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Breast Enhancement With Fat: Pros and Cons
Date:5/2/2008

ppearing reshaped breast in which telltale signs of implants and surgery are absent - the resultant breast is completely fluid and natural appearing."

However, long-term safety and efficacy data, and the effect of the procedure on breast cancer screening using mammography, is still being evaluated in clinical studies. Concerns about fat grafting for breast enhancement include typically low survival rates of the transferred cells (which are frequently absorbed by the body), development of cysts, calcification and tissue scarring, as well as long-term problems with breast cancer detection due to difficulties distinguishing mammographically between calcifications associated with breast cancer and calcifications associated with fat transfer. This procedure offers mostly a one cup size enlargement and the degree of enlargement will depend on the amount of spare fat that the patient has.

Numerous questions remain about this new technique: How much of the fat survives? Does the procedure have to be repeated? Are the breasts hard and uncomfortable for long periods after the procedure? Perhaps most importantly, what are the cancer implications of this technique?

"It is clear that autologous fat transfer around the breast or to create a breast is effective," said Scott Spear, MD, a plastic surgeon from Washington, DC, who is conducting a Georgetown University research project, funded by the Aesthetic Surgery Education and Research Foundation (ASERF), to determine the safety and efficacy of breast enhancement with fat. "However, what still needs to be determined are the more intricate details - technique and placement of the fat tissue, who should receive this transfer, when it is appropriate, and whether it is safe to be done at all."

"Breast enhancement with fat is still a relatively new technique, and we continue to evaluate this procedure. We are still collecting long-term safety and efficacy data. However, results from a recent study by
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SOURCE American Society for Aesthetic Plastic Surgery
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