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Goodbye, saline and silicone implants?

By | November 19, 2009, 4:00 AM PST

A new surgical technique intended to regrow a woman’s breast from her own cells after a mastectomy will be tested on women in Australia within six months, according to U.K.’s Times Online.

The Times article reported, “If the trials are successful, the new approach would transform breast reconstruction, offering an alternative to saline and silicone implants that is likely to achieve better cosmetic results and a more natural feel.” Although it could also be used for breast enlargement, it will initially be used to treat cancer patients.

The technique, called Neopec by the Australian team, involves removing some of a woman’s own fat cells and enhancing the concentration of stem cells within them in the laboratory. A breast-shaped scaffold is then implanted under the woman’s skin to create a shape that matches her other breast, and then the stem cell-enhanced fat is injected into the cavity, where the cells divide and expand. The cavity is attached to blood vessels under the arm. The method is expected to regenerate a breast in about eight months. Although the new breast will be made entirely of fat, the researchers predict that it may be possible in the future to regrow breast tissue with mammary stem cells that could regenerate nipples and milk ducts.

Although encouraging, this news comes with many unknowns, said Dr. Richard J. Bleicher, co-director of the Breast Fellowship Program and assistant professor in the Department of Surgical Oncology at Philadelphia’s Fox Chase Cancer Center.

“It is entirely possibly that [this technique] will come to fruition, however, we must be cautious and not give people the impression that this is a reconstruction option that may be available soon,” Bleicher said. He noted that even when it’s available to the public, it is unclear how the body will react to the new scaffolding and stem-cell created fat. Other concerns include the blood supply to nourish such a large volume of tissue, how the reconstruction would respond to an injury and how such women would be screened for development of breast cancer in the future.

“There are many other possible concerns which must be studied extensively,” Bleicher said, “before such a technique is considered a safe alternative to the current options.”

Illustration courtesy of Times Online.

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Melanie D.G. Kaplan

About Melanie D.G. Kaplan

Melanie D.G. Kaplan is a contributing writer for SmartPlanet.

Melanie D.G. Kaplan

Melanie D.G. Kaplan

Contributing Writer

Melanie D.G. Kaplan is a regular contributor to The Washington Post and Nomad Edition's Good Dog and has written for The New York Times, National Geographic Traveler and People. She holds degrees from Syracuse University and Columbia University's Graduate School of Journalism. She is based in Washington, D.C.

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Melanie D.G. Kaplan

Melanie D.G. Kaplan

In addition to working as a journalist, Melanie keeps the dog food fund flush with occasional consulting jobs. In the unusual event that her writing mentions a company or organization for which she has provided editorial services, she will disclose that fact. She will do the same should she cover any companies in which she holds investments.

She writes for SmartPlanet and is not an employee of CBS.

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RE: Goodbye, saline and silicone implants?
The only people that would possibly question the value of this are the claims examiners of health insurance companies...
Posted by langedd@...
19th Nov 2009
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RE: Goodbye, saline and silicone implants?
@langedd: So Dr. Bleicher is an evil claims examiner when he
questions the body's reaction, the blood supply issue, response to
injury, or complications to breast cancer screening? None of us
should ever ask questions about this sacred cow. Nope, not ever!
Posted by PacoBell
20th Nov 2009
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