Breast Lipofilling

For many women, the size of their breasts can lead to emotional issues of self-image or self-confidence.  Autologous or natural fat filling breast augmentation can restore confidence by modestly increasing the size of your breasts while at the same time preserving the natural shape and feel of the breasts. 

IS BREAST LIPOFILLING SUITABLE FOR ME?

At your consultation, the surgeon will evaluate you as to whether the procedure is suitable for you. There are several factors, such as your medical history and current health status, that are very important.  While discussing your issues, you must have realistic expectations of what breast lipofilling augmentation is and what it can do.  If you are planning on breastfeeding, you should also discuss this with the surgeon, as this may be limited after the surgery.  The consultation with the surgeon will enable you to come to an informed decision.

Breast lipofilling Frequently Asked Questions

WHAT IS LIPOFILLING OF THE BREAST?

A breast lipofilling treatment is a plastic surgery treatment designed to increase the natural size, shape, and feel to your breasts by injecting carefully aspirated quantities of fat harvested from other parts of your body into your breasts.  The results are long-lasting, boost breast volume by up to 1 cup size, and give a very natural enhanced breast result. 

HOW DOES THE PROCEDURE WORK?

A breast fat augmentation procedure is like having two separate procedures – (1)liposuction and (2)lipofilling.  In the first step, liposuction is used to harvest excess, unwanted fatty tissue from different areas of your body.  This can include areas like your tummy, waist, thighs, back, buttocks, or just about anywhere the surgeon can find excess fat.

Once an adequate amount of fat has been aspirated out, the rinsed fat (centrifuged) is filtered out to separate the good healthy fat and stem cells from the impurities such as oil and water.  The syringes are subsequently filled with the fat and injected into the breasts.

As the lipofilling begins, a small incision is made on each breast.  The surgeon uses a tiny cannula (1-2mm in diameter) to inject the prepared fat into the breasts with slow, back and forth, motions until a sufficient or maximum amount of fat has been deposited, and the desired volume has been reached. Usually, the surgeon will overfill the breasts with fat to take into account that a portion will resorb on its own.

Once completed, a suture will be used to close the incision, and a dressing will be placed.

DO I HAVE ENOUGH FAT FOR BREAST LIPOFILLING?

As the procedure involves initial liposuction, the surgeon needs to be able to harvest fat from some part of your body.  The most common areas are the tummy, waist, and thighs, but almost any part of the body where fat is present can be used. 

If you have had previous liposuction or feel that you don’t have enough fat to be harvested, you should consult with your surgeon.  An experienced plastic surgeon should be able to harvest fat from several areas that may not be so apparent to you.

It is not generally recommended that you gain weight beforehand as newly enlarged fat cells will temporarily grow only to return to their original size after the procedure when your weight returns to normal.  This can leave you with a very unsatisfying result.

DOES FAT TRANSFER LAST?

The results of a breast lipofilling a long-lasting, however anywhere from 20%-50% of the transplanted fat will resorb over a few months. How much fat resorbs depends on how well the newly-planted fat cells receive nourishment from the surrounding area and blood supply.

Neoangiogenesis is the process whereby new blood vessels grow into the fat and supply nutrients for cell survival.  If this process fails to penetrate throughout the tissue, fat cells will die off and dissolve into an oily liquid material that drains out of the breasts within a few months.  This will decrease the new fullness of your breasts back to a certain level and then stabilize to a final result.

After the results have settled into their final position, a touch-up(second) procedure may be needed to increase the fullness again.

Up to 3 attempts may be needed to reach the final, desired goal, which will now be permanent.

HOW LONG WILL THE PROCEDURE TAKE?

Generally speaking, a breast lipofilling procedure can take up to 3 hours to complete.  Fat filling to other areas of the body and face may only require as little as 45 minutes.

WHAT IS THE RECOVERY TIME? HOW LONG BEFORE I'M ACTIVE AGAIN?

Recovery after a breast lipofilling procedure varies among patients.  Most people can return to work after 4-5 days.  Caution should be taken for several weeks with regard to resuming all normal activities.  Strenuous exercise should be avoided for at least 3 weeks, and you should not attempt to lift any heavy objects for at least 10 days.  Other factors that influence healing are your age, current health status, and your own body’s healing ability.

CAN LIPOFILLING BE COMBINED WITH OTHER PROCEDURES?

All lipofilling procedures involve initial liposuction, so if you have areas of unwanted fatty tissue that you would like removed, it is the perfect combination treatment for lipo body contouring and lipo body volume filling.  Lipofilling can also be combined with many other plastic surgery procedures such as a facelift, tummy tuck, breast lift/reduction, and lower eyelid surgery.

WHAT ARE THE PROS AND CONS OF FAT TRANSFER AUGMENTATION?

Breast lipofilling has some PROs and CONs compared to using implants.  The decision of which procedure is best for you should be discussed thoroughly with your plastic surgeon.

Some of the main PROs include:  100% natural breasts filled with your body’s fat tissue, no synthetic implant materials, minimal scarring, associated liposuction for body contouring

Some of the main CONs include: the limited size of augmentation (i.e., max 1 cup size), fat resorption, no effect on lifting the breasts in the case of sagging, higher costs as two procedures are performed at one time (liposuction + lipofilling)

IS NATURAL BREAST AUGMENTATION SAFE?

Yes.  Harvesting and injecting fat tissue from one body region to another is safe when performed by an experienced, board-certified plastic surgeon.  General risks of surgery do apply.  

WHAT ARE THE RISKS INVOLVED?

As with all surgery, there are risks associated with having a breast lipofilling augmentation procedure. The majority of the risk is temporary and can be solved relatively easily. This can include bleeding, edema, seroma, infection, and loss of sensitivity in the breast area. At your consultation, the surgeon will go over all risks and expectations.

Recent Videos

Breast implants come in different shapes, sizes, textures, and profiles.  In this video, we explore some of the basics.  Watch more here.

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