Excellent question. Yes, you can have a natural breast augmentation with fat. Fat grafting is a great solution for someone who wants to bring their breast size up a cup or so and use natural tissue vs. an implant. The procedure entails using liposuction to remove fatty tissue from unwanted areas of the body such as your abdomen, hips, or flanks, and transferring this into your breasts for natural looking fullness. Transferred fat is living tissue that grafts onto the existing cells. Most women find that they retain 50-80% of the fat from each fat transfer procedure. The great thing about a fat transfer to the breasts is that once it is injected, it becomes part of your body, meaning if you gain or lose weight, the transferred fat can do the same. Additional procedures can be performed over a 2 to 6 month period until the desired results are achieved. But most fat transfer breast augmentations can increase the breast from half to a full cup size. The cons are that fat transfer isn't a perfect replacement for breast implants. If a more dramatic increase in volume is desired, I may recommend implants in conjunction with your fat transfer procedure. A fat transfer can easily be combined with an implant or used as a secondary procedure to fill in areas that are flat or thin. It should not affect nipple sensation, mammograms, cancer risk or breast feeding. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic breast plastic surgery. Best of luck! Dr. Schwartz Board Certified Plastic Surgeon #RealSelf100Surgeon #RealSelfCORESurgeon Best of luck!