Creating a breast with fat transfer is being done. It takes more sessions and costs more than most will lead you to think. There is still no consensus on whether there is any increased risk of cancer associated with these procedures and they have not been approved by the plastic surgery...
Probably best to avoid any energy when harvesting fat (laser, ultrasound). The surgeon wants to treat the fat meticulously to avoid damage to the cells.
It is always best to lose as much weight as you can prior to undergoing a procedure.At this point in time breast augmentation with fat may be your best option if you are willing to settle for less than a cup size in augmentation. With weight loss you may not have enough fat to transfer....