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Archive for April, 2014

ASK OUR EXPERT: FAT TRANSPLANTATION

Wednesday, April 30th, 2014

 

Question:  Can Dr. Castillo take fat from my hips or stomach and put it into my breasts? 

Answer: The short answer to that question is yes; though, it is not as simple as it sounds. 

Fat transplantation to the breasts has been done for many years, starting in earnest around the mid 1980’s by many cosmetic surgeons. At that time, we did not have answers to important questions like:

  1. What, if any changes would fat create in breast tissue?
  2. Will these changes be misdiagnosed as disease and/or cancer in the future?

  Due to the lack of information available at that time, the use of fat transplantation to increase breast volume was never truly accepted or recommended.  However, early results indicated that it did work.

 Today we know that we can remove fat from anywhere in the body and transplant it to anywhere in the body with results that will accomplish

  1. an increase in volume
  2. an improvement in the skinFor example, if fat is transplanted underneath scar tissue, the scar tissue tends to remodel and turn into better skin.  In so far as increasing volume, fat transplantation needs to be done with quite a bit of care and by an experienced surgeon because if fat is placed in large lump quantities,  not only will the procedure be ineffective but it  is likely to create issues. Fat needs to be transplanted in very small amounts and in many areas within the breast and surrounding tissue in order to accomplish an increase in the volume of the breast. We can increase the volume of the breasts by approximately 120 cubic centimeters maximum. This is related to a limitation with the rate in which the body will incorporate this fat into the tissue. Fat that is placed in a new area needs to be colonized by small blood vessels and made into living tissue in whatever area it was transplanted.  This can only happen when it is transplanted in small amounts that are small enough to be able to be sustained by the microcirculation of the area.

Fat transplantation is best utilized for patients who are seeking small adjustments to their breast proportions.  If you desire to go from an A to a C cup size breast, fat transplantation will not give you your desired outcome.  To increase breast volume in a more significant way is better accomplished with breast implants. https://www.cosmeticplasticsurgery.com/cosmetic-surgery/breast-enlargement.cfm.

G.D. Castillo, M.D., FACS

Director of Cosmetic Plastic Surgery

https://www.cosmeticplasticsurgery.com/cosmetic-surgeon/

 

Ask Our Expert: What type of surgeon should I consult with for micro-fat transplantation to my face?

Thursday, April 10th, 2014

Question:  What type of surgeon should I consult with for micro-fat transplantation to my face?

Answer:

Dear reader,

There are a few important factors to consider when choosing a surgeon:

  • Board certification – It is always important to have surgery and/or procedures done by a physician who is board-certified in the specialty associated with that procedure.  For fat transplantation to the face, you would look for a surgeon who is board-certified in facial plastic and reconstructive surgery.
  • Experience – Once you locate a board-certified facial plastic and reconstructive surgeon, the next step is to find out how much experience the surgeon has with fat transfer procedures and particularly, micro-fat transplantation to the face.  Experience of greater than 20 cases would be essential.
  • Real Patient Photos – I would ask to see some pictures of patients in his or her practice who have had this procedure done by him or her.  Surgeons who are experienced in this area should have a collections of before and after photos to show their work.

 

G.D. Castillo,M.D., FACS
Cosmetic Plastic Surgery Center