Lipoaugmentation

Breast Enlargement Fat Transfer Surgery

  • Purpose: Enhance the size of a woman’s breast
  • Anesthetic type: Local
  • Length of each surgery: 60 – 120 minutes
  • Amount of sessions: Between 2-3
  • Recovery time:
    • Office work: 3-4 days
    • Light duties: 1 week
    • Exercise: 4-6 weeks
    • Between sessions: Approximately 3 months

Reasons for Breast Enlargement

Reconstruction surgery:

Generally, after breast cancer, e.g. after mastectomy.

Cosmetic surgery:

To improve the body form of women who are not happy with their breasts’ size or figure:

  • Restore breast volume after childbirth
  • Balance a change in breast size and/or correct asymmetry (for example after weight loss)
  • Want to get desired size & look

Method of Fat Transfer

The present standard for breast augmentation includes arrangement of an implant. In any case, in the course of the most recent 25 years the utilization of autologous fat transplantation for breast reconstructive and corrective purposes has appeared and fulfilling results. During the method, undesirable fat is reaped from liposuction of the thighs, stomach, or buttocks for instance. Secondly, it is embedded into the breast to expand their size. Fat exchange is additionally fit to fill in minor deformities or anomalies or to diminish existing insert appearance. Important thing is Autologous fat grafting to the breast is certainly not a basic treatment and must be performed by experts & specialists. At Dr Allen Rezai Clinic, we just work with the UK’s best cosmetic surgeons.

What differentiates autologous fat from implants?

Advantages Disadvantages
Slightly invasive substitute to implants As only a limited amount of fat can be injected, lipoaugmentation cannot match the enhancement volume possible with an implant
No cuts, thus approximately scarless Very time-consuming treatment (2-3 hours each) and multiple episodes are required (“top ups”)
Approach not only to increase size, but also breast shape, form, and asymmetry Up to 50% of the fat is absorbed in the first six months after the operation
Fat reduction (liposuction) in other parts of the body

 

Multiple Session Procedure

  • First Session:
    A “tumescence” solution that decreases pain (and bleeding) is injected into the region used for collection (generally your stomach or thighs).Then the area undergoes liposuction and the gathered fat is purified before being injected into the natural tiny hollows in the upper part of your breasts through a cannula, leading in their enlargement.
  • Second session:
    After eight weeks, this session is performed to liposuction and the gathered fat is purified before being injected into the natural tiny hollows in the upper part of your breasts through a cannula, leading in their enlargement.
  • Third and following session:
    Till the wanted results are accomplished, the following sessions can take place roughly every six months.

Desired Breast size

As referenced previously, lipoaugmentation requires various episodes to realize a beneficial impact or possibly applies on the off chance that you wish an unassuming enlargement. A portion of the fat is caught up in the underlying weeks after the task yet fat that keeps going past this time will achieve a lasting enlargement. This is a considerably more continuous methodology contrasted and implant based breast augmentation, yet avoids breast implant. The estimating dependably starts by taking estimations of your breast base width and assessing your delicate tissue envelope. Your specialist will at that point have the option to give you a thought of what enlargement is suitable for you and you can take a stab at a wide scope of sizers in the interview. Note: It takes over two pints of fat to expand your breasts by one cup estimate. Every one of your breasts can just hold up to one-and-a-quarter pints of fat, so keep your desires sensible. Additionally, your specialist won’t almost certainly promise you a cup estimate.

Consultation with Dr. Allen Rezai

You will meet our surgeon Dr. Allen Rezai M.D. for a consultation to talk about your requirements and the operation. He will discuss some important things with you about your surgery like:

  • What you will achieve from this surgery.
  • What you need to do to get the best results.
  • Where you will get scars.
  • Your current breast shape & size.
  • The breast size and shape that you want.
  • The quality and quantity of your breast tissue and skin.
  • Your past and present medical conditions.

What to let your surgeon know

As it may change the approach to your care, it is important that you notify your doctor and surgeon if you have any of the following:

  • An autoimmune disease
  • A weakened immune system
  • A reflux
  • Conditions that interfere with wound healing and/or blood clotting
  • Reduced blood supply to breast tissue
  • Chemotherapy or radiation to the breast tissue
  • A clinical diagnosis of depression or any other mental health disorder including body dysmorphic disorder, and anxiety disorder and/or an eating disorder.

Risks & Complications

Dr Allen Rezai always recommend that you have a two week “cooling-off” period between your consultation and treatment to allow you enough time to consider and decide if you wish to proceed with the surgery. It is important to educate yourself of the possible risks of surgery. As your new breasts will also be new to your body, there are potential complications after the procedure you should be aware of.

  • Fat necrosis and oil cysts
    Necrosis and cysts are cell injuries, which result in the death of transferred fat cells or are caused by prematurely dying fat cells, respectively. As these are well known complications of breast fat grafting, they are usually easily identified on mammogram and ultrasound, and have standardized treatments. Those complications generally occur in only a small proportion of patients and should be able to be minimised with good surgical technique. Thus, it is important to choose a professional surgeon with many years of experience.
  • Bleeding:
    If it bleeding occurs, it usually happens immediately after the operation, but occasionally occurs up to two weeks later. In that case the breast becomes very swollen and tight and you need to go back to the operating room, where everything will be taken care of. You are likely to spend an extra night in the hospital and will be rather more bruised than expected, but things should settle down in time and it is unlikely to adversely affect your outcome from surgery.
  • Infection:
    Infections occur in less than 1% of cases but have to be taken seriously if they occur. In the unlikely case that you are affected, it will become apparent over the first two or three weeks post-op when things are not settling down as expected. Mild infections will settle down with antibiotics. The package price you pay for your breast augmentation should cover the cost of dealing with bleeding or infection.
  • Aesthetic:
    There is always the risk that you are unhappy and dissatisfied with the result because of aesthetic reasons (size, shape, symmetry). We therefore advise patients to choose their surgeon carefully and make sure he or she fully understands your expectations.

The Procedure

The procedure lasts 60 – 120 minutes. You will come into the hospital in the morning of surgery, having had nothing to eat or drink the night before.

  1. You meet the anaesthetists and will have an anesthetic preoperative assessment
  2. You meet your surgeon: sign the consent form, the surgeon draws some lines on the treatment area, and you have a brief discussion about the exact goals of the surgery
  3. You are taken to the operating theatre, laid on the operating table, and put to sleep
  4. Skin cleaning and draping to create a sterile field
  5. Harvesting of fat in the area you discussed
  6. Fat centrifugation, washing, processing, and refinement
  7. Insertion of the fat and shaping of the breasts
  8. You are taken back to the ward with some tapes and strapping on.
  9. You may also wake up with some small drainage tubes to help further reduce swelling and bruising – these will be removed before you go home.

After Surgery

You are usually able to return home the same or next day. Before you leave the hospital, a post-operative appointment with the surgeon will be arranged for your convenience, so you can return within two weeks.

1. How much time do I have to take off work?

That depends on your work. If it includes physical activity, e.g. as a waitress, you have to take at least a full week off and then start slowly. Otherwise, we recommend taking some days off just to be sure. In every case: Avoid even light duties for at least one week.

2. When can you resume activities like exercising and sport?

Week 1: Not at all. Aerobic activities might cause swelling Week 2: Sports that don’t include vigorous movement (e.g. cycling) can be done After week 2: Everything should be possible again.

3. What other points do I have to consider?

You can’t drive until the third day after surgery. You can’t shower and bath for at least 48 hours after surgery. Wear compression garment day and night for 6 weeks. Avoid hot tubs and saunas for two to three weeks.

Care

After the surgery, it is very important that you follow the aftercare instructions given by Dr Allen Rezai, including specific advice on how to take care of your drains (if applicable).

To prevent blood clots, it’s recommended to start light walking again as soon as possible.

When it comes to scar care, there are a number of techniques that your surgeon may recommend that can aid the healing of your scars following surgery:

  1. Scar massage – starting only after the incision has fully healed and the scab has completely disappeared on its own.
  2. Keep the scars out of the sun and/or use sunscreen to avoid colour differences.

Final Results:

Especially due to multiple sessions, it takes some time until you can see the final results of the surgery. After each session, pain relief and compression bandages are recommended for the first 24 to 48 hours. The breasts will feel temporarily over-enlarged, tight and heavy due to post-surgery swelling. Your breasts will be very sensitive and swollen for several weeks, and it may take a few months for them to settle perfectly. During this time your breasts may appear tight, too high or unnaturally round and your nipples may become a little numb or over sensitive for a short while.

4 to 6 weeks after your last surgery, your body should have healed to the extent that you can see the full, permanent results of your breast enlargement and feel well in your new self. However, it can take more than 12 months until everything feels completely settled, depending on the quality of surgery.

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