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	<title>Comments on: Fat Grafting to the Breast by Sydney Coleman of New York City, New York</title>
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	<link>http://www.drscoleman.net/2009/10/fat-grafting-to-the-breast-by-sydney-coleman-of-new-york-city-new-york/</link>
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		<title>By: Dr. Coleman</title>
		<link>http://www.drscoleman.net/2009/10/fat-grafting-to-the-breast-by-sydney-coleman-of-new-york-city-new-york/comment-page-1/#comment-2201</link>
		<dc:creator>Dr. Coleman</dc:creator>
		<pubDate>Mon, 22 Feb 2010 20:01:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.drscoleman.net/?p=402#comment-2201</guid>
		<description>Klara,
Your questions are great and you should proceed with the caution you have demonstrated in your note.
To start off with, you do need some fat on your body, but most healthy women have enough fat on their body to enable a significant (usually one cup size) increase in their breasts.  However, the surgeon may need to go to several different sites to obtain enough fat.
The most important warning I can give you is be careful about wasting your fat.  Many techniques kill a big portion of the fat.  You should go to someone who can show that they have good long-term (more than two years) results.  Otherwise, they could possibly waste the valuable fat you have on your body,
The second important warning is go to someone who is an expert in fat removal.  If fat is not harvested in an expert, precise fashion, you can be left with horrible deformities in your thighs, waist or buttocks.  This happens more often than you might imagine.  
The patients of mine that you have seen are not models, but attractively thin women who had the fat harvested carefully usually from several different sites.  
The amount of fat that remains after transplantation can vary, but recent studies have shown from 65 to 85% with good technique.  The BRAVA system seems to help push that survival to a higher level, and is definitely something you should consider using.
A big percentage of my patients fly from a distance for procedures.  A premenopausal woman needs to take special precautions with flying, such as avoiding a long flight immediately before or after any procedure.  
If you have further questions, please feel free to call Renee in my office (+1 212 571 5200).
Sydney Coleman</description>
		<content:encoded><![CDATA[<p>Klara,<br />
Your questions are great and you should proceed with the caution you have demonstrated in your note.<br />
To start off with, you do need some fat on your body, but most healthy women have enough fat on their body to enable a significant (usually one cup size) increase in their breasts.  However, the surgeon may need to go to several different sites to obtain enough fat.<br />
The most important warning I can give you is be careful about wasting your fat.  Many techniques kill a big portion of the fat.  You should go to someone who can show that they have good long-term (more than two years) results.  Otherwise, they could possibly waste the valuable fat you have on your body,<br />
The second important warning is go to someone who is an expert in fat removal.  If fat is not harvested in an expert, precise fashion, you can be left with horrible deformities in your thighs, waist or buttocks.  This happens more often than you might imagine.<br />
The patients of mine that you have seen are not models, but attractively thin women who had the fat harvested carefully usually from several different sites.<br />
The amount of fat that remains after transplantation can vary, but recent studies have shown from 65 to 85% with good technique.  The BRAVA system seems to help push that survival to a higher level, and is definitely something you should consider using.<br />
A big percentage of my patients fly from a distance for procedures.  A premenopausal woman needs to take special precautions with flying, such as avoiding a long flight immediately before or after any procedure.<br />
If you have further questions, please feel free to call Renee in my office (+1 212 571 5200).<br />
Sydney Coleman</p>
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		<title>By: Klara</title>
		<link>http://www.drscoleman.net/2009/10/fat-grafting-to-the-breast-by-sydney-coleman-of-new-york-city-new-york/comment-page-1/#comment-2198</link>
		<dc:creator>Klara</dc:creator>
		<pubDate>Thu, 04 Feb 2010 20:49:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.drscoleman.net/?p=402#comment-2198</guid>
		<description>Dear Dr Coleman,
After two failed appointments in London with cosmetic surgeons advertising &quot;stem cell breast augmentation&quot; and &quot;natural breast enhancement&quot; I am about to give up my dream of using my own fat to achieve slightly fuller breasts. I am an A-cup hoping to be a B-cub. On my recent consultation the surgeon said I did not have enough fat on my body to do this procedure. However the first surgeon said he could take fat from my inner and outer thighs. (He had never done the procedure before though, which gave me cold feet!). I am at least 3 kilos heavier than I used to be when I was thinner.

So my questions to you are:

How much fat do I need on my body? The girl on the pictures above with your markings on, looks very slim (much slimmer then I am). Did she have the procedure done or was she just used as a model?

Also, How much of the grafted fat is expected to remain in the breast after the filling? 50 percent or more?

I have worn the Brava system for three weeks now and are hoping to use this in combination with fat grafting. I would love to have the opportunity to come to New York and have this procedure done by you. Is it ok to go on a long flight before and after the procedure?

Kindest Regards,
K</description>
		<content:encoded><![CDATA[<p>Dear Dr Coleman,<br />
After two failed appointments in London with cosmetic surgeons advertising &#8220;stem cell breast augmentation&#8221; and &#8220;natural breast enhancement&#8221; I am about to give up my dream of using my own fat to achieve slightly fuller breasts. I am an A-cup hoping to be a B-cub. On my recent consultation the surgeon said I did not have enough fat on my body to do this procedure. However the first surgeon said he could take fat from my inner and outer thighs. (He had never done the procedure before though, which gave me cold feet!). I am at least 3 kilos heavier than I used to be when I was thinner.</p>
<p>So my questions to you are:</p>
<p>How much fat do I need on my body? The girl on the pictures above with your markings on, looks very slim (much slimmer then I am). Did she have the procedure done or was she just used as a model?</p>
<p>Also, How much of the grafted fat is expected to remain in the breast after the filling? 50 percent or more?</p>
<p>I have worn the Brava system for three weeks now and are hoping to use this in combination with fat grafting. I would love to have the opportunity to come to New York and have this procedure done by you. Is it ok to go on a long flight before and after the procedure?</p>
<p>Kindest Regards,<br />
K</p>
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	<item>
		<title>By: Dr. Coleman</title>
		<link>http://www.drscoleman.net/2009/10/fat-grafting-to-the-breast-by-sydney-coleman-of-new-york-city-new-york/comment-page-1/#comment-2140</link>
		<dc:creator>Dr. Coleman</dc:creator>
		<pubDate>Tue, 27 Oct 2009 18:28:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.drscoleman.net/?p=402#comment-2140</guid>
		<description>Lauren,
Please make an appointment for follow-up. 

During menopause, many women lose volume in their breast, and they can sag more.  Adding more fat to your breast could push your cup size up and help reshape your breasts, but it depends on several things as to how much extra volume is possible in you.  The most important factor is your donor sites.  You need an adequate volume of fat to harvest.  

In addition, by using the BRAVA system, we can improve the blood supply in your breast before the procedure and by keeping it on after the procedure, there is a beneficial effect also in maximizing the effect of the fat grafts.  

Again, please call my office 212 571 5200 and either come back for an appointment or arrange for photographs so that I can see your current donor sites and breasts.
SRC</description>
		<content:encoded><![CDATA[<p>Lauren,<br />
Please make an appointment for follow-up. </p>
<p>During menopause, many women lose volume in their breast, and they can sag more.  Adding more fat to your breast could push your cup size up and help reshape your breasts, but it depends on several things as to how much extra volume is possible in you.  The most important factor is your donor sites.  You need an adequate volume of fat to harvest.  </p>
<p>In addition, by using the BRAVA system, we can improve the blood supply in your breast before the procedure and by keeping it on after the procedure, there is a beneficial effect also in maximizing the effect of the fat grafts.  </p>
<p>Again, please call my office 212 571 5200 and either come back for an appointment or arrange for photographs so that I can see your current donor sites and breasts.<br />
SRC</p>
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	<item>
		<title>By: Lauren B</title>
		<link>http://www.drscoleman.net/2009/10/fat-grafting-to-the-breast-by-sydney-coleman-of-new-york-city-new-york/comment-page-1/#comment-2134</link>
		<dc:creator>Lauren B</dc:creator>
		<pubDate>Wed, 21 Oct 2009 23:48:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.drscoleman.net/?p=402#comment-2134</guid>
		<description>Dr. Coleman,
I&#039;m excited that you have a blog. I had the breast enlargement done by you over 10 years ago and am quite happy with the results, especially the shape and the quality of my breast and decollete skin. And your fat grafting to the breast moved me from a small A to a medium B cup.  However, I went through menopause over the last five years, and my breasts decreased a tiny bit down to a slightly smaller B, during that time. I think that I’d like to be at least a larger B cup or maybe even a C cup.  
Is that possible? 
PL
</description>
		<content:encoded><![CDATA[<p>Dr. Coleman,<br />
I&#8217;m excited that you have a blog. I had the breast enlargement done by you over 10 years ago and am quite happy with the results, especially the shape and the quality of my breast and decollete skin. And your fat grafting to the breast moved me from a small A to a medium B cup.  However, I went through menopause over the last five years, and my breasts decreased a tiny bit down to a slightly smaller B, during that time. I think that I’d like to be at least a larger B cup or maybe even a C cup.<br />
Is that possible?<br />
PL</p>
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