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Old 03-30-2015, 09:45 AM   #1
Catia
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Join Date: Jul 2013
Posts: 19
Re: Fat Grafting

Shar,
I would call Dr. Khouri's office at the Miami Breast Center. He is the one who invented the BRAVA and can tell you which Canadian physicians have trained with him.
Best of luck!
__________________
Dx: April1st (yes April Fool's Day!), 2011
ER-/PR-/HER2+++ Tumor grade 3 size:1.6mmx1.2mm
Micromet to sentinel node, 5 auxiliary nodes were clear, stage 1B
April 13th, 2011 Double Mastectomy, no immediate reconstruction
May 2011 to Nov, 2011 chemo AC-TH plus
Herceptin until Sep 2012
11/2012 Began GP-2 vaccine at MD Anderson in Houston (monthly shots until April 2013), now receiving booster shots every six months

Began natural breast reconstruction with BRAVA procedure in Oct 2012
With Dr. Khouri at the Miami Breast Center.

Oct 2012 First fat graft
Jan 2013 Second fat graft
March 2013 Third fat graft
July 2013 Final touch-up with nipple reconstruction
November 2013: Vaccine Booster #1
January 2014 Nipple tatooing
April 2014: Vaccine Booster #2
October 2014: Vaccine Booster #3
April 2015: Vaccine Booster #4 (trial finished)
Dec 2015: Scar treatment with Kenalog and laser

Update: 2022 still in the clear and the GP-2 vaccine trial I participated in is moving to 3rd and final phase. None of the women that are in it have relapsed!!!
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Old 03-30-2015, 08:10 PM   #2
Shar
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Posts: 4
Re: Fat Grafting

thank you. will do!
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Old 03-31-2015, 08:05 AM   #3
Debbie L.
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Posts: 463
Re: Fat Grafting

Thanks (as always), Lani, for all the good information. It seems like the plastic surgeons have a bit of tunnel vision, reporting mostly on cosmetic results, while the oncologists are more cautious, advising we wait for more safety data (no increase in recurrence).

Here's a 2015 abstract:
Tissue-engineered breast reconstruction with brava-assisted fat grafting: a 7-year, 488-patient, multicenter experience

If anyone has access, it would be interesting to see the full text. For example, I'm curious about the details of the cancers in the study (stage, etc). There is also a discussion piece on this article that isn't visible without subscription, and I'd love to see that. With a mean follow up of 2.5 years, this study is one of the longest I've seen -- other studies concluded it's "safe", with only 6 months of F/U, which seems a little hasty, to me.

Debbie Laxague
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