Enhancing breast size and shape with your own fat tissue is an alternative option to placing breast implants. Fat can be harvested with liposuction from various areas of the body and transferred to the breasts. The result feels and appears natural as your native breasts.
Ideal breast augmentation candidates are:
During your initial consultation, you will meet with Dr. Aimé to discuss your areas of concern and aesthetic goals. She will discuss with you the different options for breast augmentation and perform an exam. Based on your unique anatomy and goals, she will make treatment recommendations and provide information so that you can make the best choice to achieve your goals. If you decide to proceed with scheduling a breast augmentation using fat transfer surgery, Dr. Aimé will again meet with you during a preoperative appointment where you will revisit areas that fat will be harvested from via liposuction, your desired breast size as well as review the surgical plan and expected recovery process. Any additional questions you have will be answered at this time. If you are 40 years old or greater, a mammogram will be required prior to breast surgery.
Breast augmentation surgery with fat is performed by first harvesting the fat that will be used for transfer with liposuction. During the liposuction portion of the procedure, small incisions will be made in discrete areas and medicated fluid will be instilled in the areas where liposuction will be performed. This fluid helps decrease bleeding and makes the fat cells easier to harvest. The fat cells will then be aspirated with liposuction into a container. As part of the preparation of the fat transfer, the fat cells will be washed and antibiotics will be added. The fat cells are then transferred to the breasts through small incisions typically placed in the lower breast crease (also called the inframammary fold) and at the upper margin of the areola. The amount of fat transferred is dependent on your desired outcome, how much fat is available from liposuction and how much the breast tissue will hold. It is expected that a portion of the transferred fat cells will not "take" and this is considered when deciding how much fat to transfer.
Compression garments are recommended for four weeks after surgery over the areas where fat has been harvested by liposuction. A supportive, but not overly compressive surgical bra is also recommended. Swelling and moderate bruising is common and expected. Post-operative soreness is generally moderate and well tolerated by most patients with a combination of anti-inflammatory medications. You will be able to return to your normal day-to-day activities within several days of the procedure and strenuous activities such as exercise within 2 to 4 weeks of your procedure. Most patients are able to return to work within one week of the procedure. The breast shape following immediately following fat transfer is typically conical, but settles into your normal breast shape as the tissue stretches to accommodate the transferred fat.
The following are reputable organizations that provide information specifically for plastic surgery patients on this and other procedures.
American Society of Plastic Surgery
American Society of Aesthetic Plastic Surgeons