search for "fat necrosis". It sound like an awful thing but on a small scale it's fine, the cell dies, it's absobed and filtered out. also search for "fat survivle rate on fat transfer", basicaly the fat need blood suply, the body will try to make new blood vains going thought the new fat to keep it alive. The absorbsion of fat stops at around 3 motnhs post op, whatever stays, stays, but cell fats can grow bigger if you gain wheight, or get smaller if you loose weight
I read about stem cells eriched fat transfer that aids in increasing the survival rate if fat transfer. The results i've seen so far looks impressive. Hence the procedure seems promising. Can you plz speak on that?
Fat cells by definition carry stem cells (adipose derived stem cells or ADSCs) so enrichment seems superfluous to me. I imagine technique is far more important than stem cell enrichment.
@@jonathanzelkenmd but they say those stem cells are inactive. Inorder to energize them they add on this solution. Moreover can be helpful for the ones who don't have sufficient fat. Reading one stated that stem cells with prp gives a better result in comparison to the usual ones being used. The pictures that is been circulated having stem cells procedure with fat in breast, are they fake? They've been practising in thailand, europe and perhaps LA
Not saying anything is fake but you must always be wary of what you read, especially if from an individual or small group, even if it is from a scientific journal.
It really worries me the way the injections are done, I've seen they kind of "make space" first in the breast and that is done pushing really hard and moving the canula around the breasts... that cannot be safe, how do you not break everything inside?? Nerves, glands... Can you explain that, please?
The breast is composed of skin, fat, and glandular tissue with ducts that terminate at the nipple. The glandular tissue is very firm and it is difficult to pass a blunt cannula to inject fat into it. When I perform fat transfer, I typically inject into the space between the glands and into the subcutaneous fat. In some cases, I may even inject into the pectoralis muscle for even further augmentation.Blunt fat transfer cannulas are less likely to penetrate through and rupture glandular tissue, skin, nerves, and other important structures. Although this is, of course, possible, it is less likely with modern techniques. Please be sure you choose a board-certified plastic surgeon to do this, as less experienced injectors may not have a similar safety profile.
With such variability in technique, skill, timing, experience, recipient sites, donor sites, and patient factors including weight change, let alone- no way to really measure volumetric change, there’s just no way to predict fat survival. I’ve heard 50% so your source is more generous, and I usually overcorrect accordingly. I’m generally happy with the versatility of fat graft results.
I had hoped to get this done. However, I have a very severe tuberous breast deformity, almost no breast tissue and very dense breast. I am concerned about doing anything that will interfere with a mammogram, so it appears that this is not a good procedure for me either. 😭
Im trans and am looking to do a fat teansfer for top surgery. Im a bigger individual and have i think like a B cup maybe a smidgen more, but since i was bigger before hormones i have a lot of under arm fat to work with. Id like to hit a Dcup but figure even if i dont ill still have years down the road to add to from HRT.
You said you can't guarantee cup size with implants. Surely you misspoke because traditional silicone or saline breast implants ate the only way to guarantee cup size. The size of silicone/saline implants is the size you'll get.
Yes, implants are more predictable but variations in style and sizing by different bra manufacturers and women’s bodies make it difficult, if not impossible to guarantee a particular size.
your fat cells just shrink. so they do get smaller but when you gain weight you will gain weight to were fat is relocated. for example, I got butt fat graft and I lost weight because of excessive exercise, but then I gained it all back as soon as I began overeating and stopped exercising. I also got breast fat graft in one boob and noticed that I gain more fat in that breast then other
What's the maximum amount of fat that can be transferred in one sitting?
WHAT HAPPENS IF THE FAT DIES IN THE BREAST DOES THE BREAST SAG AGAIN WHERE DOES THE FAT GO???
search for "fat necrosis". It sound like an awful thing but on a small scale it's fine, the cell dies, it's absobed and filtered out.
also search for "fat survivle rate on fat transfer", basicaly the fat need blood suply, the body will try to make new blood vains going thought the new fat to keep it alive. The absorbsion of fat stops at around 3 motnhs post op, whatever stays, stays, but cell fats can grow bigger if you gain wheight, or get smaller if you loose weight
I read about stem cells eriched fat transfer that aids in increasing the survival rate if fat transfer. The results i've seen so far looks impressive. Hence the procedure seems promising. Can you plz speak on that?
Fat cells by definition carry stem cells (adipose derived stem cells or ADSCs) so enrichment seems superfluous to me. I imagine technique is far more important than stem cell enrichment.
@@jonathanzelkenmd but they say those stem cells are inactive. Inorder to energize them they add on this solution. Moreover can be helpful for the ones who don't have sufficient fat. Reading one stated that stem cells with prp gives a better result in comparison to the usual ones being used. The pictures that is been circulated having stem cells procedure with fat in breast, are they fake? They've been practising in thailand, europe and perhaps LA
Not saying anything is fake but you must always be wary of what you read, especially if from an individual or small group, even if it is from a scientific journal.
What about a cosmetic diep flap?
To me it seems too risky.
It really worries me the way the injections are done, I've seen they kind of "make space" first in the breast and that is done pushing really hard and moving the canula around the breasts... that cannot be safe, how do you not break everything inside?? Nerves, glands... Can you explain that, please?
The breast is composed of skin, fat, and glandular tissue with ducts that terminate at the nipple. The glandular tissue is very firm and it is difficult to pass a blunt cannula to inject fat into it. When I perform fat transfer, I typically inject into the space between the glands and into the subcutaneous fat. In some cases, I may even inject into the pectoralis muscle for even further augmentation.Blunt fat transfer cannulas are less likely to penetrate through and rupture glandular tissue, skin, nerves, and other important structures. Although this is, of course, possible, it is less likely with modern techniques. Please be sure you choose a board-certified plastic surgeon to do this, as less experienced injectors may not have a similar safety profile.
@@jonathanzelkenmd Thank you!!
I heard that the survival rate of fat transfer is 60% and even can drop for larger volume. Is there any way to increase the survival rate?
With such variability in technique, skill, timing, experience, recipient sites, donor sites, and patient factors including weight change, let alone- no way to really measure volumetric change, there’s just no way to predict fat survival. I’ve heard 50% so your source is more generous, and I usually overcorrect accordingly. I’m generally happy with the versatility of fat graft results.
I had hoped to get this done. However, I have a very severe tuberous breast deformity, almost no breast tissue and very dense breast. I am concerned about doing anything that will interfere with a mammogram, so it appears that this is not a good procedure for me either. 😭
Im trans and am looking to do a fat teansfer for top surgery.
Im a bigger individual and have i think like a B cup maybe a smidgen more, but since i was bigger before hormones i have a lot of under arm fat to work with.
Id like to hit a Dcup but figure even if i dont ill still have years down the road to add to from HRT.
It might take a few operations but it is certainly possible
You said you can't guarantee cup size with implants. Surely you misspoke because traditional silicone or saline breast implants ate the only way to guarantee cup size. The size of silicone/saline implants is the size you'll get.
Yes, implants are more predictable but variations in style and sizing by different bra manufacturers and women’s bodies make it difficult, if not impossible to guarantee a particular size.
What would happen to the breats if a person who's had the procedure done loses weight? Would they be able to retain the extra cup size?
your fat cells just shrink. so they do get smaller but when you gain weight you will gain weight to were fat is relocated. for example, I got butt fat graft and I lost weight because of excessive exercise, but then I gained it all back as soon as I began overeating and stopped exercising. I also got breast fat graft in one boob and noticed that I gain more fat in that breast then other
When the fat does not survive, does that mean that there are dead cells inside the breasts just being stagnant?
Yes, in a sense. Those cells will generally get resorbed by the body's own defense mechanisms.
@@jonathanzelkenmd thank you for the answer. Isn't it dangerous to have stagnant cells just lying around inside someone?
@@pinkwakabeagle inflammatory, yes. Possible source of infection, yes. But not particularly dangerous in the vast majority of cases
@@jonathanzelkenmd thank you for your reply.
I wish there was no music in the video. It’s so annoying.