Fat transfer for breast cup size 32A to a 35. What is best results with fat transfer?

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!


 

In general, 200 cc per breast is typically the upper limit of fat injection recommended by most PSs.  It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected to live during one transfer. Fat transfer to the breast could improve the fullness of the breast, particularly at the top of the breast. If you want more than a one cup size increase, this may require multiple treatments to reach the size you desire as only 50% of the fat typically survives.   In general, the abdomen and thighs are preferred areas for harvesting fat.You want to be happy with the outcome, but choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision. 

Fat transfer for breast enhancement is best for more upper fullness using smaller volumes. Bra cup size can increase from A to B - the number 32 usually does not increase to 35 (this is the measurement of your chest above the breasts). Usually, 50-60% of the fat stays.For larger than 1 cup size, implants are more reliable.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.