BRAVA, the key to a hit fat Transfers

Dr. Khouri is the inventor of BRAVA, a smooth gel-like bra which is an outside breast tissue expander. it's miles the Brava that makes his Brava + AFT breast augmentation and reconstruction approach possible. For girls who need beauty breast augmentation or for breast most cancers patients who need reconstruction, the alternatives are not restricted to the traditional methods of implants or flap surgical procedures. For specifics of BRAVA use for Breast Augmentation thru fats switch or Breast Reconstruction please look on those pages of this web site.

for you to understand how the BRAVA + AFT (Autologous fat transfer) system works, we should first begin with an explanation of the BRAVA device. BRAVA consists of plastic domes that healthy over the breasts. they're held in area through a mesh-like bra.

The BRAVA tool. BRAVA includes plastic domes established on a gel rim that clings to the pores and skin across the breast to preserve the vacuum seal (left). It comes with a cozy garment and is worn like a bra, albeit a massive one (right).

How BRAVA Works

BRAVA works via setting a gentle quantity of bad pressure at the complete breast. This terrible strain certainly stretches the breast with its inner tissue. The pores and skin and all the underlying tissues down to the chest wall amplify to create a fertile matrix with a view to allow big volumes of fat to be transferred after which to live on. This approach, called tissue enlargement, isn't always new, but our utility is.

The BRAVA effect

Thirty-12 months-antique lady who wanted a herbal breast augmentation along with her own fats.

(bottom center) To ensure survival of the large extent of fat wished for the augmentation, she wore BRAVA for four weeks and had an amazing BRAVA impact previous to grafting.

(pinnacle center) The traces drawn on her breasts suggest the needle stick injection sites and the route of the a couple of cannula passes required to diffusely and calmly refill the accelerated breast tissue.

essentially all of the transplanted fats survived. After this manner, we measured by way of MRI a 280 mL augmentation in keeping with breast and not using a proof of fat necrosis.

The Regenerative BRAVA impact

(left) MRI scans of breasts with comparison in a patient earlier than BRAVA use. (right) After three weeks of 10 hours/day of Brava use. be aware the enlarged parenchyma and the marked accelerated vascularity.

The inner outcomes and blessings of the BRAVA growth compares to no different technique for breast augmentation and reconstruction. The breast regenerates a remarkable amount of blood deliver and an abundantly enlarged fibro-vascular scaffold shape . . . the perfect circumstance for fats grafting.

How BRAVA is Used

The BRAVA + AFT system starts with by way of wearing BRAVA for some weeks or a few days if the greater green mechanical pump is used, even as you slept, stayed at domestic, or put on large, free-fitting garments when out. the use of the BRAVA created an adequate matrix . . . a scaffold for fat to be injected later along side an outpatient liposuction process.

portable Intermittent excessive strain BRAVA Pump. patient is sporting the extra green BRAVA pump if you want to allow her to reduce from four weeks to 10 days the time required to obtain an ok BRAVA enlargement impact.

The significance of using BRAVA

Use of BRAVA is really similar to the farmer getting ready the sphere earlier than planting his seeds. He is aware of that to obtain a terrific crop, a tiny plot will no longer suffice to sow all of the needed seeds. To achieve the favored crop he desires to first discover a way to make his plot larger. He also knows the soil need to be organized by plowing it earlier than planting.

simply as the proper-sized field and the plow are vital for an awesome crop, BRAVA is important for a hit massive-volume fats transfer. The surgeon who isn't always the use of BRAVA is just like the farmer who jams all his seeds onto a tiny piece of tough ground. a number of them would possibly live to tell the tale and develop, however many, if not most, will perish.

The farmer analogy is one we will frequently talk over with in the course of this e-book. To have the finest fulfillment the cautious excellent health practitioner, similar to the good farmer, has to abide with the aid of the following four S’s:

The Soil. that is the recipient breast web site. It must be properly fertilized and be of ok length to just accept all of the seeds needed for the favored crop.

The Seeds. this is the fat graft. It has to be gently harvested and carefully dealt with to maintain its sprouting ability.

The Sowing. this is the manner of grafting. It has to be completed methodically with craftsmanship, one seed at a time. We call this system micrografting.

The guide. that is the important post-grafting care of the breast that nurtures the seedling to make certain survival of the graft.