{"id":556,"date":"2013-09-15T08:31:05","date_gmt":"2013-09-15T07:31:05","guid":{"rendered":"https:\/\/www.sylvaindavid.com\/?p=556"},"modified":"2015-12-24T08:03:51","modified_gmt":"2015-12-24T07:03:51","slug":"brava-et-transfert-de-graisse","status":"publish","type":"post","link":"https:\/\/www.sylvaindavid.com\/en\/actualites\/brava-et-transfert-de-graisse\/","title":{"rendered":"BRAVA: Fat transfer in the breast"},"content":{"rendered":"<h3>What is BRAVA?<\/h3>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/10\/BRAVA4.jpg\"><img decoding=\"async\" class=\"alignleft size-medium wp-image-158\" src=\"https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/10\/BRAVA4-300x206.jpg\" alt=\"lipofilling augmentation mammaire\" width=\"300\" height=\"206\" srcset=\"https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/10\/BRAVA4-300x206.jpg 300w, https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/10\/BRAVA4.jpg 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>BRAVA enables breast volume to be increased using negative pressure.<\/p>\n<p>This temporarily increases breast volume to facilitate fat transfer.<\/p>\n<p>Increasing the volume and vascularity of the breast means that a greater quantity of fat can be injected, making it easier for the graft to take hold.<\/p>\n<p>This reduces the number of procedures required to obtain the desired volume.<\/p>\n<p>When to use BRAVA<\/p>\n<h2>For aesthetic breast augmentation:<\/h2>\n<p>The patient wears the BRAVA to prepare the breast for adipocyte grafting. A patient with a very small breast volume cannot benefit from a large fat transfer. The injected fat must not be compressed if it is to survive; it needs a well-vascularized space, and this is the objective of BRAVA. Below is a\u00a0<a title=\"BREAST AUGMENTATION BY FAT TRANSFER\" href=\"https:\/\/www.sylvaindavid.com\/en\/chirurgie-seins\/augmentation-mammaire-graisse\/\">natural breast augmentation<\/a>\u00a0thanks to BRAVA.<\/p>\n<p>&nbsp;<\/p>\n<p>Before BRAVA After BRAVA After grease transfer<\/p>\n<p><a href=\"https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/10\/BRAVA8.jpg\"><img decoding=\"async\" class=\"size-medium wp-image-159 aligncenter\" src=\"https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/10\/BRAVA8-300x200.jpg\" alt=\"transfert de graisse sein\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/10\/BRAVA8-300x200.jpg 300w, https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/10\/BRAVA8.jpg 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<h2>For breast reconstruction after mastectomy:<\/h2>\n<p>The patient wears the BRAVA to create a space conducive to fat transfer. BRAVA reduces the number of sessions required to reconstruct a breast. Without BRAVA, a\u00a0<a title=\"BREAST RECONSTRUCTION\" href=\"https:\/\/www.sylvaindavid.com\/en\/chirurgie-seins\/reconstruction-mammaire\/\">breast reconstruction<\/a>\u00a0by fat transfer requires an average of 6 lipofilling sessions, with BRAVA the number of procedures is reduced to 3.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\">First procedure:<\/span><\/p>\n<p>A) Before BRAVA, skin thickness is low; without BRAVA, the first lipofilling session will inject only a small amount of fat.<\/p>\n<p>B) BRAVA distends the skin and improves vascularization.<\/p>\n<p>C) Fat transfer is greater because the breast has been prepared by the BRAVA.<\/p>\n<p>Breast reconstruction begins slowly.<\/p>\n<p><span style=\"text-decoration: underline;\">Second procedure:<\/span><\/p>\n<p>A) The volume is already greater than during the first procedure.<\/p>\n<p>B) Second BRAVA procedure<\/p>\n<p>C) Fat injection to gradually reconstruct a natural breast.<\/p>\n<p>Note that the sensations of the new breast are very good.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/11\/ROSSI-3-4.jpg\"><img decoding=\"async\" class=\"aligncenter size-large wp-image-557\" src=\"https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/11\/ROSSI-3-4-1024x390.jpg\" alt=\"technique brava\" width=\"1024\" height=\"390\" srcset=\"https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/11\/ROSSI-3-4-1024x390.jpg 1024w, https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/11\/ROSSI-3-4-300x114.jpg 300w, https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/11\/ROSSI-3-4-768x293.jpg 768w, https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/11\/ROSSI-3-4-700x267.jpg 700w, https:\/\/www.sylvaindavid.com\/wp-content\/uploads\/2015\/11\/ROSSI-3-4.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\n<h3>The procedure:<\/h3>\n<p>Patients who decide to undergo a BRAVA \"procedure\" must wear the device eleven hours a day for four weeks. In addition, for the last 3 to 5 days before fat transfer, the patient must wear it 24 hours a day. After fat transfer, the patient wears the BRAVA only for 24 hours.<\/p>","protected":false},"excerpt":{"rendered":"<p>What is BRAVA?   BRAVA enables breast volume to be increased using negative pressure. It temporarily increases breast volume to facilitate fat transfer. Breast augmentation...<\/p>","protected":false},"author":1,"featured_media":157,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualites"],"_links":{"self":[{"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/posts\/556","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/comments?post=556"}],"version-history":[{"count":0,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/posts\/556\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/media\/157"}],"wp:attachment":[{"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/media?parent=556"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/categories?post=556"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sylvaindavid.com\/en\/wp-json\/wp\/v2\/tags?post=556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}