Found this thread really interesting. I am seeing my consultant next week and she has suggested that she refers me for lipo fill to even out the dent I have after wle.
Great news. Had my first follow up appointment today and raised the subject with my surgeon. My hospital do the lipo-fill and as it appears the implant still leaves my boob a bit smaller they will have to do something to bring it up to the level of the other and that is the easiest solution. Alas I have to wait about 6 months for everything to heal and settle properly.
My hospital hasn't got the equipment, the surgeon gets a company with the equipment in when he has a list of patients to do. Apparently there are a number of companies now offering different methods and equipment according which method is used. I was on my way to theatre yesterday when the equipment the surgeon had bought in this time failed and the op was cancelled. Your BC surgeon should be able to tell you who does the lipofill procedure or send me a PM and I can let you know the name of my onco plastic surgeon.
Does anyone know if there are other hospitals now offering this stem cell type of lipofilling? I'm in the Manchester area and there don't seem to be any around here that do it, either privately or NHS.
Any info would be gratefully received.
According to a thread on "Lipofill in York" last year, and a reply I got from Jo51PPP, the stem cell enriched version of lipofill is undergoing trials at 4 NHS hospitals:
The Royal Free Hospital, London
Glasgow Royal Infirmary
Singleton Hospital, Swansea, and
North Tees & Hartlepool, Stockton
I believe NICE will be reviewing the outcome of this for suitability for wider availability in the NHS. The limiting factor at this stage is probably that it needs specialist equipment to do the stem cell extraction. I am pursuing this with my breast surgeon to see if I can get this done myself, but haven't got an answer yet.
Hi zibzab. St Georges is a large teaching hospital and I found that they are quite up to date on latest developments. It wouldn't be surprised if they did this procedure. My surgeon was very cautious as I am disabled due to a spinal injury and I have very mild Type 2 Diabetes (hereditary). He has now seen for himself that I recover extremely quickly from operations and I already know that I will need no further treatment. No chemo, no radiotherapy. So he may now be more open to that fat cell recon on me. Will keep you posted.
I am also looking for same thing in England. But I still did not find doctor who has enough knowledge and experience. Can anybody help?
Hi all. I have been reading this thread with great interest.
I had a left skin saving mastectomy on Nov 3rd with implant put in immediately. Well something seems to have gone wrong there. They either forgot the implant or it is too small or in the wrong place. Will find out next Wednesday when I go for check up.
As a result my boob is now hanging like a deflated balloon. Having read all I can about reconstruction with own fat of which I have to say I got plenty, does anyone know which London hospital is involved in the trials for this. My op was at St Georges Hospital, Tooting and all went really well. I had no pain issues to speak of and the anaesthetic had no after effect on me.
Would love to hear from anyone as I feel I would be the perfect candidate for the trials.
I also prefer to do my reconstruction in England, but I did not find any surgeron who did at the least 50-60 the following operations.I am a bit afraid from NHS - they are so slow. I never saw so slow health sistem. If we compare with other similar sistems. For example - I had problems with my hand I could not anymore lift up. Seems limphodema pressed a nerve. Its happen on June. I got the letter just today. And they put the same day when I must to do gynecologcal surgery. Seems like this left hand does not know what is doing the right hand. What do you think about any responsibility? My friend who did reconstruction with own fat in Latvia got doctor's mobile, she can to make conection in any time without secretaries and any intermediaries.I could not to catch secretary to be change my an appoitment. Before surgery she signed the paper about complications, doctors responsibilities, patients responsibilities and where she can to send any complains in case if hapen something wrong. In UK I always signed just paper about complications.This paper is not going to protect patients.This will protect only doctors. What do you think about? Our people used to do everything in same country moustly of them spend all the life in same place for this we sometimes dont know anything more.
Zibzab, good luck with your reconstruction. It's probably worth pointing out the Brava (US) is not a fully approved FDA device and an external expander Bra System. The NiCE guidelines for lipomodelling in the NHS are in the process of being finalised but the recommendations are online on the Nice website, they recommend only fully trained onco plastic surgeons to carry out the procedure in cases of breast cancer reconstruction, I think most women would think very carefully about paying private for going abroad for unregulated procedures, who would be responsible in cases of post surgical complications and long term follow up?
More UK surgeons are training and more patients are being treated with lipomodelling I am sure it will become a widely available procedure in due course.
There are many different ways to do this, but the basis for all is the same. Maiami doctor sed for my breast(I had mastectomy) need 3-4 injections ( this mean 3-4 surgeries.)In Germany and in Baltic States also they are growing up completely new breast. It is wery big diference between prices in Baltic States (Latvia), Germany and USA. Cheapest one is in Latvia, but this doctor just did 40 operations. Every one has been successful. But anyway it is not wery big expierence. Cone has the same function as tissue expanders. Tissue stretching only from the outside. There are cases when it makes after the fat injections, but more often before, and keep it the all time until procedure completion. It helps to keep the breast shape. Of course I am not very competent in this, but I just listened what is speaking my husband with his colleges. I would like to do this. Could be next year NHS also will cover full reconstruction with own fat. I will see. If no I will try to do this in Latvia.Many people are doing teeths in this country for less money and much beter then I did in the UK. Could be that with reconstruction is the same. Just need to keep opened ears and eyes.
The USA version is rebuilding a completely new breast (no muscle/fat flaps/implants) after an MX entirely from body fat after wearing a cone to stretch the skin. It's an entirely different method to the lipofill/graft procedure offered post reconstruction in the UK/NHS where the liposuction fat aspirated is centrifuged and the treated fat is injected into a reconstructed breast or post lumpectomy breast to correct dents or smaller size issues. I am due my third round of lipofill next week, previous attempts have re-absorbed, which is the downside but doesn't happen to all patients. There are many different ways to treat the fat before reinjection, this time, mine will be sieved!
I have been offered this by my surgeon (cornwall?). I've a few bits of info. to add to this discussion but I think its still new.
He wants to do one fat transfer before doing the strattice and implant. But he also said theres an option of not doing the implant and just continuing to build the breast using fat. He said it would be 5 operations and there was a theoretical risk of the stem cells causing cancer to grow. But studies have not shown this. He said each procedure was an overnight stay with about 2 weeks off work. They say the strattice is about 6-12 weeks off work. I am considering it and I'm going back next week.
Let us know how you are all getting on.
First who started to do this is doctor from Maiami.It is the latest method, but he is doing this about 20 years.
http://www.miamibreastcenter.com/reconstruction/before-after-photos.html -Still wery expensive. I found a country in which it can be done for 3000 pounds.They are doing all breast. I would like to know is it possible to do this in England and is it for free like other reconstruction methods.
Hello again ladies!
I've had my first saline injection and have got about half a breast recon now. Can't wear my prosthesis as it makes my half breast look too big. Yes my surgeon has offered me a tummy tuck after he's finished the lipo. Apparantly I have atleast two more ops to go and the fat he's moved from my tummy and behind has stayed put which is great.
Good luck to all of you going through this procedure.
Hi, My dil's Aunt is very slim so couldn't have the tummy one! but she has just had a reconstruction taken from her thigh!
Hi all - just a quick update from me as It's now a few days after my first fat transfer op. I also had my expander implants removed so I've gone from very high rock hard B cup implants to being almost flat chested which is a bit of a shock so for anyone looking to do this then be prepared that it is very much a multi-stage process.
My fat was taken from my thighs so they are very sore and bruised now. I cannot tell yet how they will look as they are swollen and they were pumped full of fluid during the op. My breasts have some fat at the bottom of them but are otherwise very flat. As I understand it, only a little at s time can added so that the fat doesn't die. At the moment I cannot wear a bra and that will be the case for a couple of weeks. After that I'll need to get some softies until the next op (surgeon is saying about four months between ops).
The op was 2hours so after the 8 hour bilateral mastectomy it was a complete breeze. I did stay overnight as I was doing this privately but often this is a day case when done on the NHS.
So initial thoughts are that this isn't the quick answer but assuming this fat stays in place it will be the right solution for me - I'm 39 so intend to be around for a while yet! I expect I may need some sort of implant to get the volume but we can decide that later.
Good luck to everyone else with their reconstruction.
HI,I'm due to see a p.surgeon on Monday to discuss options for reconstruction, I'm too thin for the tummy job, and may be able to have the flap one. Wondered if anyone has actually had the lipo remodelling? Thanks for useful info I now have more ideas about what to ask. Anyone with any experience of lipo-remodelling please share them.
after having 25 trips for raido therpy i asked about reconstruction but as i didnt have any spare fat they said no way, after 4years of cancer hell and i mean hell, a bcn said why dont i ask the sergon again but by the time i saw him i have now got breast cancer on my chest wall.
my sergon also said that he did not expect to see me walk out of the hospital after 3BIG opps in 3months and 5 BIG opps in 10 months altogether
im realy sorry about my spelling i hate not being able to spell
I was really interested to read this thread as I've started down this route now, having had an initial appointment on Weds to discuss this with the plastic surgeon, although where I am there is a huge waiting list. I will have to wait 6 months anyway, having only just finished radiotherapy - my skin is really tight so that's fine with me. I like the idea of no scars and minimal invasiveness but a little worried about saggy flesh after fat has been removed, which I gather is a possibility and cannot be reversed through exercise or diet. However, it's useful to know that a tummy tuck might be possible afterwards - did your surgeon say that to you, Sabraan? One thing I forgot to ask was what the implications for work are. Does anyone know what sort of time off is needed after each part of the process? I'm a teacher so I'm trying to give my headteacher some indication of what cover might be needed. Would love to hear from anyone on this point.
Thanks for all the useful posts so far.
Hello again all! 🙂
I've been for my first app for fluid injection to my expander (50mls in addition to the 100mls put in on insertion) and the nurse said it all looks very good and soft. So far none of the fat inserted has dissipated which can happen. The places from which fat has been removed from are slightly slacker in tone but my surgeon says this is to be expected. And I can have a tummy tuck when the whole process finished if needed. So fingers crossed things continue to go well.
All the best to everyone.
Thanks for this thread as I was looking for others you have been through this. I had a double mastectomy in Jan with expander implants. One of the implants has shifted so the chest muscle is all out of kilter and so have been recommended fat transfer. I was an A cup but am looking to be a B cup by the end of this. My surgeon appears to be one of the few offering this for mastectomy patients so was struggling to find more info.
He hasn't mentioned the stem fat to me, but I'm guessing that's what I'm getting as it's being described as a new treatment. Good to hear that there are some success stories out there. I'm also interested in hearing how the fat harvest site looks afterwards (I put on a stone whilst not being able to run during my treatment so I absolutely see this as a bonus to remove the fat I gained as a direct result of getting cancer).
Keep your stories and experiences coming. And I'm now going to find out if I need to get compression underwear as that hasn't been talked about either.
I'm in the middle of reconstruction using this method. Have had two lots of fat transfered to my masectomy area and also had an expander put in with the second lot last week. Still feeling sore and the op took nearly two hours so that amount of anaesthetic knocked me for six.
I'm seeing the surgeon this Friday so I'm hoping he'll be pleased. Apparantly the first lot of fat (180mls to be precise!) he moved stayed in place which is a good sign. And luckily I don't have very large breasts and have plenty of fat - I knew all that chocolate was going to a good cause! 🙂
HI Rosie Jo
Just been back for my appointment today with ps. I am having skin, muscle and tissue taken from my back as in LD flap as I don't have the excess skin anywhere near mx site, this will 'fill up' the void left by mx, during this op they will transfer fat from inner thighs and pump up the hollow breast. I will be left for about 6 months then will have between 3-4 fat injections from thighs bum wherever there is more of it.
As I'm a D cup good side, the reconstruction might not get to that cup size so it will be a reduction on the good side once the size has been established.
Big op to begin with but no implants required.
Hope this is of help to you.
There was a thread on this subject a while ago - I'm interested in it myself because I think I may need this kind of treatment in the next year or so. I'll see if I can find the thread and bump it up for you. I think there are only 4 or 5 hospitals in the UK that can do this type of lipofill.
Hi Rosie Jo
I'm going tomorrow to get a date for my op and I think it's the same op as you are writing about.
I am having a stem cell procedure whereby they take fat from another part of your body and transfer it to the breast area done in a similar way to liposuction. I am slim so have been told due to the way my mastectomy was carried out there is not enough flesh to house the new cells so I am having skin grafted from my back and relocated to the breast and in the same op cells removed from possibly my thights and put into the breast. After the initial op, I will have about 3-4 minor ops to get more cells into the breast. Over approx 12 months they should grow and fill out to create a breast.
I will probs have to have the 'good' side reduced as I'm a D cup and don't think they'll get that much fat from me to create a matching pair!!
Is this what you are thinking about?
I had a mastectomy a year ago and have an appointment to discuss reconstruction next month. I've been sent a booklet with a description of all possible procedures with - as you say - the latest being lipo-filling.
I fully intend to ask my surgeon if it may be possible for me, because I'm very flat chested. I have decided that I don't want a procedure that compromises another part of my body too much. It was suggested I might want the muscle from my back flipped round but I really don't!!
Where is your fat coming from, if you don't mind me asking? I don't have anything spare on my tummy but I wouldn't mind losing a bit of thigh 🙂
Sorry I can't give you any info, just someone to compare notes with. xxx Jane
Sure will!! I will let you know all the details....Waiting on an all clear first so may be in a few months!! xx
It is only Liposuction, they are not taking any muscle or other tissue....It's a very new procedure. They take the body fat put it into a machine to separate the fat from the fat stem cells, then inject it into the breast. They do this all at the same time. I had a lumpectomy 2 years ago and was left with half a breast, most of my skin is tight to my chest wall & my surgeon says it's a really rather good way to reconstruct!! I don't think many people have had it done yet then....Begining to think I may be a guinea pig!
Thank you for your replies, big hugs to you both xxx
Hi Rosie - are you having a mastectomy or WLE? reason for asking is sometimes with WLE they do gap filling (or dent filling) with lipo - but I have not heard of lipo being used for a whole boob, although that may be a new procedure?
Are you sure he means liposuction and not a tram or diep flap that uses the fat, skin and (sometimes) muscle from your tummy?
My surgeon has asked me if I'd like reconstruction using my own body fat, which sounds great though liposuction sounds a little scary. I only know one person who has had this new procedure but would like to know if anyone else has had it to get a balenced idea. If you did, are you happy with it & how long did it take to recover?? In two minds at the moment!