HumanMed BodyJet Presentation

Water Jet Assisted Liposuction
(BodyJet) and Fat Grafting
01.03.2019 1
WAL: Technique for cell friendly harvesting of fat
cell particles which would reduce operation time
and result in a high integration rate
Reinjection of the fat

after separation
from superfluous
water by means of
the LipoCollectorR
Water-Jet Assisted
Liposuction (BodyJetR )
01.03.2019 3
Fat Grafting Methode should be
 Clinically safe
 Easy to perform
 Fast to perform
 Render reproducible
results
01.03.2019 BEAULI-HumanMed 4
Size of the fat droplets
Blood supply
0-300µm: survival
300-550µm: regeneration
≥550µm: necrosis/cysts
Fat droplets of until
1mm diameter are save
Survival
Regeneration max. 1mm
Patient Selection
Great volume, desire No fat transfer

absolute increase of cup or implants
size
Preliminary
Consultation Naturally improvement
in breast size and breast
form. Desire firmness
and fullness, a better Jet-Assisted Fat
figure, a more female Transfer (J-AFT)
silhouette, a fuller
decollete …
Patient Selection
Implant WAL BodyJet/Lipocollector
Great volume, desire Naturally improvement in
absolute increase of breast size and –form, desire
cup size firmness and fullness
Foreign material equal No foreign material
Heavy Smoker No smoker
BMI ≤ 19 BMI 19 - 30
Dislike liposuction, Desire for liposuction double
Denial of multiple benefit
procedures
Patient Selection
Patients with lipodystrophy in

the trunk/thighs and small
breasts is are „good candidates“
Patient Selection: be aware
 Slim, young women with small breasts
and tight skin envelope, BMI under 19
 Unrealistic expections
 Is there enough fat (and money) for
later transfers?
 Prevoius surgery, scarring
 Weight loss after the transfer
Patient Information: Volume gain
 200ml injected Volume

 75% pure Fat, 25%
Water: Volume 150ml
 Uptake: 70%: Volume
105ml
Volume gain: about half of the injected volume

Shrinking: max. loss in 3 weeks, final result in
2-3 months
Volume gain
Water
Not
200ml Absorbed
injected
Volume Pure Fat 105ml
Volume Volume
gain gain
Volume gain
100ml
Patient Information
 General information about

possible cyst formation or
calcification
 Mammogram
 Infections
 Bleeding
Precautions
Prevent Cooling
 Klein Solution: 350C
 Patient warming blankets
(Inditherm, Bair Hugger)
Prophylaxis
 Antibiotic for 7 days
 Low dose Liq. for 3 days
Anaesthesia
Klein Standard Tumescence Solution
(Body temperature)
Lidocain 1% 50ml
Adrenalin 1mg 1ml
Natriumbicarbonat
12,5ml
8,4%
NaCl 0,9% 1000ml
Fragmentation
Infiltration
(Cannula 2mm)
Additional Analgesia
 Entonox (50% nitrous

oxide + 50% oxygen)
 Analgesic + anxiolytic
agent
 Effective
 Rapide
 Patient acceptable
 Safe (no anesthesiologist!)
Fatgrafting with WAL/BodyJet (HumanMed)
Cannula
Applicator
BodyJet
Collector
Water Jet Harvest
 Water carries the delicate fat tissue (pulsing
water jet, 30bar, 90ml/min, 300 angle)
 Small openings (0,9mm): tiny parcels of fatty
tissue
 Reduced negative pressure (-0,5bar)
 Gentle movements
Infiltration and
aspiration
Result
Water Jet Harvest
• Residue of 30% fluid
permits easy reinjection
and leads to a uniform
distribution of the fat in the
tissue
• Duration of the
invervention: only 1 ½ - 2 h
Ueberreiter BEAULI Thieme 2010
Water Jet Harvest
 Water Jet Liposuction
yields harvested fat of
consistent quality
(immediatly re-use
without centrifugation)
 Small cell packages
containing adipocytes and
pre-adipocytes are
transferred
No Seperation of Stem Cells
 500ml of fat must be

extracted in addition
 The enzymatic
preparation process
takes 3h
 Additional costs
Fat Collecting/LipoCollector (HumanMed)
From Patient to BodyJet
Lipo Collector
LipoCollectorTM
Cannula Suction
pump
- 0,5 bar
Filter 2mm
Bypass
Sieve 250µm
Lipo Collector
Fat Injection
Cannula: Syringue:
 Diameter 2.00mm  10ml
 Lenght 150mm  Luer Lock
 2 Lateral Eyes
Fat Filling
 2/3 in the subcutis

 1/3 in the muscle
and retroglandular
 Not in the glandular
tissue
 Decollté
 Compensating for
asymmetry
Fat Filling
 2/3 in the subcutis

2/3
 1/3 in the muscle Gland
and retroglandular
 Not in the glandular
tissue 1/3
 Decollté m.pectoralis
 Compensating for
asymmetry
Cave: seeding fat lumps
Yoshimura/Autologous Fat Transfer
Shifmann (Edit) Springer 2010
 Fan shaped  «3D»-Filling

 Several planes  Not overfill (to much
 Rotating the cannula fat kills the fat)
 Strung like pearls  Patient in a upright
450 position
 Fan shaped  «3D»-Filling
 Several planes  Not overfill (to much
 Rotating the cannula fat kills the fat)
 Strung like pearls  Patient in a upright
450 position
Fat Filling
Leave the breats

soft: to much fat
leads to necrosis!
High pressure
Reduced circulation
For more volume 2 Operations

Postoperative
 Injection site: Plaster Strip

 Circular cotton bandage
around the chest to avoid
local cooling for 3 days
 No bra or a wide nursing bra without any
compression
 Antibiotic for 3 days (Cephalosporin)
 Analgesics (Paracetamol)
Postoperative
No compression!
Keep breasts
warm!
Complications
Large portions of fat

Poor perfusion Necrosis
Pressure
Oil Cysts
With the use of digital
mammography MRI such
changes can be easily Calcifications
distinguished from malignant
changes
Complications
 Haematoma formation
 Infections
 Subcutaneous granulomas
Risk of Developing Breast Cancer
 Cancer originates in the

glands, outside the
subcutaneous adipose tissue
 In current state of data, an
increased risk of cancer
through fat transfer is unlikely
and has not been recorded to
date
Contraindication
 Unrealistic expectations
(great volume, desire
absolute increase of cup size)
 Denial of multiple procedures
 Dislike liposuction
 BMI under 19
Caution
Stay modest: more

seeds on the same
ground do not mean
better harvest:
overfilling  necrosis
overgrafting  loosing fat

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HumanMed BodyJet Presentation

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Water Jet Assisted Liposuction

(BodyJet) and Fat Grafting

Reinjection of the fat

Regeneration max. 1mm

Great volume, desire No fat transfer

Patients with lipodystrophy in

 200ml injected Volume

Volume gain: about half of the injected volume

 General information about

 Antibiotic for 7 days

 Low dose Liq. for 3 days

 Entonox (50% nitrous

 500ml of fat must be

From Patient to BodyJet

 2/3 in the subcutis

 2/3 in the subcutis

 Fan shaped  «3D»-Filling

Leave the breats

For more volume 2 Operations

 Injection site: Plaster Strip

Large portions of fat

 Cancer originates in the

Stay modest: more

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