Fat transfer for breasts - Very controversial and inconsistent procedure at best

Joseph Perlman, 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?


Joseph Perlman, MD
4 months ago

Using fat liposuctioned from other areas in your body has been written about for over 15 years.  It is most often performed by physicians who are not board certified plastic surgeons and are looking for a way to break into the breast augmentation market.  Since fat reabsorption is inconsistent, the question arises as to whether to overinject fat, with the assumption that a certain percentage will reabsorb.  That's how it's done in many other parts of the body such as cheek augmentation.  In addition, fat that does not survive may undergo calcification, which may suggest to a radiologist, the presence of a malignant breast tumor, on mammogram.

From a cost standpoint, some of the "cosmetic surgeons" charge more for breast augmentation with fat than most board certified plastic surgeon charge for breast augmentation with implants.  In addition, fat injections do not produce a long-term result, especially if the fat is harvested using ultrasonic liposuction, which emulsifies fat cells

4 of 4 found this helpful
Helpful?

Request info from Dr. Perlman

50 words maximum (0 words entered)
Your info is protected by our privacy policy
Post your question

Fat transfer before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.