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Richard Baxter, MD answers: Fat transfer for the breasts?

I'm looking to get a fat transfer to my breasts. My doctor says they can get me up 2 cup sizes ( I am about 5'4 107 lbs and 22 years old). They're going to be using UAL technique. I've been hearing so many different opinions and I just want to know the truth. I dont know what to do, I'm really stuck. I want larger breasts but if I can do it without implants, I'd be ecstatic. My biggest fear out of all of this is the results of the Liposuction (I don't want to end up like Tara Reid with all the dimples). Can someone advise me on this matter?


Richard Baxter, MD
10 months ago

The previous answer is accurate, but you need to know that at this time in the U.S. the option for fat grafting to the breast is specifically banned by the American Society of Plastic Surgeons, so no board-certified plastic surgeon would do it for augmentation unless it is part of an approved clinical trial.

Also, the use of VASER here doesn't make sense to me; I do use it frequently but the ultrasound actually destroys the fat cells so it would not be suitable for grafting. We do hope to have the option of using fat in the breast in the not too distant future but for now caution is advised.

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More answers to Fat transfer for the breasts?

A: New article in our journal would scare you away from this

Richard P. Rand, MD
10 months ago

The medical journal "Plastic and Reconstructive Surgery" is the leading plastic surgery journal probably in the world. The January '09 issue has an article on the many complications associated with fat transfers to the breast. This is a new and very controversial topic and not well worked out at all at this point. You would be wiser to have implants done rather than fat transfers.

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