I was recently consulted by a patient whose breasts were worn and stretched out of shape after several implants, and she was suffering as a result. As by their very nature the implants covered very few soft parts and their weight had caused her breasts to stretch more and more, increasingly larger implants were needed after the initial implants, which made the thinning and stretching problem worse.
This is a constantly recurring problem with silicone implants. Just a few days ago the director of a German clinic contacted me regarding a similar case. He asked me whether stem cell-enriched autologous fat transfer could help here.
Implants are obviously always palpable, in most cases also visible, and they stretch the breast tissue; it is necessary to explain to every patient that after a few years implants need to be replaced for the sake of appearance because of stretching of the breast tissue, and that follow-up operations must therefore be reckoned with. This means that if one doesn’t want oversized, soccer ball-like breasts, they must be tightened by reduction surgery in order to make them (restore them to) a reasonable size.
I believe that after surgical tightening there are two options for achieving a better appearance:
Breast augmentation using only stem cell-enriched autologous fat. Obviously the augmentation won’t be as impressive, but it will look a lot more natural. This would be the way to go if the patient is generally unhappy with her implants and wants to get rid of them at all costs.
Inserting new implants and attempting to fill out/round out the edges of the implants as well as the subcutaneous tissue in the breast/chest region with stem cell-enriched autologous fat. The augmentation by the implant is maintained without having to displace as much volume.
Because the only way to solve the problem of further tissue stretching by the implant is to refrain from more implants, I prefer the first option, even though the augmentation is less striking than with silicone. However, the breasts stay in shape and the patient can enjoy them for years to come without having to plan on expensive follow-up operations that are fraught with complications.
Shouldn’t silicone implants be dispensed with altogether? That is precisely the question.
DDr. Heinrich, MD
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I have to ask- could someone in this situation, or someone who needs larger breasts due to work in the adult industry, undergo multiple autologous fat implants, perhaps every 6-10 months, until the larger size is achieved?
I\’m in the adult industry and I have a DD/D cup and was thinking of something to even myself out, but being a bio-science nerd I was absolutely hoping that stem cell technologies would get there before I decided to do anything about it. Since I\’m the only girl who reads medical or science journals at work, I have had a few people ask me about alternatives to silicone. Would that sort of thing be possible?
Yes, this would be possible if the fat deposits are large enough.
Best regards,
DDr. Heinrich, MD