Archive for March, 2010

Autologous tissue is safer than silicone and more durable than Macrolane!

Saturday, March 27th, 2010

In addition to being foreign objects and looking unnatural, silicone implants have several other serious disadvantages: Did you know that women with silicone implants often have pains for years if they go swimming in cool water or take cold showers? Visible scars are unavoidable with implants, and worst of all the breast wears out after a few years from the weight of the implant, requiring breast tightening operations with implant replacement. At the present time no doctor knows what effect the minute amounts of silicone released from the implant over decades may have on the body. Even if there is no proof that it causes cancer or may be toxic, caution is advisable! Autologous tissue is safer than foreign objects!

With Macrolane, hyaluronic acid is injected in nut-sized deposits through small incisions below the breast. This means that new incisions have to be made for each new injection, which obviously leave visible scars. The nut-sized deposits can be felt as hard spots in the breasts, hence Macrolane is not suitable for every breast.

As to the cost of the procedure: With the manufacturer, Qmed, charging doctors € 350 (!) for 10 ml of Macrolane, it is easy to calculate that the price for a standard augmentation of 200 ml per side would be ca. € 14,000, plus surgeon’s fees, anesthesiologist’s fees, operating room fees, etc. Who wants to pay that much every 2 years?

The New Cosmetic Surgery, which I advocate and for which patients come to me in Vienna from all over the world, even Beverly Hills, spares women undergoing breast and facial procedures from scalpels, plastic, and silicone and means a considerable improvement of health and quality of life!

No medical procedure is entirely risk-free, but any women can intuitively see that there is more potential danger from a foreign object than from autologous tissue.

Gentle breast augmentation with stem cell-enriched autologous fat is an alternative to silicone and hyaluronic acid: Clinical studies from Japan and the USA have since shown that stem cell-enriched autologous fat is an ideal, durable, and safe filler material not only for breast reconstruction, for exmple after cancer operations, but also for cosmetic breast augmentation!

Among the several thousand patients worldwide treated thus far, not a single case of “tissue proliferation” or “non-healing” has been documented, as is sometimes postulated without study results to back it up. It sounds suspicious that these “risks” are merely defensive statements on the part of those plastic surgeons who know nothing of the stem cell method and see it as a threat to their “quick incision” (operation time for silicone implants: 15 minutes) business.

This procedure is very time consuming and hence does not allow the surgeon a “quick incision.” Nevertheless, it produces the best possible results for the patient – the autologous stem cell-augmented breasts look and feel completely natural in any position and in movement because living fat tissue develops from the injected stem cells. This method leaves no visible scars.

Heinrich, MD

Silicone “careers” and the consequences

Saturday, March 6th, 2010

I was recently consulted by a patient whose breasts were worn and stretched out of shape after several implants, and she was suffering as a result. As by their very nature the implants covered very few soft parts and their weight had caused her breasts to stretch more and more, increasingly larger implants were needed after the initial implants, which made the thinning and stretching problem worse.

This is a constantly recurring problem with silicone implants. Just a few days ago the director of a German clinic contacted me regarding a similar case. He asked me whether stem cell-enriched autologous fat transfer could help here.

Implants are obviously always palpable, in most cases also visible, and they stretch the breast tissue; it is necessary to explain to every patient that after a few years implants need to be replaced for the sake of appearance because of stretching of the breast tissue, and that follow-up operations must therefore be reckoned with. This means that if one doesn’t want oversized, soccer ball-like breasts, they must be tightened by reduction surgery in order to make them (restore them to) a reasonable size.

I believe that after surgical tightening there are two options for achieving a better appearance:

Breast augmentation using only stem cell-enriched autologous fat. Obviously the augmentation won’t be as impressive, but it will look a lot more natural. This would be the way to go if the patient is generally unhappy with her implants and wants to get rid of them at all costs.

Inserting new implants and attempting to fill out/round out the edges of the implants as well as the subcutaneous tissue in the breast/chest region with stem cell-enriched autologous fat. The augmentation by the implant is maintained without having to displace as much volume.

Because the only way to solve the problem of further tissue stretching by the implant is to refrain from more implants, I prefer the first option, even though the augmentation is less striking than with silicone. However, the breasts stay in shape and the patient can enjoy them for years to come without having to plan on expensive follow-up operations that are fraught with complications.

Shouldn’t silicone implants be dispensed with altogether? That is precisely the question.

Heinrich, MD