Advanced cosmetic surgery in breast augmentation (bust up), breast reconstruction, facial anti-aging, and buttock lift.

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1. Is it possible to have the CAL tissue augmentation procedure after having breast removal surgery?
2. My doctor recommended me to have a breast reconstruction procedure. Until when can I have the CAL tissue augmentation procedure after having breast removal surgery?
3. Are the shapes and feeling of the breasts natural?
4. Will I feel pain? How long does the pain last?
5. Can I have the operation on the same day I have a counseling?
6. Will fat be suctioned as I wish?
7. Do you provide procedures for nipple reconstruction?
8. How long will it take for me to be able to work after having the operation?
9. How long will swelling or internal bleeding last on the liposuctioned area?
10. If I have the operation, will I have difficulties in detecting breast cancer in the future?
11. Would it be better if I had a longer period of time after having chemotherapy following breast cancer surgery?
12. If I have the operation, will I have difficulties in detecting breast cancer in the future?
13. Would it be better if I had a longer period of time after having chemotherapy following breast cancer surgery?
14. When calcification occurs, does it have any direct negative influence on the body?
15. Can I have an operation for my nipples and areolas?
16. Do I need to have my stitches removed?
17. Even after having stem cells injected into my breasts, will my breasts become smaller as I get older?
18. How long can I keep the implanted silicone bags inside my breasts?

• 1.Is it possible to have the CAL tissue augmentation procedure after having breast removal surgery?
• With the CAL tissue augmentation procedure, the patients who had a total mastectomy or a procedure to remove the whole breast can also expect improvement. However with this procedure, as only a limited amount of fat can be transplanted at a time, the larger the removed tissue is, the more difficult it is to reconstruct a breast with the same size of the healthy breast you have. Whether this procedure is appropriate for you or not depends on your physical conditions, so we recommend that you consult a doctor at our clinic. Before or after the counseling, you also need to ask your doctor who has been in charge of your breast cancer treatment about the timing of having a breast reconstruction procedure.

• 2.My doctor recommended me to have a breast reconstruction procedure. Until when can I have the CAL tissue augmentation procedure after having breast removal surgery?
• There is no time limit for having the CAL tissue augmentation procedure after breast removal surgery.
  Since your doctor recommended you to have a reconstruction procedure, there will be no problem if you have the procedure now.

• 3.Are the shapes and feeling of the breasts natural?
• They are natural. Compared with the breasts with artificial fillings, they are far more natural to the touch.

• 4.Will I feel pain? How long does the pain last?
• In some cases, pain, similar to the strong muscle pain, may last for a few days to 2 weeks in the liposuctioned area.
  The lipo-transplanted area might be swollen and cause pain for several weeks.
  How long such pain and swelling last varies among individuals, but it will be gradually eased.

• 5.Can I have the operation on the same day I have a counseling?
• We are sorry but we cannot perform the procedure on the same day you have a counseling. Because we place great importance on the safety of the procedures we provide, we ask you to have a preoperative examination, and it takes time before you receive the results.
  Therefore, we cannot provide any operations on the day of the counseling.

• 6.Will fat be suctioned as I wish?
• When we perform a liposuction procedure, we take the total balance of your body into consideration. Whether fat can be suctioned as you wish or not depends on your muscle and bone structures as well as the amount of fat you have, and we will judge it on examination.

• 7.Do you provide procedures for nipple reconstruction?
• We do not provide procedures that recreate only nipples.
  However, this isn't the case if a patient who plans to have breast reconstruction surgery also wish to have a procedure to recreate her nipple(s), so please consult one of our doctors.

• 8.How long will it take for me to be able to work after having the operation?
• If your job is sedentary, you can work from the next day you have the operation. However, you may have pain that is similar to muscle pain for a few days to two weeks. If your job involves a lot of physical activities, we recommend you to take about a week off from work.

• 9.How long will swelling or internal bleeding last on the liposuctioned area?
• Although it depends on individuals or the areas where fat was suctioned, the internal bleeding usually become inconspicuous in about 1 to 2 weeks. The swelling will last for 2 to 3 weeks.
  We also hope to improve the wound from the mastectomy as much as possible.

• 10.If I have the operation, will I have difficulties in detecting breast cancer in the future?
• In the normal lipo-transplantation procedures, suctioned fat is transplanted in a clump, and therefore, in some cases calcification occurs in the transplanted fat. As this calcification comes out in mammograms, it has been reported that it could be mistakenly recognized as breast cancer. However, with the advancement of mammography and the improvement of diagnostic techniques of breast surgeons, nowadays it is possible to discern fat calcification and breast cancer on the mammograms, and there are few cases that the patients who had the operation have difficulties in breast cancer detection. As for breast cancer detection, besides mammography, various methods including ultrasound and MRI have been developed, and these methods are being refined each day.

• 11.Would it be better if I had a longer period of time after having chemotherapy following breast cancer surgery?
• No. For reconstruction surgery, please discuss this with your doctor. Generally, after you finish chemotherapy, you can have the operation anytime as long as the affected area is already eased.

• 12.If I have the operation, will I have difficulties in detecting breast cancer in the future?
• In the normal lipo-transplantation procedures, suctioned fat is transplanted in a clump, and therefore, in some cases calcification occurs in the transplanted fat. As this calcification comes out in mammograms, it has been reported that it could be mistakenly recognized as breast cancer.
  However, with the advancement of mammography and the improvement of diagnostic techniques of breast surgeons, nowadays it is possible to discern fat calcification and breast cancer on the mammograms, and there are few cases that the patients who had the operation have difficulties in breast cancer detection. As for breast cancer detection, besides mammography, various methods including ultrasound and MRI have been developed, and these methods are being refined each day.

• 13.Would it be better if I had a longer period of time after having chemotherapy following breast cancer surgery?
• No. For reconstruction surgery, please discuss this with your doctor. Generally, after you finish chemotherapy, you can have the operation anytime as long as the affected area is already eased.

• 14.When calcification occurs, does it have any direct negative influence on the body?
• No, it doesn't have any.

• 15.Can I have an operation for my nipples and areolas?
• Yes, the operation is possible.
  However, for nipple reconstruction, the operation schedule will be not at the same time with the CAL soft tissue augmentation procedure (fat transplantation), but 6 months after the transplantation. The reason is that if the operation is done simultaneously, the position of the nipple may shift with the time.

• 16.Do I need to have my stitches removed?
• Basically, no. However, when you have nipple correction surgery or a silicone bag removal procedure, you need to have the stitches removed.

• 17.Even after having stem cells injected into my breasts, will my breasts become smaller as I get older?
• After injecting stem cells, the tissue that survives in your breast(s) will become part of your body. Therefore, they will naturally become smaller as you get older. This is very natural development.
  On the contrary, in the case of breast augmentation with artificial fillings, such as silicone gel-filled implants, although your body will change with age, those implants will not change. Therefore the shape of the bags will become unnaturally conspicuous, as you get older.

• 18.How long can I keep the implanted silicone bags inside my breasts?
• Generally, if you keep the implanted silicone bags for a certain period of time, a capsule might be generated (the silicone bags are recognized as alien substances inside your body, and the scar tissue or capsule will form around the bags), making the breasts hard to the touch, and in some cases, displacement of the bags or distortion of the breasts also may occur.
  In addition, as your body becomes thinner with age, the silicone bags will become conspicuous. Therefore there are many people who have had these bags removed. For more information, please click here.