Guest guest Posted May 29, 2009 Report Share Posted May 29, 2009 Hello everyone, it's me, , I would love to explain to Jordan the procedure and answer all of your curiosity. As some of you know, my subspecialty is liposuction & fat grafting / transplant. Yes, the technique is more popular here in Asia. In the Philippines, where I am from, I think I am only one of less than 10 doctors in the whole country performing it. I got my training from Australian, Korean, and Chinese professors when I was in Hong Kong (the seat of the best cosmetic surgery training in Asia). The procedure is not actually that complex. It is a really new procedure, but since I am one of the very first ones trained, I have had the pleasure of doing this procedure for almost two years now and I have had very good results. My youngest patient was around 14 years of age, she had a huge breast mass on the left breast, everyone suggested a removal of the breast, but I suggested otherwise. We removed the mass and I harvested fat from her abs (even though she didn't have that much fat) and transplanted it to her breast.The procedure is not that lengthy, usually the time consuming part is processing the harvested fat (cleaning, purifying, and concentrating) in order to make the maximum viability of the transplant. The secret is actually on how we process the fat cells.The transplant per se is easy, we use a large bore needle (Gauge 12 or 14) or a fine liposuction cannula (2-3mm) to inject the sterile processed fat.The results are more natural-looking, which means no one will know since there are no visible scars. The puncture wounds heal in around 2days, and disappear in a week. They are all natural, and without fear of haunting you in the future.As for the pain, I only use general anesthesia per patient request (but I discourage this since the danger is actually more on the general anesthesia rather than on the procedure itself), usually I only use local anesthesia and the patient is fully awake. You might be wondering how it feels? According to awake patients, while harvesting the fat from the thighs, they feel as if they're wearing tight fit jeans and that I was just getting some keys on their pockets.The local anesthetic remains on the area for 3-4days, and makes the whole experience pain free. We only give tylenol after the procedure.After transplant, we instruct the patients to massage the breasts in order to improve circulation and promote hormone production to support the growing fat cells.In older patients, we inject the other grafts on the cheeks and other areas that need volume.As for the price, it depends on where you will have it done, your choice of the place and the surgeon.Here in the Philippines, it's not as steep, the range is from US$ 4,000 to 10,000 depending on the number of areas to be harvested. Like if the patient wants the fat to come from the arms, abs and thighs, because usually we just get it from one area.For my one Australian patient, I arranged a paradise tour for her while she was recovering. By the way, for that patient, I did a ruptured saline explantation with capsulectomy, and augmented with fat on a different level. Some people call it Medical Tourism, patients get their dental work done also, LASIK surgery for eyeglass removal, etc, while they are here and even get a tour at a fraction of the cost of having it done elsewhere.We use the same machines as in the US, by the way and our hospital operating rooms are at par with international standards.Anyway, Jordan, you decide, you weigh everything and the advise of everyone you can ask. Of course, I would tell you that getting saline implants would be the wrong decision.Also, with fat grafting, it is a skilled procedure, so you should be aware of the experience and the training of your surgeon. Should any of you have any further questions, do just ask, I'd be glad to share any info I can.* This topic got me excited, because I love doing the procedure, and it makes me feel happy that my subspecialty is not causing harm to patients.From: Beth <bethlakey@...>Subject: Gayle,: new here... fat transfer? Date: Thursday, May 28, 2009, 10:30 PM I've heard that Dr. 's technique has been less successful, Patty might know more. I think they are doing a lot of research and followup in Japan. The women have gained about 1 1/2 cup size per treatment. You would have to have enough fat for the liposuction part of the treatment. Someone told me the procedure is in Great Britain now for breast cancer patients. I would think it would be in the US maybe next year or so. I think it's worth checking into versus implants. Also the patient would probably need breast MRIs after the procedure, since the additional fat may obscure regular mammograms. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2009 Report Share Posted June 1, 2009 Dr. Tan, Have you seen this clinic in Japan that does fat transfer differently? http://www.cellport.jp/english/bust/ It is supposed to be better....your thoughts? Patty > > From: Beth <bethlakey@...> > Subject: Gayle,: new here... fat transfer? > > Date: Thursday, May 28, 2009, 10:30 PM > > > > > > > > > > > > > > > > > > > > > > > > > I've heard that Dr. 's technique has been less successful, Patty might know more. I think they are doing a lot of research and followup in Japan. The women have gained about 1 1/2 cup size per treatment. You would have to have enough fat for the liposuction part of the treatment. Someone told me the procedure is in Great Britain now for breast cancer patients. I would think it would be in the US maybe next year or so. I think it's worth checking into versus implants. Also the patient would probably need breast MRIs after the procedure, since the additional fat may obscure regular mammograms. > Quote Link to comment Share on other sites More sharing options...
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