The breast is one of the important organs symbolizing femininity. Throughout history, big breasts have been seen as a symbol of femininity and fertility in women. Although many medical and non-medical methods have been found for this purpose, studies are continuing rapidly for a method in accordance with the “replace with like” philosophy, which forms the basis of modern plastic surgery.
Breast consists of mammary gland and adipose tissue in general structure, this amount of fat varies from woman to woman. The consistency of the breast is therefore most similar to the consistency of adipose tissue. This similarity and the abundance of adipose tissue in our body, as well as the development of liposuction and fat injection, have led to the idea of breast augmentation with adipose tissue among plastic surgeons.
However, due to the lack of technique in the first fat transfers, inability to survive, loss in volume and calcification after cell death occurred in the transferred adipose tissues. All these have caused the loss of belief of plastic surgeons in fat transfers. However, for many years, studies have continued to increase the viability of adipose tissue in another body region to which it is transferred. The common point reached; “Although adipose tissue is a tissue with abundant vascularity in the body, when it is transferred from the place where it was taken to another region, cell death occurs very quickly, and most of the cells die until new vascularization is formed to feed it in the transplanted area.” has been. In addition, ischemia-reperfusion injury, which is one of the most interesting subjects of plastic surgery, is inevitable. Since fat cells with large diameters are very sensitive to trauma, the technique used during the period from removal from the body to the injection process also affects the result.
Studies conducted in recent years have shown that adipose tissue is a very rich tissue in terms of stem cells and it is very easy to obtain. Stem cells form new vascularization with the growth factors they secrete. Based on this, we initiated the use of stem cells to prevent the loss of viability of the adipose tissue after the transfer and the decrease in its volume. It was a kind of “supercharge” operation. On the one hand, we preserved the vitality of the fat cells until the transfer stage by using non-traumatic techniques, on the other hand, we increased the vitality after the transfer with stem cells obtained from the adipose tissue.
Stem cells are cells that show characteristics according to their environment. It will continue to see its previous functions in the adipose tissue environment of its origin, to which it was transferred. In other words, it will maximize the success of fat injection by creating both new fat cell formation and new vascularization. Studies on stem cell technology, which is the most interesting subject of today’s medicine, continue at full speed. Stem cells are now being used in fat injection, which is one of the most popular subjects of plastic surgery. Fat injection is the removal of your own fat tissue from your body by liposuction (fat suction) method, and then it is transferred to the area of your body where you want to rejuvenate, subject to a number of special procedures. With fat injection, excellent results can be obtained in appropriate cases and if good technique is used. As a matter of fact, it does not carry any allergic risk because it is your own tissue, and besides the volume effect it provides, its consistency is the same as your subcutaneous tissue, making fat injection superior to other methods.
Fat injection into the breast
