleman, Thank you for your thoughtful and informative response. Everything you explained seems logical..and it will be very interesting to see what other studies are created as a result of this amazing technology. I will continue to keep my eyes and ears open. All the best, Roxanne Dr. Coleman,

Thank you for your thoughtful and informative response. Everything you explained seems logical..and it will be very interesting to see what other studies are created as a result of this amazing technology. I will continue to keep my eyes and ears open.

All the best,

Roxanne

]]> By: Dr. Coleman http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2133 Dr. Coleman Wed, 21 Oct 2009 21:25:12 +0000 http://www.drscoleman.net/?p=122#comment-2133 Nia, I have had great success with the long-term results with many patients. However, every patient is different from the next and you may be an ideal candidate or you may not be. It is difficult assessing your situation without examining you. I need to examine the envelope of your breasts, test how elastic your skin is, measure the fat and breast tissue currently in your breast, and the determine the amount of fatty tissue present in other areas of your body. Please take the time to schedule a consultation. As I mentioned before, call my office they can help you with more answers. SRC Nia,
I have had great success with the long-term results with many patients. However, every patient is different from the next and you may be an ideal candidate or you may not be.
It is difficult assessing your situation without examining you. I need to examine the envelope of your breasts, test how elastic your skin is, measure the fat and breast tissue currently in your breast, and the determine the amount of fatty tissue present in other areas of your body.
Please take the time to schedule a consultation. As I mentioned before, call my office they can help you with more answers.
SRC

]]> By: Nia http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2131 Nia Wed, 21 Oct 2009 21:08:58 +0000 http://www.drscoleman.net/?p=122#comment-2131 ok, what are the possibility of this fat to melt away? ca we squeeze the breast (not exessively but like playfully) without the fat to deplete the breast pocket? I am not a really big girl hence dont have much fat around me. Also, I had a row on my lower stomach that was bothering and had it liposuctioned. The surgeon was able to get only 300cc of fat all together, when I complained that I thought I still had fat he told me that it was fibrous tissue (or scar tissue) as Im sure you are familiar. There is no fat left to remove. I really want to remove the implants, I dont want to have a lift or any other type of cutting implants within me, and I dont want to have empty pockets where the implants are located. I think my bags are in the 300cc marks (give or take),I dont want to go that big again, although im 5'7, i just want natural breast. Is that too much? Nia B. ok, what are the possibility of this fat to melt away? ca we squeeze the breast (not exessively but like playfully) without the fat to deplete the breast pocket?
I am not a really big girl hence dont have much fat around me. Also, I had a row on my lower stomach that was bothering and had it liposuctioned. The surgeon was able to get only 300cc of fat all together, when I complained that I thought I still had fat he told me that it was fibrous tissue (or scar tissue) as Im sure you are familiar. There is no fat left to remove. I really want to remove the implants, I dont want to have a lift or any other type of cutting implants within me, and I dont want to have empty pockets where the implants are located.
I think my bags are in the 300cc marks (give or take),I dont want to go that big again, although im 5′7, i just want natural breast.

Is that too much?

Nia B.

]]> By: Dr. Coleman http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2108 Dr. Coleman Tue, 20 Oct 2009 14:16:05 +0000 http://www.drscoleman.net/?p=122#comment-2108 Roxanne, Recent laboratory studies have indicated that using the LipoStructure® technique concentrated fat can survive up to 85 or 90%. The same and similar studies have shown that altering the technique can result in much less survival. There are many steps in the process of transplanting living fat, and the fragile tissue can be injured or wounded easily during the harvesting portion, during the refinement and concentrating phase and even during the placement phase. In addition, if living fat is not placed into the body under ideal circumstances, then it may not have enough access to a blood supply and will die. I have been transplanting fat to the breast since 1995. Even though I had great success in the very first cases I performed, I have been working to improve not only the survival of the fat but also the effect of the fat on surrounding tissues, especially the skin. These improvements involve the technique and external expansion. I do not believe that hyperbaric oxygen therapy would be worth the bother, although it would be interesting for someone to do a study on its use in fat grafting (none exist to my knowledge). To make the most out of any procedure in medicine, you should go to someone who has a lot of experience in the procedure and who can demonstrate to you the result that you desire to attain. The patient should be aware how long the surgeon has been doing the procedure, and see the surgeon’s long term follow-up if there is any. Be aware, that I have discovered several physicians using photographs from my books and publications and claiming that they are their patients. There are no guarantees in medicine since we are complex biological organism, but certain maneuvers can maximize the potential positive outcome in any procedure. Please call Renee in my office +1 212 571 5200, to discuss any further questions you might have or to arrange a consultation either in New York or long-distance. SRC Roxanne,

Recent laboratory studies have indicated that using the LipoStructure® technique concentrated fat can survive up to 85 or 90%. The same and similar studies have shown that altering the technique can result in much less survival.

There are many steps in the process of transplanting living fat, and the fragile tissue can be injured or wounded easily during the harvesting portion, during the refinement and concentrating phase and even during the placement phase. In addition, if living fat is not placed into the body under ideal circumstances, then it may not have enough access to a blood supply and will die.

I have been transplanting fat to the breast since 1995. Even though I had great success in the very first cases I performed, I have been working to improve not only the survival of the fat but also the effect of the fat on surrounding tissues, especially the skin. These improvements involve the technique and external expansion. I do not believe that hyperbaric oxygen therapy would be worth the bother, although it would be interesting for someone to do a study on its use in fat grafting (none exist to my knowledge).

To make the most out of any procedure in medicine, you should go to someone who has a lot of experience in the procedure and who can demonstrate to you the result that you desire to attain. The patient should be aware how long the surgeon has been doing the procedure, and see the surgeon’s long term follow-up if there is any. Be aware, that I have discovered several physicians using photographs from my books and publications and claiming that they are their patients.

There are no guarantees in medicine since we are complex biological organism, but certain maneuvers can maximize the potential positive outcome in any procedure.

Please call Renee in my office +1 212 571 5200, to discuss any further questions you might have or to arrange a consultation either in New York or long-distance.

SRC

]]> By: Dr. Coleman http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2107 Dr. Coleman Tue, 20 Oct 2009 13:30:43 +0000 http://www.drscoleman.net/?p=122#comment-2107 Nia, The greatest strength of LipoStructure® is that it allows me to work with you to design the shape of a breast. I would need to examine your breasts, but there is a good chance that you may be able to remove your current breast implants and restore/reshape your breasts to an attractive “C” cup without a breast lift (mastopexy). If you call my office and speak with Renee (+1 212 571 5200), she can arrange a consultation either in New York or long distance in which you would send photographs. I would recommend that you remove your implants before pregnancy. With such large implants already in place, the growth of your breast with pregnancy would significantly stretch the skin of your breast. This will create more stretch marks and less elastic skin. By the way, placement of stem-cell rich fat next to breast skin can help diminish stretch marks! SRC Nia,
The greatest strength of LipoStructure® is that it allows me to work with you to design the shape of a breast. I would need to examine your breasts, but there is a good chance that you may be able to remove your current breast implants and restore/reshape your breasts to an attractive “C” cup without a breast lift (mastopexy). If you call my office and speak with Renee (+1 212 571 5200), she can arrange a consultation either in New York or long distance in which you would send photographs.
I would recommend that you remove your implants before pregnancy. With such large implants already in place, the growth of your breast with pregnancy would significantly stretch the skin of your breast. This will create more stretch marks and less elastic skin.
By the way, placement of stem-cell rich fat next to breast skin can help diminish stretch marks!
SRC

]]> By: Nia http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2106 Nia Tue, 20 Oct 2009 11:55:05 +0000 http://www.drscoleman.net/?p=122#comment-2106 Dr. Coleman, I was 20 yrs old when I had my breast augmentation procedure. I went from a normal B cup to A small D. I will be 30 yrs old next year and realize that big breast is not my idea of beauty hence will like to have them removed. Understanding that the skin elasticity will not retract the sagging skin to its original condition, I am contemplating lipostructure to fill in. ALthough, I do not want to go back to a D cup but perhaps a small C, what are your recommendations. Also, will the fat melt is I start working out more intensely than I am now. Further, I am anticipating pregnancy with 2-3 yrs, would it be better to do it before of after the breast swell due to pregnancy? Nia B. Dr. Coleman,

I was 20 yrs old when I had my breast augmentation procedure. I went from a normal B cup to A small D. I will be 30 yrs old next year and realize that big breast is not my idea of beauty hence will like to have them removed. Understanding that the skin elasticity will not retract the sagging skin to its original condition, I am contemplating lipostructure to fill in. ALthough, I do not want to go back to a D cup but perhaps a small C, what are your recommendations. Also, will the fat melt is I start working out more intensely than I am now.
Further, I am anticipating pregnancy with 2-3 yrs, would it be better to do it before of after the breast swell due to pregnancy?

Nia B.

]]> By: Roxanne http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2105 Roxanne Tue, 20 Oct 2009 03:31:48 +0000 http://www.drscoleman.net/?p=122#comment-2105 Dr. Coleman, I understand that there are not extensive studies on the survival rate of fat transplanted into the breast. I would imagine that many individual factors would affect that outcome. I also understand that the procedure itself and doctor's technique has great bearing on the outcome. My question to you is... after having done the amount of transfers you have, do you see any correlation between aftercare methods and successful retention of transplanted fat? Do you believe in the effectiveness of (or been witness to) results from using hyperbaric oxygen therapy or any other methods? How about supplements? It would be incredibly disappointing to go through a 4-6 hour procedure, a good deal of money and end up reabsorbing all the fat that was transplanted! As patients, what can we do to make the most out of a surgery like this? Your advice and expertise is much appreciated. Thank you. Dr. Coleman,

I understand that there are not extensive studies on the survival rate of fat transplanted into the breast. I would imagine that many individual factors would affect that outcome. I also understand that the procedure itself and doctor’s technique has great bearing on the outcome.

My question to you is… after having done the amount of transfers you have, do you see any correlation between aftercare methods and successful retention of transplanted fat? Do you believe in the effectiveness of (or been witness to) results from using hyperbaric oxygen therapy or any other methods? How about supplements?

It would be incredibly disappointing to go through a 4-6 hour procedure, a good deal of money and end up reabsorbing all the fat that was transplanted! As patients, what can we do to make the most out of a surgery like this?

Your advice and expertise is much appreciated.

Thank you.

]]> By: Dr. Coleman http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2101 Dr. Coleman Mon, 19 Oct 2009 21:26:45 +0000 http://www.drscoleman.net/?p=122#comment-2101 Mia, I use a combination of my structural fat grafting technique with the Brava system to help reconstruct tuberous breasts. Please refer to my recent post on tubular breasts (see link below). I usually do not release any adhesions on the lower pole, and have so far been able to consistently expand the lower pole. I do concentrate the stem cells, but in a way different than Cellport. This allows me to control the placement of stem cells. Please call my office at 212 571 5200 and speak with Renee for more information. SRC http://www.drscoleman.net/2009/09/dr-sydney-coleman-of-new-york-city-combines-the-brava-system-with-breast-lipostructure/ Mia,
I use a combination of my structural fat grafting technique with the Brava system to help reconstruct tuberous breasts. Please refer to my recent post on tubular breasts (see link below). I usually do not release any adhesions on the lower pole, and have so far been able to consistently expand the lower pole.
I do concentrate the stem cells, but in a way different than Cellport. This allows me to control the placement of stem cells.
Please call my office at 212 571 5200 and speak with Renee for more information.
SRC
http://www.drscoleman.net/2009/09/dr-sydney-coleman-of-new-york-city-combines-the-brava-system-with-breast-lipostructure/

]]> By: Mia http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2081 Mia Sat, 15 Aug 2009 00:39:41 +0000 http://www.drscoleman.net/?p=122#comment-2081 Doctor: I suffered by tubular breast and tried every method to increase the size but none of them works. I was thinking of implant but afraid of the fake look and touch. I am thinking of doing fat injection to correct my tubular breast. A lot of doctors argued that the fat injection doesn't work in tubular breast since it is impossible to expand the base and it might just make the situation worse. I would like to know your method. And also in Japan, that clinic is using PRP+ stem cell. Do u do the same? Best Regards Mia Doctor:
I suffered by tubular breast and tried every method to increase the size but none of them works. I was thinking of implant but afraid of the fake look and touch. I am thinking of doing fat injection to correct my tubular breast. A lot of doctors argued that the fat injection doesn’t work in tubular breast since it is impossible to expand the base and it might just make the situation worse. I would like to know your method. And also in Japan, that clinic is using PRP+ stem cell. Do u do the same?

Best Regards
Mia

]]> By: Dr. Coleman http://www.drscoleman.net/2009/03/fat-grafting-to-the-breast-has-new-guiding-principles/comment-page-1/#comment-2065 Dr. Coleman Wed, 22 Jul 2009 19:37:31 +0000 http://www.drscoleman.net/?p=122#comment-2065 Karen, You are on the right track. Keep wearing the Brava daily. To make it more comfortable, I would use a lower suction and maybe even reduce the hours for now. The last thing I want is for you to burn out on the Brava before the crucial time, the two or three weeks before your procedure. When you are close to your procedure, then you can increase the vacuum and length of time that you are wearing the Brava. There is no evidence that you will do any harm to your breast or fatty tissue on the higher settings if you can tolerate them. However, occasionally women have experienced skin problems (rashes, et cetera), especially on the higher suction. If you do have any problems with the Brava, please contact us and we can put you in contact with a Brava coach who can advise you. SRC Karen,
You are on the right track. Keep wearing the Brava daily. To make it more comfortable, I would use a lower suction and maybe even reduce the hours for now. The last thing I want is for you to burn out on the Brava before the crucial time, the two or three weeks before your procedure.

When you are close to your procedure, then you can increase the vacuum and length of time that you are wearing the Brava. There is no evidence that you will do any harm to your breast or fatty tissue on the higher settings if you can tolerate them. However, occasionally women have experienced skin problems (rashes, et cetera), especially on the higher suction.

If you do have any problems with the Brava, please contact us and we can put you in contact with a Brava coach who can advise you.

SRC

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