In your opinion, what are the new and exciting developments in breast reconstruction?

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drchrysopoulo (Physician - Surgery - Plastic (Verified) ) - 07 / 15 / 2011

That's a great question.... how long do you have? :)

I am most excited about the possibility of using the patient's own cells (stem cells) to literally grow a new tailor-made breast. Practically speaking this option may be several years away and we obviously need to ensure it is safe. The good news is that research into this is already well underway and showing very promising early results.

The stem cells would be obtained from the patient by liposuction. The stem cells would then be extracted from the suctioned fat and put to work to literally "grow a breast".

Dr C
http://www.PRMA-enhance.com

JoshLevineMD (Physician - Surgery - Plastic (Verified) ) - 07 / 15 / 2011

There are some new options for autologous (patient’s own tissue) breast reconstruction. We have been very excited about a new flap (free tissue transfer) form the posterior thigh, just below the buttock. Some call this area the “banana roll”. It is called the PAP flap (profunda-femoral artery perforator flap), and we have been using it regularly with excellent results. The scar is nicely buried in the lower buttock crease, and there is no distortion of the buttock like that seen in GAP flaps.
Another exciting new option is autologous breast reconstruction done entirely by injecting liposuction fat into the chest skin and muscle. The chest soft tissue is first expanded externally with a suction device called BRAVA. This stretches the tissue over time and provides space for fat injection. The major drawback is that it takes months of expansion, and several operations to get enough volume. The advantage is that there is no need for another scar as in other types of autologous tissue breast reconstruction like the DIEP.
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