Natural Breast Augmentation with Fat Grafting

-by board-certified plastic surgeon Ashley N. Amalfi, MD

Are there natural options for breast augmentation without an implant?

While most of our patients choose an implant for their breast augmentation, newer techniques and natural options are now available.  Fat grafting, or fat transfer, is growing as an exciting and natural option for small breast augmentation.

Just what is involved in this surgery?

Fat grafting to the breast involves the harvest and transfer of fat cells to a more desirable location, in this case, the breasts.  Fat is harvested via a standard liposuction technique.  Most patients choose to remove fat from the love handles, abdomen or hips.  This unwanted fat is then sterilely processed in the operating room by our surgeon.  The processed fat is then put into small syringes and safely injected into the breast tissue to improve the size of the breast, cleavage, and to give the upper pole fullness that is often lost after pregnancy and breastfeeding.

Who is a good candidate for fat grafting to the breast?

Natural augmentation with fat grafting has very different outcomes as compared to breast augmentation with implants.  Fat is only able to give moderate enlargement of the breast and improvement of shape. For my patients complaining of gapping of the top of their bra, injected fat into this area will give more fullness.  It will help them to fill out their bra size, but not necessarily change their bra size.

What if my breasts are sagging after pregnancy and I need a lift?

Combining fat grafting to the breast with a breast lift, or mastopexy, is one of my favorite surgeries for new mothers.  The lift will restore the shape and position of the breast, and the added fat gives back the volume and fullness that they had lost. 

What is the recovery like from this surgery?

Recovery from fat grafting the breast is usually well tolerated in my patients.  Liposuction sights may have a burning feeling that persists for some time, but the breasts themselves are often less sore.  There are very few restrictions after a liposuction procedure, and many of my patients elect to have surgery on a Friday and return to work the following Monday.

This sounds like something I want to learn more about.  What should I do next?

I would be excited to meet with you to discuss your options and realistic results from a fat grafting breast augmentation procedure.  Please call our office at 585.244.1000 to speak to a Patient Consultant for a personal consultation about this exciting procedure. 

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