Has anyone had micro fat grafting?

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  • corian68
    corian68 Member Posts: 168
    edited June 2011

    My Mother has just had her second round of grafting to fill a divot in the clevage area. it has not worked  yet but I guess it can take a few times for the fat to ' stick'. she will go in for a 3rd soon. Dr says this time they can do it under local so it's minimally invasive. :)

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2011

    corian- Sorry it hasn't worked for your mom.  I wish everyone did the fat grafting the way Dr. Khouri does as so much more fat is retained with his method.  Hope 3rd times a charm for your mom.

    So tonight's the "unveiling" as we're going out with our "gang" to celebrate one of their birthdays.  Then Friday I have my sister's birthday in the afternoon, a friend's retirement party that night and some other friend's son's graduation party Saturday night!  Kind of wish I had more low cut tops!  LOL! 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2011

    lady4law- I just realized I had meant to comment on your post.  You talked about the distortion to the breast when you move your arms.  I had the same thing before my revision.  I think the combination of swapping to a smaller implant (so now the pec muscles aren't as tight) and doing all the fat grafting over the top has made things so much better.  It's not completely gone but just about and I am no longer self conscious about it.  Before I never even wanted to be seen in a bathing suit because you never knew what movement would cause it to flex like that!  I hope your PS can help you, too!

  • MsBliss
    MsBliss Member Posts: 536
    edited June 2011

    leeinfl:

    breast cancer prone breasts, not breast prone breasts, but in any case, I have not had my breasts removed....I've had two lumpectomies and no rads, so I guess I meant the question to apply to those cases like mine wherein there is still plenty of potential trouble "a brewing".  

    I was ready to go ahead with implants, but the microfat procedure looks like the future to me.  I think it is a brilliant alternative.  I have to read through the 30 pages like you suggested.

  • MBJ
    MBJ Member Posts: 4,352
    edited June 2011

    MsBliss:  Hi there!  Haven't seen you post in awhile.  Does this mean you have decided on an MX?  The new FG procedure with the BRAVA is very exciting!

  • leeinfl
    leeinfl Member Posts: 317
    edited June 2011

    MsBliss - let's hope no more trouble for you!!! I know someone who has had lumpectomy defects corrected with fat grafting - she's very happy with the results. Maybe she will chime in...Check out the "still uncomfortable with implants" thread.....even though I still have implants, Dr. Khouri swapped them out for much smaller ones and now I'm very happy. But....I sure wish I never had to have them to begin with! Sorry to have you read all those pages (and now another thread!) but knowledge is power - I wish I had taken the time to do more research before I went ahead with the implants. I had no idea that there was another option......this certainly is the future! 

  • IrishLuck
    IrishLuck Member Posts: 56
    edited June 2011

    Wow, thanks for the warning Kate 33.  I was also assuming the scar would be under or around the nipple as I hear some surgeons are doing.  I will definitely be calling the surgeon to find out the answer to that question.  If he does not do a concealable scar then I will be switching surgeons for sure.  Thanks for the warning.

  • IrishLuck
    IrishLuck Member Posts: 56
    edited June 2011
    Kate 33 I forgot to say I hope all goes well with the unveiling this week.  So nice to hear someone who has gone through this say they"wish I had more low cut tops."  LOL  Have fun!
  • IrishLuck
    IrishLuck Member Posts: 56
    edited June 2011

    Hi LeeinFL, Dr. K's office gave me the name of 3 oncology surgeons and I checked them out online before making an appointment.  Dr. D had the best patient reviews online and on this Board and no malpractice suits, etc., so I went with him.  Now I am wondering if I should meet with one other while I am down there in Florida, just in case I don't like something about his sugical approach.  

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2011

    mtks- I don't know of a PS in Kansas doing Dr K's method. I know he's trained many surgeons. I just don't know how you go about finding them. Have you tried checking on the other site- fatgraftpatients.com? Maybe someone on there knows. It's so frustrating sometimes that we practically have to be detectives to find out our options for recon and who does them.

  • mtks
    mtks Member Posts: 190
    edited June 2011

    Thanks Kate, you are always so supportive!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2011

    mtks- Wow!  You're a night owl just like me!  LOL!  Just wish I could help you find a Dr. K trained PS.  I swear someone could make a living starting a directory of PS's around the country and what their specialties are.  It sure would make it easier for us!  It seems like there is such a lack of information out there.  When I had my NSM I found there were so many women that didn't even know those existed.  Now the same with FG.  I never knew there was such a thing until reading about it on here.  Now I want to tell everyone about it and help them get it if they would benefit from it.  I know for me it has completely changed how I feel about my body.  I'm still sad I had BC and a MX but this has made it much easier for me to accept it.

  • leeinfl
    leeinfl Member Posts: 317
    edited June 2011

    Kate - "I'm still sad I had BC and a MX but this has made it much easier for me to accept it. - Well said!  So true!  I never knew about NSM until it was too late.  I don't know if I would have been a candidate or not, but I never got the chance to find out...How did the unveiling go?  Hope you had a great time with your friends and your new "girls"!  LOL

    IrishLuck - If those are the referrals from Dr. K's office then I'm sure you will be in good hands.  Remember, Dr. K is going in after the other surgeon so he will want to refer someone he knows and trusts to give him a good "field" to work with.  Dr. K is a perfectionist - I'm pretty sure he expects the same from his fellow surgeons.  

  • mtks
    mtks Member Posts: 190
    edited June 2011

    Kate- Yeah, periodically I can't sleep. Just can't shut my brain OFF. Drives myself crazy. I've never had an issue of sleeplessness until BC. There are so many "chapters" in our breast cancer that we have to deal with, it's no wonder our brain is in overdrive. I can't seem to come to peace with my next step-nip/areola/FG. I feel this will be a very important surgery for me to feel better about myself. I just pray it goes well-better then well- great!

  • Just_V
    Just_V Member Posts: 841
    edited June 2011

    mtks - you might try a product called Midnight - works for me..  i know what you mean by "here are so many "chapters" in our breast cancer " - and we have NO table of contents!

  • pixelsupply
    pixelsupply Member Posts: 62
    edited June 2011

    Kate33 - thanks for posting and keeping us informed! It really helps to hear from someone whose been through it. As to the insurance question, I'll look into it further but the doctor that does it here isn't in my network? But after hearing about your ins company covering it, I'll get more info.



    Quick question for those who have had the procedure done, isn't there a difference between just adding fat to an area and what dr. Khouri does? I believe dr. K mixes up the fat with chemicals or other agents that promote fat cell growth and help the fat stay within the breast instead of dissolving into the body. I am asking because my current PS said he would inject fat as well, but I am thinking it's not the same thing. and may be the reason some people have to go back in?

  • leeinfl
    leeinfl Member Posts: 317
    edited June 2011

    Pixelsupply - There is a big difference between traditional fat grafting and what Dr. Khouri has pioneered but it's not chemicals - it's the process itself.  If you go to their website, it is explained in good detail.  Here's some of the main things:  "fat is removed from one area of the body and meticulously injected back as hundreds of tiny individual droplets"  "The fat was separated by sedimentation and diffusely re-injected into the breasts"

    Basically, instead of putting a whole glob of fat, he injects it in very tiny amounts - that's why it survives so much better.  It's been over 8 months since my first fat grafting with Dr. Khouri and I couldn't be happier with what he did.  My breasts are warm, soft, and natural looking.

  • pixelsupply
    pixelsupply Member Posts: 62
    edited June 2011

    Thanks leeinfl. I read it, but your explanation makes it clearer. I'll go back again and read it more thoroughly.



    I also came across this article about another method that is being done in canada and japan. www.wired.com/magazine/2010/10/ff_futureofbreasts



    Hopefully in the future, we will have less need for expensive, painful and invasive surgeries.



  • leeinfl
    leeinfl Member Posts: 317
    edited June 2011

    Just KNOWING about what is out there, would be nice.....thank goodness for on-line forums!

  • MBJ
    MBJ Member Posts: 4,352
    edited June 2011

    There is a huge difference with the micro FG--I had the regular FG.  I think they did the clinical trials for BRAVA and micro FG in Japan with great success.  I remember reading about it over a year ago when I started chemo.  Wish it was standard of treatment here.

  • mtks
    mtks Member Posts: 190
    edited June 2011

    MBJ- Are you glad you had the "regular FG"? Now that you have had the FG done(how long has it been?) This will be my procedure as well. The reg. FG is what my ps does. I have to admit, I am very anxious about it. I want my concerned areas addressed, and this is what he does. Part of me thinks if this will make me feel "whole"again-then I should go for it! The other part tells me, maybe I should hold off until Dr. K's technique is performed in my area.?????????? I hate to wait. I am so wanting to get passed all of this and feel good about myself. Esp. when looking in the mirror and not being reminded of BC!!!!! I could just cry.

    Hearing about your experience has inspired me and has given me hope. Thank you so much for that. You don't realize the impact you make on us that are not able to go the brava route. I am so happy for those that are receiving Dr. K's expertise. I just want to hear how you are doing with it and how you feel about it.

  • mtks
    mtks Member Posts: 190
    edited June 2011

    vhshea-thanks for the tip on midnight. I'll try some.

    I am having my nippple/areola/FG surgery this month so I am going

    to have to stop all supplements soon.

  • mtks
    mtks Member Posts: 190
    edited June 2011

    MBJ- I just ran upon a msg of yours, your surgery for areola was approx. mid march, right?

    Can you elaborate on the surgery.? Mine also will be grafted for the inner thigh.Yicks...........

    Why don't they just take it from the lower(discret) tummy since we are having FG there.Keeping the pain in one area?

    My nipple wil be made at the "mound"(what a lovely term) not sure which star,skate,ect. I will ask at my appt. Did your nipple keep normal projection?

    Funny but not really- I had a dream of cross-eyed areolas.. This tells me how much anxiousness I have.

    Another ?- It's been 3 mnths. I don't have a "fold yet" or obvious drop you might say. I wonder if I am just going to not have up?

  • MBJ
    MBJ Member Posts: 4,352
    edited June 2011

    mtks:  I had a dream right before I had my nipple/areola done that my nipple had an ey like something right out of a sci fi movie, lol.

     You don't have to have the graft taken from your thigh area!  I asked for them to take it from my bikini side area.  Even if I wore a string bikini, you wouldn't see the scar.  It is the one scar that hasn't healed well on me (most of mine are flat and fading) but I didn't want them to take it from my thigh

    As for the drop and fluff, mine took 4 months and they say wait 6 months for nipple/areolas and I had mine done in August at 7 months. 

    I am thrilled with the FG so far and I want more under the areola to make it look real and have more projection, but I wish I could go to Dr. K.  Maybe in 10 years it will be standard.  That's when the implants have to be changed.

  • mtks
    mtks Member Posts: 190
    edited June 2011

    thanks for the info- not sure what to do now. My ps has me scheduled for this month.

    I am so glad you are still happy with results!

    What do you think the results will be if I go ahead with it this month?

    Will the "eyes" be looking down???????? another image to dream about-lol

  • MBJ
    MBJ Member Posts: 4,352
    edited June 2011

    mtks:  Lol!  Have you gone to the picture forum?  Have you shared your pictures, if not there with Whippetmom?  Make sure to at least share with her via her email-just send her a PM (both are very private) to make sure it's dropped enough to move forward.  Imagine a ball that is round with a bullseye (nipple/areola) in the middle.  Now imagine this ball slightly deflating--the bullseye would appear suddenly high.  There isn't a rush to get the nipples done!!!  My PS told me 6 months and Facecrafter, the tattoo expert on here, told me the same thing.  There are some women who moved forward and haven't waited and are happy with their results but I have also seen some in the wrong place!  This isn't one you can do over!  If you would like you can PM me your email address and I can send you my pics.

  • MelanieW
    MelanieW Member Posts: 326
    edited June 2011

    I rarely post anymore.  I am now 4 years out from my last chemo!  I have looked at this thread from time to time as I am still going through trying to get my reconstruction as close to "right" as possible.  I do sometimes take really long breaks as I just get sick of the procedures.  I live in Arkansas and I originally traveled to NY to Dr. S for one step Alloderm.  Then back for a revision.  My right side would never stay "put" and I was very lopsided and saggy.  I had another revision from a surgeon here in Arkansas who is very skilled and used Strattice stitched to my ribs...this past November.  Working Great!  He would like to do mf grafting to fill me out more.  I am undecided as I am pretty happy right now.  I just need to redo the nipples now! 

    Now...the real reason I posted here.  My PS here in AR has 5 patients (last time I saw him) that he is using Dr. K's prodedure with nice results so far.  I am amazed at all of the different techniques he is using.  He is definitely a perfectionist also.  I will try to check back here regulary for PM's for anyone that might be closer to AR and interested in getting my PS's name.  I did okay this with him first.  I wouldn't normally do this, but my results with him are amazing and he still wants to make it better.  It has made such a huge difference in the way I feel about myself. 

    I haven't posted recent pics on TimTam's site, but they look almost exactly as they did shortly following surgery. 

  • MBJ
    MBJ Member Posts: 4,352
    edited June 2011

    Melanie:  Thank you for sharing this.  I would love to see your pictures now-even though you might not notice the difference, there are often subtle changes that happen with just time.

  • MelanieW
    MelanieW Member Posts: 326
    edited June 2011

    You are right....there certainly are differences!  I went back to the forum and looked and sure enough I see that I had considerable swelling. 

    I do want to make one comment about the One Step Alloderm.  I truly believe that if I had not worn the prescribed strap around the top of my boobs that I would have had better results.  My current PS has had me wearing an underwire bra day and night to make sure the Strattice adheres correctly to the ribcage.  I do think it has had an impact in the success of this revision.

  • MBJ
    MBJ Member Posts: 4,352
    edited June 2011

    MelanieW:  I wore the strap over the top.  What do you think would have been different?

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