Can I Get a Natural Breast Enhancement with Fat Injections?

As of right now, breast enhancement with fat cells, or using your own harvested fat, is not generally recommended. The reason is that with any fat transfer, you never quite know how much of the fat is going to live and how much is going to die off.
If some of the fat dies off ( animal studies show that about 50% will be gone in a year), then it can lead to calcifications, mimicking what breast cancer clusters can look like ona mammogram. This can lead to false positives on a mammogram, or mask detection of breast cancer calcifications. Until there is a reliable technique to harvest and transfer fat that results in 100% viability over time without calcification, it will always be contraindicated.

Yes, it can be done.

The American society of Plastic Surgeons recently published a position paper on this issue. There are several surgeons in the US who are augmenting breasts using the patients own fat. Not only is fat being used for cosmetic purposes, it is also being used to help breast reconstruction patients.

I am presently conducting a study using fat stem cells on breast reconstruction patients who have had radiation damage. The fat stem cells not only provide volume to the breast, but they help to repair the tissue that has been damaged by radiation.

The usual barrier for people is that it costs more than an implant breast augmentation.

Check out the video below and the link for more info.

There is a significant amount of controversy about this topic.

Dr. Sid Coleman in NY has published some amazing breast augmentation work done with autologous fat injections. These amazing results are tough for the average plastic surgeon to replicate, as Dr. Coleman does this sort of procedure frequently. Additionally, the procedure takes a long time to do... several hours and at great expense $$$, compared to less than an hour for a breast augmentation.

The controversial issue, in my opinion, is the behavior of the fat in the breast once it is injected. We know that fat without adequate blood supply tends to 'saponify' and calcify with time. Mammograms of women that have had breast reductions done have lots of 'spots' on them that do not represent cancer, but make subsequent mammographic evaluation more difficult to do.

A similar situation exists with fat injections to the breast. Some of that fat is going to become viable grafted tissue, and some is going to become calcified and will produce 'spots' on a mammogram that are challenging to interpret. These 'spots' do not represent cancer, but they obscure and confuse the efforts of the mammographer to detect cancer in the breast if it is there.

A breast augmentation does not have any causative link to breast cancer, and the presence of a breast implant, especially if it’s in the sub-pectoral position, impacts the sensitivity of mammography only minimally.

My advice would be to avoid fat grafting to the breast for augmentation purposes. It’s certainly a safe technique for augmenting the lips and facial soft tissues, and for other body contouring purposes