Fat Transfer: Q&A

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Fat Transfer to 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?

38 Doctor Answers | Asked by barbiebionda16 in usa
+3

Fat grafts to breasts can be safe

The American Society of plastic surgeons just published a position paper on this. Basically the experience of the surgeon in the technique matters a lot. Do not use fat extracted by UAL. Blasting the cells with heat (Laser or ultrasound) is not a good idea. I am doing another study with Breast reconstruction after lumpectomy, and I have reviewed the literature on the subject. Your main task is to find a surgeon who is well versed in the technique. see video
+14

Fat transfer works but not after ultrasound-assisted liposuction

I been doing fat grafting for more than 11 years and fat grafting to the breast for 3 years. It works, but: 1) You cannot increase the breast size more than a cup size 2) You do not have a lot of fat, UAL is ultrasoinc harvesting and will kill all the fat cells 3) I am concerned that your doctor does not have enough experince, otherwise he would not suggest UAL 4) Make sure to ask for referral from previous patients, and also ask for mammogram of the previous patients 5) I have an on-going... more
+7

Fat injection to the breasts

It is so intuitively appealing... natural tissue injected into the breasts, all natural breast tissue that survives. What could be better? Here's the rub. Fat injection consists of mainly dead cells, with a disputed amount of living cells (Our research showed 20-25% alive, other studies have shown as low as 3% if you look at the ability of the cells to "breathe" (metabolize). Those dead cells, when injected into the breasts, either are dissolved away by the body's white blood... more

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+5

Breast lipoaugmrntation or fat transfer to breasts

I do perform this procedure for selected patients. It is not suitable for everyone and is usually twice more expensive. However you can simply not use dead cells after UAL or laser lipo. The cells are damaged after such procedures reducing their survival. Also, you can not go up more than one cup size at a time at best. Thus you will need two procedures at least.
+4

Breast enhancement with fat, does it work?

I have been performing successful breast enhancement using fat grafting with Platelet Rich Plasma (PRP) for the past five years. It works very well if you’re a good candidate with enough fat and realistic expectations. From your physical description being 5’4” tall and 107 lbs, there might not be enough fat to harvest (liposuction) for fat grafting. You might want to consider silicone implants. Good luck
+4

Fat for Breast Augmentation

Today there several options for breast augmentation. The more traditional option is breast implant surgery. Fat grafting is also one of the viable alternatives. The benefit is that there is no implant and if fat heals well, the breast looks and feels normal. The downside is that fat transfer into the breast usually requires use of BRAVA system prior to surgery, the amount of breast enlargement is usual limited to 1 cup size, there is minimal to no breast lift associated with it... more
+4

Breast Augmentation Using Your Own Fat

Breast Augmentation using your own fat a potentially great procedure.  You get liposuction of the fat in the unwanted areas and also get a breast augmentation using your own fat, a 100% natural substance.  Once fully healed these breasts are indistinguishable from 'normal' non-augmented breasts. HOWEVER, patients always overestimate the amount of fat that they have for the use of breast augmentation.  If you are 5'4" and 107lb, you will barely have... more
+4

Ultrasonic liposuction for fat transfer is not good

For fat transfer to work, the cells harvested must be injected alive. Ultrasonic liposuction kills the fat cells. The injection will then only last for a brief time. Also, for someone who is 5ft4inches and 107 lbs, it highly likely that you do not have enough fat to make a significant difference. Herein lies the dilemma for Fat Transfer for Breast augmentation, most small breasted woman do not have enough fat to make a difference. Typically, 200 cc of fat is one cup size... more
+4

Consider your options very carefully

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... more
+4

Fat Grafting for Breasts is an Emerging Practice

Barbiebionda16, First of all, fat grafting for breasts is an emerging practice. Very nice results are possible with the newer micro-fat injection techniques. However, it is important that you see someone with extensive experience with fat grafting, but cause you can also end up with poor results. Also, there is currently controversy about the effect of fat grafting on mammograms and other breast imaging techniques, so it is very important that you have baseline imaging studies done before... more
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Comments (1)

We perform a lot of liposuction and fat transfer procedures. As the other physicians stated - can't go much bigger than a cup size in one procedure. Your available fat is the problem. At your weight I doubt you have enough fat to get any significant result for the price you would be paying. Just because fat can be harvested doesn't mean it can all be used for transfer. Only the liquid "gold" can be used - the rest is waste. Second opinions are always helpful. Someone needs to physically see you and pinch the fat you have to give you a better idea of what can be done for you. You need someone to be honest with you. Does the doctor you are going to also before breast augmentation with implants??? If not, he just may not want you to take your business elsewhere?

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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.

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