breast augmentation stem cells before and after

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breast augmentation stem cells before and after

breast reconstruction is different than cosmeticbreast augmentation. essentially there are basically two differenttypes of breast reconstructions that we do. there are the implant types of surgeries,which i think most people are fairly familiar with, because we also use the same implantsfor cosmetic surgery to make breasts larger. but the same implants can be used to makea breast after a mastectomy, which is removal of the entire breast. the ones that people tend to be less familiarwith are the flap surgeries, which means taking tissue from one part of the body and makinga breast. and this piece of flap tissue can come from any part of the body and be madeinto a breast mound after or during a mastectomy.

the most common thing we take it from is theabdomen. so, this skin and fat is literally transplantedfrom the abdomen. and we use blood vessels up around the breast bone and reconnect them,just like a transplant. and since the blood vessels are small, we use an operating roommicroscope that we have and connect those blood vessels with small sutures - these suturesare finer than the hair on your head. and the whole process takes about five hours toperform. that fat is now up by the chest area and it looks and feels like a breast and it’sliving tissue. there are additional touch-up procedures thatcan be performed, such as a nipple reconstruction. it’s almost surgical origami, taking theskin from the breast reconstruction and folding

it into a small nub that essentially lookslike a nipple and then a tattoo can restore the color of the nipple. over the years, when breast reconstructionwas being performed, there were concerns about how breast reconstruction might affect cancercoming back. and the answer is, is that it has no effect on breast cancer recurrence,and in some cases, some surgeons believe that a breast reconstruction oftentimes can help people find breast cancer. i’ve seen a long history of breast reconstructionsince the ‘90s, and how it’s changed and gotten better. i think what has changed for us is we havebetter tools: better instruments and sutures.

we have better microscopes which provide bettermagnification. and i think there’s just a better understanding by surgeons about theblood vessels and the anatomy and greater experience. doing microsurgery has now becomea very routine procedure for many, many surgeons. for the future, over the next 5 to 10 years,i think there’ll be increased advances in implant technology. so, better, safer implants. in the further future, maybe 15, 20 yearsfrom now, i think, many people have talked about the use of stem cells and tissue engineering.specifically, there are surgeons who can take the fat cells from your body and grow it ina petri dish into a breast. that has yet to be done in a human patient in the united states,

but that’s something that, of course, all of us imagine in the future.

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