Breast Augmentation with Fat Transfer Toronto

Dr. Atul Kesarwani is the medical director of the Cosmedical Rejuvenation Clinic. As a board certified plastic surgeon, Dr. Kesarwani has 30+ years of experience in the field. Read more about Dr. Kesarwani >
Book Your Private Medical Consultation With Head Plastic Surgeon Dr. Kesarwani.


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!

  • Increase the size of your breasts by up to one cup size (up to 400cc of fat can be transferred, which is similar to a 200cc implant)
  • Improve breast shape to make it rounder, smoother and firmer.
  • Add volume in the upper portion of your breasts to enhance cleavage.
  • Permanently remove fat to spot reduce where you want, like your mid-section or thighs.

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.

Committed to your safety

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.

Get Rid of Fat Where You Don't Want It

Improve the Shape and Size of Your Breasts

Enhance Cleavage

For Better Cleavage

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.)

Preparing for the Procedure

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 Procedure

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:

  • the cleavage
  • the upper pole
  • the curves of the outside of the breast
  • the lower portion of the breast

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!

Frequently Asked Questions About Breast Augmentation with Fat Transfer

What are the side effects of fat transfer?

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.

Can I transfer fat to my breasts?

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.

Does fat transfer last?

The effects of fat transfer to the breasts last for a long time. Aging, weight fluctuations and pregnancy can impact the effects, however.

How long does fat grafting surgery take?

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.

Is natural breast augmentation safe?

Yes, when performed by a skilled and experienced plastic surgeon like Dr. Kesarwani, this procedure is safe.

Can fat transfer be removed?

Yes, the transferred fat can be liposuctioned.

What is the average cost of fat transfer?

The average cost ranges from $10000 – $14000, in Canada.

What are the risks of fat transfer breast augmentation?

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
– Cysts
– Infection
– 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!

Contact us

Cosmedical Rejuvenation Clinic is dedicated to providing you with the care and support you deserve in an open and supportive environment.

If you have any questions or concerns, or would like to book an appointment with our head plastic surgeon, Dr Kesarwani, please fill out this form and we will respond shortly.

  • This field is for validation purposes and should be left unchanged.