Our Summary

Breast reconstruction and enhancement surgeries are quite common, but the techniques currently used often involve silicone implants that can lead to complications, sometimes requiring additional surgeries. Lipofilling, a process where fat is transferred from one part of the body to another, is another method, but it often results in significant loss of volume over time.

Researchers are now exploring a different approach - breast tissue engineering. This involves using the patient’s own stem cells on a scaffold (a structure used to support the growth of new tissue) to create new breast tissue. However, this technique is currently expensive and not widely available.

This paper reviews the latest advancements in this field of breast tissue engineering and discusses future possibilities. This could potentially provide a new, safer option for those seeking breast reconstruction or augmentation.

FAQs

  1. What are the current methods of breast reconstruction and augmentation?
  2. What limitations are there in the current methods of breast augmentation?
  3. What is the new approach to breast tissue engineering being investigated?

Doctor’s Tip

A doctor may advise a patient considering breast augmentation to thoroughly research different options and techniques available, including traditional silicone implants, lipofilling, and emerging tissue engineering approaches. It is important for patients to have a clear understanding of the potential risks and benefits of each option, as well as realistic expectations for the outcome. Additionally, patients should seek out a board-certified plastic surgeon with experience in the specific procedure they are interested in to ensure the best possible results. Regular follow-up appointments and monitoring are also essential to ensure the long-term success and safety of the procedure.

Suitable For

Patients who are typically recommended for breast augmentation include:

  1. Women who have undergone mastectomy for breast cancer and are seeking breast reconstruction.
  2. Women who have asymmetrical breasts and want to achieve a more balanced and proportionate appearance.
  3. Women who have lost breast volume due to aging, weight loss, or pregnancy and want to restore fullness and shape.
  4. Women who are unhappy with the size or shape of their breasts and want to increase their confidence and self-esteem.

It is important for patients considering breast augmentation to consult with a qualified plastic surgeon to discuss their goals, expectations, and any potential risks or complications associated with the procedure.

Timeline

Before breast augmentation:

  1. Consultation with a plastic surgeon to discuss goals and options
  2. Preoperative assessments and tests to ensure suitability for surgery
  3. Selection of implant type, size, and placement
  4. Surgical procedure to insert implants
  5. Recovery period with postoperative care and follow-up appointments

After breast augmentation:

  1. Initial swelling, bruising, and discomfort after surgery
  2. Gradual healing and reduction of swelling over the following weeks
  3. Follow-up appointments with the surgeon to monitor progress and address any concerns
  4. Resumption of normal activities and exercise after a few weeks
  5. Long-term monitoring for any complications or changes in the implants
  6. Potential need for revision surgery in the future due to complications or changes in aesthetic preferences.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with breast augmentation surgery?
  2. What type of implants are available and which would be most suitable for me?
  3. How long is the recovery period after breast augmentation surgery?
  4. Will I need any additional surgeries or procedures in the future?
  5. What are the expected results of the surgery, and are there any limitations to what can be achieved?
  6. How long will the results of the surgery last?
  7. How will breast augmentation surgery affect breastfeeding, mammograms, and future screenings?
  8. Are there any alternative options to breast augmentation that I should consider?
  9. What is the cost of breast augmentation surgery and are there any financing options available?
  10. Can you provide before and after photos of previous patients who have undergone breast augmentation surgery?

Reference

Authors: Visscher LE, Cheng M, Chhaya M, Hintz ML, Schantz JT, Tran P, Ung O, Wong C, Hutmacher DW. Journal: Tissue Eng Part B Rev. 2017 Jun;23(3):281-293. doi: 10.1089/ten.TEB.2016.0303. Epub 2017 May 4. PMID: 28437235