Some time ago Macrolane was presented in the media as a new method of breast augmentation without using silicone. Since breast augmentations without silicon are one of my specialties, I wish to make a few additional comments:
Since silicone implants have a number of serious drawbacks, alternatives are always welcome. In the case of using Macrolane for the enlargement, hyaluronic acid is injected into the breast. Hyaluronic acid has been used for years in cosmetic medicine for injection into lips, but has – as is also often cited – the disadvantage that it is completely metabolized after only one to one and a half years. Therefore, regular re-applications are required if the result is to be preserved.
In the case of breast enlargement, the hyaluronic acid is injected in to the breast tissue through small incisions underneath the breast in ‘nut-sized’ depots. This means that by every re-application, additional incisions must be made, which of course leave some visible scars, and the ‘nut-sized’ depots can be felt in the breasts as hard lumps.
Concerning the cost of the procedure: the manufacturer of Macrolane, Qmed, charges doctors € 350 for 10 ml of the Macrolane material. Therefore it is easy to calculate that the price of a relatively standard 200 ml per side enlargement will be some € 14,000 plus surgeon’s fees.
Instead of silicone and hyaluronic acid, it is now possible to perform breast augmentations using stem cell-enriched autologous fat. Several clinical studies from Japan and the U.S. have now confirmed that stem cell-enriched autologous fat provides an ideal, durable and non-hazardous filler material for breast reconstruction after surgery, as well as for cosmetic breast augmentation.
This process is expensive, but yields the best possible results. Firstly breasts enlarged using the autologous stem cell method look completely natural in any position and in motion and also feel natural, because the injected stem cells form real living fat tissue. Lastly, this method leaves no visible scars.
DDr. Heinrich, MD