Fat Transfer to Breasts. Who is the Best Surgeon for This?

asked 11 months ago by gothamgirl in new york, ny
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 764 times
Tags: breasts, doctor referral

I live in NYC and I have been considering fat transfer to my breasts. I've always wanted lipo and larger breasts but didn't want implants, so this procedure seems perfect for me. I also don't have any breast cancer in my family at all. I recently had consults in Miami with Dr. Khouri and also saw Dr. Christina Ahn in NYC. (Dr. Coleman was out of my price range.) I am torn with Dr. Ahn and Dr. Khouri. I feel more comfortable with Dr. Ahn, but I hear Dr. Khouri is one of the best.

10 answers to Fat Transfer to Breasts. Who is the Best Surgeon for This?

Fat Transfer to Breasts

Both Dr. Khouri and Dr. Ahn have excellent reputations, and you should be in good hands with either. The general rule with choosing the surgeon is once you have found one with sufficient expertise and experience base your decision on who understands your needs the best. Fat transfer to the breasts is a procedure with generally a low satisfaction level, and we have subsequently implanted breast implants in several who have had fat transfer elsewhere. Be sure that this procedure... more

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon

Choose the results not the price

If you will choose a surgeon because of a price, or won't go to a surgeon because of his high price, it is better not to get anything done. If something goes wrong, you will always second guess yourself. By no means I am saying good or bad about any of the surgeons you mentioned. Go with your heart.

Adil Ceydeli, MD
Panama City Plastic Surgeon

Natural Breast Augmentation

There are several viewpoints regarding fat grafting for breast augmentation. Although, there is good data to support its use, it is not a mainstream procedure with several questions that are being examined. Currently, the most recent American Society of Plastic Surgery position statement on the subject was put forth in January 2009 (plasticsurgery.org/Documents/medical-professionals/health-policy/guiding-principles/ASPS-Fat-Transfer-Graft-Guiding-Principles.pdf). Since... more

Luis Zapiach, MD
Paramus Plastic Surgeon

Dr. Khouri is a pioneer of fat grafting to the breasts

Dr. Khouri is really one of the pioneers of fat grafting to the breasts, and I incorporate many of his techniques into my own approach to the proceure. Fat grafting can be an excellent option for breast augmentation. However fat grafting is very technique sensitive, and surgeons who do not pay attention to each aspect of the process may not get consitent results. Every component of the procedure from fat harvesting, to fat purification, to micrografting, and even... more

Jeffrey Hartog, MD
Orlando Plastic Surgeon

Fat transfer for breast augmentation yields modest result

As far as I know, Dr. Khouri practices in Florida and Dr. Ahn is in New York City. I have seen several patients who had breast augmentation by fat transfer by surgeons considered to experts in this procedure and the results were modest; all the patient wished they were larger. Also, there are no studies that show definitively that this procedure has no effect on the development of breast cancer. Tracy M. Pfeifer, MD

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

Known Risks and Unknown Risks

My concern is the effect of fat grafting on future mammography. There have not been enough women who have had the procedure done, and then gone on to have their mammograms taken, to determine if the scarring or any other changes to the breast from the grafting will interfere with mammography. I have no porblem with fat grafting anywhere else in the body, but the breast is unfortunately a cancer-prone organ and breast cancer is still a major health concern for women. more

John LoMonaco, MD
Houston Plastic Surgeon

Fat grafting

I think it is very important to feel comfortable with your surgeon - either of these surgeons would do a great job. Good luck!

Bivik Rajnikant Shah, MD
Columbus Plastic Surgeon

Fat Transfer Breast augmentation

I am pleased that you researched the concern regarding the potential to enhancing the development of breast cancer. Although the the studies show no short-term effects on increasing the risk of breast cancer, we still do not know the long-term concerns. Also, keep in mind that the studies show only an approximately 250 cc increase in breast size. Now some surgeons have increased this amount by using pre-expansion with a BRAVA device. Just make sure you are going to be happy with a smaller... more

Sean T. Lille, MD
Scottsdale Plastic Surgeon

Know the risks

I personally am NOT a fan of breast augmentation with fat grafts. There can be as many if not more complications with fat grafting instead of implants. At worst, an implant can be removed. Once fat is injected it can cause problems forever. Most of the fat injected will go away, so at most you will have only a small increase in breast size in the long run. Mammography can show calcifications which mimic cancer. This is a far inferior operation to breast implants. Why risk your and your... more

William B. Rosenblatt, MD
New York Plastic Surgeon

Reconsider breast implants

Fat transfer is in vogue right now. But you need to know its limitations. The size increase is modest. You may need more than one procedure. Fat take is variable. Sometimes patients are unhappy with the contour irregularities of the fat donor sites, particularly if you are at ideal body weight (these areas are not typically shown in photos). I have a favorite saying, "The worst thing about breast implants is that they are not just like breast... more