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New Techniques for Fat-Transfer Breast Augmentation

Ava Lawson | May 28, 2014 | Posted in Breast Augmentation

breast augmentation in new yorkNew research from the Miami Breast Center holds promise for patients seeking breast augmentation or reconstruction with their own fat cells. Traditionally, fat cell transfers from one’s own body were limited due to space constraints. But with a new pre-expansion device tested by ASPS Member Surgeon Dr. Roger K. Khouri and his colleagues, this amount may now be tripled.

“The application of these principles has allowed us to successfully graft mega-volumes of fat into the breasts of more than 1,000 patients with substantial long-term retention,” the research team wrote in a report published in the medical journal of the American Society of Plastic Surgeons (ASPS).

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Brava device allows for pre-expansion of breast

According to the report, more Americans have shown an interest in less-invasive approaches to breast enhancement surgeries, with the aid of autologous fat transfer. By utilizing one’s own excess fat, harvested from the thighs, love handles or abdominal area, silicone or saline breast implants may not be necessary.

Fat transfers have had limited success, however, since surgeons can only inject a small amount without hindering blood flow or jeopardizing the health of fat cells.  With Dr. Khouri’s innovative technique, breast augmentation patients first undergo several weeks of “pre-expansion” with a bra-like system called the Brava that mimics the action of a vacuum with gentle negative pressure.

The device must be worn consistently for at least three full weeks for the best expansion results, says Dr. Khouri, who explains that the Brava creates a fibrovascular scaffold which can then accommodate the newly transferred fat.  To better illustrate the scope of the device’s effects, Khouri says that women who do not use the Brava device can only receive about 80 ml of fat cells, whereas those who do at least three weeks of pre-expansion can be injected with up to 240 ml of fat cells.

Mega-volume autologous fat transfers

The practice of mega-volume autologous fat transfers may shape the future of breast augmentation in New York, as more plastic surgeons adopt the technique using pre-expansion devices like the Brava.  In May 2012, Dr. Khouri and colleagues authored another report that suggested patients who used the Brava pre-expansion system could double their breast size with one outpatient augmentation procedure consisting of no incisions or sutures.

The new tissue bed created by the Brava device is then injected with a “micro-ribbon” of fat cells, in a technique pioneered by Khouri. The thin layer of fat cells is strategically placed within two millimeters of vital blood supply, ensuring the cells survive.

Fat transfer breast augmentation is an increasingly popular option for small-breasted women who desire a moderate boost in size, but want natural-looking results.

Breast augmentation in New York

If you live in Manhattan or the greater NYC area and are thinking about surgery to enhance your bust line, Dr. Thomas Loeb is renowned for his work in breast augmentation. In addition to enhancement procedures with fat transfers and implants, Dr. Loeb also offers breast asymmetry correction and procedures to address inverted nipples.

For more information about breast augmentation or reconstruction in New York, please call our offices to arrange a private breast surgery consultation with Dr. Loeb. You can contact us online or call 347.767.3353.

+ Resources
- Resources
  1. ASPS, Pre-Expansion Technique Allows Successful Mega-Volume Fat Transfer to the Breasts
  2. ASPS, Breast Augmentation,
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