For those who do not believe that glandular breast tissue can grow and increase breast size without the use of implants, American plastic surgeon Roger Khoury offers a look at the results of his operations.
Combining lipofilling and exposure to the breast with the BRAVA vacuum device, the doctor achieves amazing results.
Why is the device combined with lipofilling?
R.H.: Reconstructive surgery after a radical mastectomy or a significant increase in breast size involves the transplantation of a significant amount of fat cells.
In order for their survival rate to be as high as possible, they must receive full nutrition from the blood vessels sprouting in them as soon as possible. But it takes time for the vasculature to form.
Plastic surgeon Roger Khoury decided to try to go the other way – first create tissues permeated with vessels, form a shell of the required size from them, and then place fat cells inside the created shell. In 1999, Dr. Khoury patented his development of an external vacuum 3D breast augmentation – BRAVA system.
This device utilizes the principle of tissue engineering in vivo, where the chest is subjected to a very gentle three-dimensional stretching effect over time.
Such stretching causes cells to divide, the vacuum stimulators of the apparatus stimulate the growth of blood vessels, as a result, a new glandular tissue is formed.
After that, lipofilling is performed, and the transplanted fat cells find themselves in conditions where they are surrounded on all sides by a richly vascularized membrane, receive oxygen and nutrients, quickly take root and give a stable increase in breast volume due to their own tissues.
What are the basic principles of the BRAVA system
Р.Х.: The preparation period before the operation takes about 4 weeks, during which the woman must wear a special BRAVA suction bra for 10-12 hours a day, and on the eve of the operation – 36 hours continuously.
BRAVA is not painful to wear, but it is a bit uncomfortable and comes with a slight pulling feeling, plus you only sleep on your back.
Next, under anesthesia, liposuction is performed in the abdomen or thighs to improve the contours of the body. The resulting fat is cleaned under sterile conditions without contact with air and injected into the chest through skin punctures using a special technique. Breast augmentation is possible from 35 ml to 250 ml.
Would breast augmentation help realize the dream of a beautiful body?
After the operation, the woman must wear the BRAVA bra for another 4 weeks. The result is visible immediately. The breast looks natural and feels completely natural. There are no scars after the operation.
From scalpel – to non-invasive cosmetic surgery
Roger K. Khoury, Founding Member and Vice President of the International Society of Plastic and Regenerative Surgeons, firmly believes that the main driving force in the evolution of plastic surgery is the move away from the scalpel in favor of minimally invasive reconstructive surgery.
Clinical cases of lipofilling?
Dr. Khoury is the founder of the Miami Breast Center. He has over 25 years of experience in reconstructive microsurgery. In 1999, he invented the BRAVA External Dilator, which is used in conjunction with a patient's own fat grafting, and has become a recognized innovator in natural, implant-free, mastectomy breast augmentation.
Roger Khoury has shared his methodology with colleagues at over 200 national and international plastic surgery symposiums in over 35 countries.
In Miami, Dr. Khoury has personally trained over 500 surgeons from 40 countries in his open-air plastic surgery workshops.
How much fat tissue will provide a good result in lipofilling?
He gives demonstrations and teaches surgeons how to use the BRAVA system in combination with lipofilling for breast augmentation. Many surgeons who have taken his course use Roger Khoury's methods to work in their own clinics.
Source estet-portal.
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