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    ISAPS Meeting 4th-6th of May 2017, Cairo The clinics' surgeon Dr. Amin Kalaaji participated as a faculty member and chair person in ISAPS (Internationa... Read more Butt enlargement with own fat. The clinics' surgeon answers in interview with Stavanger Aftenblad Dr. Kalaaji, clinical plastic surgeon at Oslo Plastikkirurgi, was interviewed by Stavanger Aftenblad about the... Read more

    Breast enlargement with fat transfer

    Oslo Plastic Surgery Clinic has performed breast enlargements with fat transfer procedures since October 2008 and has established this as a good alternative for small to moderate breast enlargement.
     
    Fat injection from our own body is a method that has been established for some years. The fat transfers have helped patients created breast volume following cancer treatment and also are used successfully for cosmetic reasons. 
     
    Possible candidates for fat transfer breast enhancement.
    This method can be ideal for women who have:

    • Very small or moderate developed breasts
    • Asymmetry
    • Empty breast following pregnancy or multiple pregnancies


    Any of the above can make women feel cosmetically and socially at a disadvantage as it can affect their femininity and their quality of life. The above groups are ideal candidates for this procedure.
     
    Women that require this procedure usually are those who do not want any Silicone introduced into their bodies as they feel this is unnatural and may have a fear of the long term implications. Also an additional advantage to consider is that there will be no significant scarring.

    You must remember to have a realistic expectation as there are limitations of just how much the breast size can be increased with this method compared to trusted method of Silicone implants.
     
    The procedure process
    Fat is injected into the breasts using special instruments developed for fat grafting. We are able to transfer body fat to the breasts to create a completely natural augmentation that has every indication of being permanent. Fat grafting to the breast consists of two procedures performed on the same day: first harvesting the fat from a suitable body area and then placement of the fat into the breasts. To begin, a substantial amount of fat is removed with a Coleman harvesting cannula connected to a small syringe. The harvested fat is then injected through four tiny 1/8 inch incisions using blunt Coleman infiltration cannulas.
     
    Fat transfer to the breasts has some advantages over implants, in that the fat is a completely natural substance coming from your own body so eliminating the risk of rejection. Also the advantage with this method is that incisions are minimal.
    How long to the results last?

    The result of this type of surgery technique depends on the absorption of the fat injected which cannot be guaranteed as every patient is different. The body will absorb fat at differing rates from person to person. Normally approximately 30% to 40 % of the fat will be absorbed the first four months; therefore we overfill with more fat to achieve the ultimately desired results. There is no guarantee of the absorption rate.

    Complications
    Complications to be highlighted can be:

    • bleeding
    • infection
    • Anesthesia-related complications

    Complications with Anesthetics are rare and usually a patient with have a known allergy to certain drugs which they have experienced in the past. If this is the case an alternative can be discussed with your surgeon at your consultation.
    There were some suspicions raised about the possible risk for the injected fat transferred to spread cancer. However, there is no scientific proof for these suspicions. Nor will the fat transfer injections inhibit or obstruct mammogram or ultrasound breast screening. see report from USA and report from France
     
    Possible fat cysts or small calcifications can occur. Corrective surgery for a fat cyst, asymmetry or a small calcification can be done easily.

    We recommend a mammogram/ultrasound before surgery and one year after surgery to see the final effect of the injection on breast. Thereafter normal breast screening and health checks are recommended.
     
    Unsuitable candidates for breast enlargement with fat
    Women with breast cancer in their family are not recommend for this type of surgery. Women with expectations for larger breasts as well as women who do not have areas with suitable fat stores would also not be ideal.

    Pre-Operation considerations
    To get optimal results and avoid complications
    Avoid stress, stay out of the sun, eat healthily, keep your weight within a normal BMI range, exercise regularly, and refrain from alcohol for 2 days prior to surgery and 2 weeks after surgery. Please refrain from smoking for at least 1 week before surgery and a minimum of 2 weeks after surgery as smoking can interfere with the final result.

    Downtime following surgery
    Heavy physical exercise and strenuous body movement or lifting must not be undertaken for a minimum of 4 weeks following the surgery. 

    You can still move and do normal everyday things the day after surgery but REMEMBER it is very important that you do notlose weight after surgery.

    The final results will emerge between 3 to 6 months following surgery. The swelling will be gone and the fat will have adhered to your natural breast tissue. There is very rarely disappointment in the patient’s perception of the success of the surgery.

    Where to stay:
    If you live some distance from the clinic we recommend that you spend one night in or near Oslo Plastic Surgery Clinic so that our caring staff are on hand to reassure you should any issue arise that will cause you concern. Oslo Plastic Surgery Clinic can highly recommend 2 hotels nearby to our clinic:

    Hotel Gabelshus, Gabelsgate 16 or Frogner House Hotel Norum, Bygdøy Allé 53.

    Contact us for more information and/or for booking the hotel.

    After Surgery:

    We will require you to come to the clinic for a follow up check. With all surgery this is important as your surgeon needs to see how you are settling.

    We do not recommend you fly for 48 hours post surgery. You may feel nauseous and tired in the hours following surgery. It is important to take your painkillers and drink enough fluids.

    You may experience dizziness if you get up quickly from a chair or perhaps when you are lying in bed, so be sensible, take it easy and move slowly. This is quite normal following surgery and should pass within a couple of days.

    The following 2-5 days following your breast surgery you may feel stiff and sore in the chest region. You will be required to wear a light bra for approximately 6 weeks after surgery day and night. Your breasts may feel tight and sensitive to the touch and your skin may feel warm or itchy.

    Follow ups will be carried out at the clinic/alternatively through phone or video consultation: 1 day after surgery, after 1-2 weeks, after 3-6 months and finally after 1 year when our guarantee to you is completed.
    Complications to be highlighted can be bleeding, infection and anesthesia-related complications which are seldom. Asymmetry or more than expected re-absorption can occur which can corrected through the guarantee time of one year. Possible fat cysts or small calcifications can occur. Corrective surgery for a fat cyst, asymmetry or a small calcification can be done easily. Again we recommend mammogram/ultrasound breast screening before surgery and one year after surgery to ascertain the final effect of the injection on the breast. Thereafter normal breast health screening is advised.



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