You want larger breasts but don’t want implants. Fat transfer breast augmentation is your alternative to enhance the size and shape of your breasts using your own fat. Get liposuction to slim down an area on your body that needs it, like your stomach or thighs, and use the removed fat to enlarge your breasts by up to one cup size. The shape of your breasts will be rounder and firmer, but still look totally natural. You can even get better cleavage!
The best part of breast augmentation with fat transfer, aside from getting a slimmer body and larger breasts, is that no implants are needed. It’s all natural you!
Head board certified plastic surgeon, Dr. Atul Kesarwani, is a pioneer in fat graft breast augmentation. He’s been performing the procedure since the 1990s, decades before the hundreds of other surgeons across North America starting doing it. In fact, he was part of a published study that documented results obtained through fat transfer to the breasts and was cited in the preliminary white (industry) paper.
Fat transfer should never cause breast cancer. However, Dr. Kesarwani began offering fat transfer breast augmentation only after studies showed that radiologists could confirm they could tell the difference between changes that occur from fat injection versus tumours during breast cancer examinations. Once that was formerly proven, Dr. Kesarwani refined the procedure in order to achieve reliably successful results for every one of his patients.
Our patients who’ve had fat transfer breast augmentation enjoy enhanced cleavage. In fact, this technique can achieve better cleavage than breast implants alone for many patients!
The main reason for this is because we can choose exactly where on the breasts we want to target, unlike breast implants. Implants can only be positioned in the middle of the breasts. On the other hand, Dr. Kesarwani can put fat wherever in the breasts it’s needed. That means fat can be placed within the inner contours to reduce the distance between each breast, thereby creating narrower and tighter cleavage. (This is known as parasternal fat grafting.)
After your consultation with Dr. Kesarwani to confirm that breast augmentation with fat transfer is right for you, you’ll be able to receive a 3D image simulating your predicted results. Our patients have found this to be quite helpful in understanding how they may look after their surgery.
For better results in younger patients with tighter breasts, you may be asked to wear a Noogoleberry external breast tissue expander device 6 hours a day for a month before your surgery (and 24 hours the day right before surgery). Noogoleberry is a mechanical suction device that’s worn on your chest to increase blood flow and stretch out your breasts. By doing this, the area where the fat is transferred to significantly expands, so more fat can be put in to fill it. Increased blood flow also improves the survival of the fat in the breasts, reducing the risk of fat reabsorption that would reduce the longevity of your results.
The first part of the procedure is liposuction. Fat is meticulously suctioned from specific areas using gentle liposuction techniques to protect the fat cells (adipose tissue).
Fat can be harvested from many areas of the body that have excess fat, such as the mid-section, flanks and thighs. It’s important to select an area that has fat cells which are suitable for the breasts, since not all fat is the same (fat cells come in different sizes and textures). For example, fat cells that are medium in size are more suitable to enhance the cleavage, while finer cells are more suitable for areas of the breast that have thinner and more delicate tissue, such as the upper chest and décolleté area.
Fat removal is performed using an appropriately sized cannula for the patient and techniques are applied to ensure symmetric and even results. By doing this, you won’t be at risk of developing uneven lumps and bumps in the target area.
The removed fat is then purified, isolating the fat cells. This is done very gently to avoid damaging the fat cells, improving their longevity. Dr. Kesarwani strives to obtain a much higher fat concentration than other surgeons so that what is transferred is less diluted by anything that’s not actual fat.
The final step is transferring the purified fat to the breasts. Measurements are carefully taken and outlined on the breasts so that your final results are as symmetric and balanced as possible. Most of the fat is injected into the fatty layer (above the pectoralis muscle and under the skin). It must be injected in areas surrounded by healthy tissue. Care is taken to limit the amount injected to and minimize the risk of calcification. Fat distribution is measured precisely, with these areas of focus:
In the study, The Safety, Effectiveness, and Efficiency of Autologous Fat Grafting in Breast Surgery, 598 articles on fat transfer breast augmentation were identified. Of these articles, it was found that patients reported high satisfaction rates — like our patients report!
Fat transfer takes your own fat and puts it back into your body. This means that you won’t have an allergic reaction to it and won’t have to deal with a foreign object in your body (as you would with silicone or saline breast implants). However, there are some possible side effects related to the surgical procedure. These include bruising, swelling and numbness. Some of the transferred fat may also get harmlessly reabsorbed by your body, making another procedure necessary to achieve satisfactory results.
Yes! Fat transfer breast augmentation is a prosthetic-free procedure that uses your own fat to augment your breast size and shape. It’s been called natural breast augmentation. Click here to read more about the female breast.
The effects of fat transfer to the breasts last for a long time. Aging, weight fluctuations and pregnancy can impact the effects, however.
This depends on how much fat you want to transfer. It can take an hour or more and may require staged treatments to achieve your desired results.
Yes, when performed by a skilled and experienced plastic surgeon like Dr. Kesarwani, this procedure is safe.
Yes, the transferred fat can be liposuctioned.
The average cost ranges from $10000 – $14000, in Canada.
The risks of this procedure are rare, but should still be considered when deciding on whether to proceed with surgery. Risks include the following:
– Risks related to liposuction, including swelling, bruising and bleeding
– Risks related to anesthesia
– Microcalcification, which is the creation of small calcium deposits within the transferred fat. This can make it more difficult to read mammograms
– Migration of transferred fat cells
-Necrosis of the transferred fat
There has been a lot of research performed to prove the safety and effectiveness of breast augmentation with fat transfer. Our patients love their natural looking and feeling breasts after surgery, and we’re sure you will too!