How Long is the Process of Fat Grafting to Breasts?

This question is posed to doctors who perform fat grafting to the breast. On average how long does the procedure take, and what is your average cost? Secondly why do some board certified plastic surgeons perform the procedure in less than two hours and others take six. What is the reason for the huge discrepancy? Thank you for your time Doctors!

Doctor Answers (11)

Fat Transfer or Fat Grafting for Breast Augmentation time varies with the technique of the Plastic Surgeon

+1

As pointed out by several experts in previous posts the Fat Transfer procedure for Breast enlargement of Breast Augmentation takes 2-3 hours.

Some surgeons take longer and justify their time by very careful Fat Transfer injection in small amounts and claim superior results as a result of their technique as is done by Dr Coleman in New York.

Dr's Khouri and Del Vecchio have recently made strides in reducing the time required.

The key is to find an expert who is used to doing Fat Transfer to the Breast, choosing a Plastic Surgeon you are comfortable with and trusting the doctor to use the best technique to achieve your result. Let the doctor worry about the time involved.


Boston Plastic Surgeon
5.0 out of 5 stars 36 reviews

How long does fat injection to the breast take?

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There are 3 parts to fat transfer, and the length of time can vary a lot depending on the techniques used.

Part 1)  liposuction of the donor sites.  If small cannulas or syringe liposuction is used - it takes longer.

Part 2) processing the fat.  Centrifuging the fat in small volumes takes longer.

Part 3) injecting the processed fat into the new area.  Using micro-injection techniques takes longer.

Surgeons debate which technique is better.  Some experts, like Dr. Coleman of NYC, feel that the longer way at each step gives the best results.

Most surgeons report that fat grafting to the breast takes between 3-6 hours, depending on the exact methods used.  Dr. DelVecchio of Boston, and Dr. Khouri of Tampa have been making important contributions in trying to reduce the procedure time, but still get good results.

Thomas Fiala, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 30 reviews

Fat grafting to the breast - time and cost

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Fat grafting is a growing movement for breast augmentation and reconstruction.  The "typical" breast augmentation case takes around 2 1/2 hours, which includes the liposuction to harvest the fat, the processing of the fat, and the time to inject it.

Time variation? There are many reasons for this.  Is the fat hard to harvest? A skinny woman with little fat may take longer to harvest because you have to work harder to find the fat and harvest enough.  As with everything, when you are newer at doing the procedure (which most doctors are as this technique still is not mainstream) it may take a little longer.  I spent time with Dr. Khouri in Miami (who along with DelVeccio are among the most experienced) who has a team of people who assist him and do it day in and day out- so his times are likely faster.  Also, for some of my patients, they don't mind if I harvest a little extra fat, to maximize the changes from the liposuction portion of the procedure.

Cost? This will vary by surgeon, time, where you live. 

Lauren Greenberg, MD
Palo Alto Plastic Surgeon
5.0 out of 5 stars 12 reviews

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Fat grafting to the breast works

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Thank you for your question.  As you can see, there is a dramatic difference in opinions among plastic surgeons on this issue.  You will note that Surgeons who routinely perform this procedure, have great outcomes like Dr. Del Vecchio, and have the background to discuss the science, will tell you that this is the single most important development in breast surgery in the past 10 years.

Fat transfer works well, it has good results, and with comparatively less issues than other breast surgery options, in the right group of patients.  You should consider a consultation with a Surgeon who is experienced with this technique, has performed more than a few cases, and has adequate follow up to discuss outcomes with you.

In terms of the time required for this procedure, Surgeons who are more experienced with the technique will take less time than others who are not.  We usually can perform a fat transfer to the breast in between one and two hours. I would encourage you to look into this option in your area.

Mario Diana, MD
Plano Plastic Surgeon
4.5 out of 5 stars 25 reviews

Fat Grafting to the Breasts- Facts Vs Opinion

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Fat Grafting to the breast can be routinely performed by a single surgeon in under two hours.  This is a fact.  See the link below for our  paper published in June, 2011 Plastic and Reconstructive Surgery.  The average volume of breast increase long term was 250cc, or a doubling of breast size.  Patients who have results at 4-6 months have kept their results 4-5 years now.  Fat grafting to the breast can result in mammographic abnormalities , however, these are readily distinguishable from cancer.  The statement "most of the fat goes away"  is simply not true.  I would encourage any of our colleagues who inform patients that fat grafting does not work or is not safe to read the exciting work that is comng out in our specialty's journals.    Although I perform many breast augmentations, I believe implants have their own set of problems.  Where this will settle out is that there will be a subset of women who will prefer natural fat for minor augmentation, and there will always be a need for implant augmentations.  The two are not interchangable, have different aesthetic results, and will appeal to different patient groups.

 

Dr Daniel Del Vecchio, Boston

bostonbreastcenter.com

 

 

 

Daniel Del Vecchio, MD
Boston Plastic Surgeon
4.5 out of 5 stars 54 reviews

How Long is the Process of Fat Grafting to Breasts?

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The previous expert posters, especially Drs Hartog & Khoobehi, have given you great info. To answer your questions directly in order:

1. Timing can be based upon amounts needed to be harvested and injection citeria. On average 2 to 3 hours per session is a base line. I'm doing one this morning so I believe it will take 3 hours.

2. Cost ranges from $8,000 to $15,000 dependent upon amounts, time in surgery, doctor pricing.

3. Answered in #1

4. S/A

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Fat grafting to the breast

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If you are asking about an augmentation that is usually a one stage procedure. If you are talking about breast reconstruction after mastectomy that is usually a multistage procedure. The length of time can depend. The technique but since this is relatively new the techniques are rapidly evolving. In addition, some surgeons will use an assistant surgeon to help get the fat and prepare it. It does appear that keeping the fat out of the body for a shorter period of time may be helpful in improving take.

David L. Abramson, MD
New York Plastic Surgeon
3.0 out of 5 stars 6 reviews

Fat graft or fat transfer for breast augmentation

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fat grafting is still not widely accepted by plastic surgeons but is becoming more popular:

  1. it has been used worldwide a number of yearsa
  2. if done correctly at least 60% of the fat should remain as living fat
  3. it has been used widely for gluteal augmentation
  4. it shouldn't take more than 2-3 hours but it depends on how much liposuction is being done and the cannula technique preferred
  5. there is no complete agreement on best technique

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 20 reviews

It takes less than two hours

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The issue of fat grafting to the braest not accepted by most plastic surgeon because of the concern for calcification. This is a valid concern and should be discuss with the patient before surgeey. I been doing fat grafting to the breast for more than 5 years and have performed more than 250 cases. I use special technique to harvest fat without damaging the fat. I have formed fatgraftforum.com to share my experience with other surgeons. The average cost for the fat grafting is around 13-15000$.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 59 reviews

Ask the most important question -----

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Which is 1- how long does it last and 2-is it safe and 3- how much of a change will I get. Usually, most of the fat goes away, when it does, it can leave calcifications which can look like cancer on mamography and require a biopsy and usually the change is less than one bra size.

Breast implant surgery is safe, effective, and tried a true. Why try an experimental procedure.
 

William B. Rosenblatt, MD
New York Plastic Surgeon
4.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.