AuraClens™ System in Processing of Lipoaspirate for Autologous Fat Grafting to the Breast
- Conditions
- Breast Fat Grafting Retention
- Registration Number
- NCT05258305
- Lead Sponsor
- Sientra, Inc.
- Brief Summary
- Prospective, multi-center, non-randomized, open-label, post-market clinical study evaluating adipose graft retention over time from lipoaspirate processed using the AuraGen 1-2-3™ with AuraClens™ Lipoaspirate Wash System. 
- Detailed Description
- Autologous fat transfer (AFT) is a medical procedure that includes aspirating adipose tissue from one part of the body, and washing, filtering and re-injecting the processed fat tissue into a different part of the body with the primary purpose of adding volume. The AuraGen1-2-3 with AuraClens Lipoaspirate Wash System is designed to be used in the operating room in conjunction with a user-provided liposuction cannular, a vacuum source, and waste canister. The study population will consist of up to 200 subjects in (2) cohorts: 100 subjects undergoing breast reconstruction and 100 subjects undergoing breast augmentation. All subjects will receive autologous lipoaspirate processed with the A123+ AuraClens and will be followed post-procedure at 1-, 3-, 6-, and 12-months. Fat graft retention will be evaluated with 3D imaging using the Canfield Vectra XT imaging system. Patient satisfaction will be measured between baseline and the post-procedure follow-up visits using a breast satisfaction questionnaire. 
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- Female
- Target Recruitment
- 200
- Female patients > 22 years and < 65 years of age.
- Patients with a BMI < 35.
- Patients undergoing an aesthetic fat grafting procedure to the breast (breast augmentation) with or without a breast implant.
- Patients must be able to provide written informed consent, understand and be willing to comply with study-related procedures and follow-up visits.
- Patients must be non-smokers.
- Patients with available/adequate harvest sites for fat grafting.
- Anticipated harvested fat volume between 200 and 700 cc.
- Anticipated fat injection volume between 50 and 350 cc per breast.
- Anticipated breast implant volume between 200 and 550 cc.
- Patients must agree to maintain their weight (i.e., within 5%) by not making any major changes in diet or lifestyle during the study.
- Skin rash in the treatment area.
- Patients who smoke or use nicotine products.
- Patients with bleeding disorders or currently taking anticoagulants.
- Patients with history of trauma or surgery to the treatment area.
- Patients with history of breast cancer.
- Active, chronic, or recurrent infection.
- Compromised immune system.
- Hypersensitivity to analgesic agents.
- Co-morbid condition that could limit ability to participate in the study or to comply with follow-up requirements.
- Untreated drug and/or alcohol abuse.
- Pregnant or breastfeeding.
- Any issue that, at the discretion of the Investigator, would contra-indicate the patient's participation.
- Patients who do not wish to have the study area (breast) photographed.
Reconstruction Subjects
Inclusion Criteria:
- Female patients > 18 years and < 65 years of age.
- Patients with a BMI < 35.
- Patients undergoing a fat grafting procedure to the breast in a second or third stage of a staged breast reconstruction, with or without a breast implant.
- Patient is at least 1 year post-completion of chemotherapy.
- Patients must be able to provide written informed consent, understand and be willing to comply with study-related procedures and follow-up visits.
- Patients must be non-smokers.
- Patients with available/adequate harvest sites for fat grafting.
- Anticipated harvested fat volume between 200 and 700 cc.
- Anticipated fat injection volume between 50 nd 350cc per breast.
- Anticipated breast implant volume (if applicable) between 200 and 550 cc.
- Patients must agree to maintain their weight (i.e., within 5%) by not making any major changes in diet or lifestyle during the study.
Exclusion Criteria:
- Skin rash in the treatment area.
- Patients who smoke or use nicotine products.
- Patients with bleeding disorders or currently taking anticoagulants.
- Patients undergoing active treatment for breast cancer.
- Active, chronic, or recurrent infection.
- Compromised immune system.
- Hypersensitivity to analgesic agents.
- Co-morbid condition that could limit ability to participate in the study or to comply with follow-up requirements.
- Untreated drug and/or alcohol abuse.
- Pregnant or breastfeeding.
- Any issue that, at the discretion of the Investigator, would contra-indicate the patient's participation.
- Patients who do not wish to have the study area (breast) photographed.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
- Name - Time - Method - Fat Grafting Volume Retention - 1 Year - Fat grafting volume retention change from baseline to 12-months. - Patient Satisfaction - 1 Year - Sientra Breast Satisfaction Questionnaire survey results at 1, 3, 6 and 12-months post-operatively compared to baseline, based on a rating scale between 1 ("Strongly Disagree") to 7 ("Strongly Agree"). 
- Secondary Outcome Measures
- Name - Time - Method 
Trial Locations
- Locations (14)
- Tessler Plastic Surgery 🇺🇸- Scottsdale, Arizona, United States - Aura Aesthetica, Inc. 🇺🇸- Beverly Hills, California, United States - Baptist Miami / Miami Cancer Institute 🇺🇸- Miami, Florida, United States - Meridian Plastic Surgery 🇺🇸- Carmel, Indiana, United States - Ascentist Plastic Surgery 🇺🇸- Overland Park, Kansas, United States - Calo Aesthetics 🇺🇸- Louisville, Kentucky, United States - Dallas Plastic Surgery 🇺🇸- University Park, Texas, United States - V Plastic Surgery 🇺🇸- West Long Branch, New Jersey, United States - NYU Langone Plastic Surgery Associates 🇺🇸- New York, New York, United States - Luxurgery 🇺🇸- New York, New York, United States Scroll for more (4 remaining)Tessler Plastic Surgery🇺🇸Scottsdale, Arizona, United States
